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Re: pelvic and bladder pain after hysterecomy 3 years agoFrom: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)Sun, 27 Feb 2000 12:21:24 -0600 (CST)
At Sat, 26 Feb 2000, stevie wrote: > >I had a complete hysterectomy 3 years ago and 3 weeks into healing I >developed a pain in my bladder area deep behind the incisional scar >which hurt when pushed on and also on vaginal palpation. 6 months I had >a laparoscopy and the doctor removed the omentum from the vaginal cuff >and some adhesions but didnt help the pain. i have been through every >test available which included 2 cystoscopes that showed nothing. I even >had dmso heperin and steroid put into the bladder which only made me >worse. my question is could this be the ligaments that were sutured >into the top of the vaginal cuff? i have a pulling pain when I bear >down. the doctors tell me this isnt typical of adhesions but I have >always felt like the bladder was adhered to something. any input you >could give me would be great. thank you Sounds like you've had the appropriate therapies and diagnotstic testing and I'm stumped as well. The ligaments sutured into the top of the vagina, usually the round ligaments, are loose and give minimal, if any support. Some may also suture the uterosacral ligaments which run behind the vagina, into the top of the surgical incision of the vagina. This would not give "bladder" pain in that it is behind the vagina and the bladder is in front.
-- Harvey S. Marchbein, M.D. FACOG, FACS Great Neck, New York
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