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Re: Endovaginal vs. TransabdominalFrom: James S Smeltzer MD (gaperina@mindspring.com)Mon Mar 9 10:58:54 1998
At 10:30 PM 3/6/1998 -0600, you wrote: >In a message dated 98-03-06 10:05:15 EST, you write: > ><< To me, this makes much more sense > than "torturing" all of my patients for something that benefits a very small > percentage. >> > >Before performing a TV sonogram, I always do a TA with the bladder in whatever >stage it is at. If there is a large mass there, there is at least a hint of >it this way, even if it is very posterior. This also helps with those large >cystic masses that look like bladders. If the patient doesn't feel like the >bladder is full, then one has to question what they are looking at when they >see a full bladder. And it also helps to evaluate whether or not TV will be >helpful. Sometimes those slightly retroverted uteri, (the ones that point >cephalad) visualize really poorly on TV. In this case I will do both TA and >TV if possible. > >Diana Ross, RT, RDMS > This is Great technique - one I recommend highly. THe preliminary TAS takes two minutes. If you are doing a lot of PM patients you can use the TVS perineally with a high frame rate and ask them to cough with the transducer lightly on the anterior fourchette & see incontinence as well as cescent of the angle for true SUI. Can also see the bladder contract for Detrussor Instability. PS Didn't sign my last note - I forget this is a mail list. Jim Smeltzer - Georgia Perinatal Medicine PC, (Gaperina) :-)>
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