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Re: pelvic and bladder pain after hysterecomy 3 years agoFrom: stevie (anonymous@obgyn.net)Mon, 28 Feb 2000 09:31:21 -0600 (CST)
At Sun, 27 Feb 2000, Harvey S. Marchbein, M.D. wrote: > >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 > >**Note: Opinions expressed here are for educational purposes only >and, as such, do not constitute a physician-patient relationship. >This information is not intended to supplant the need for you to >consult with your physician prior to choosing therapeutic options >and/or interventions. > >**Private emails cannot be entertained due to time constraints, >consequently no private emails will receive a response. > >**Thank you for your understanding ;-) > I have another short question, could adhesions cause this kind of pain ? and could they have been missed during the laparoscopy I had done? If it is adhesions will they improve with time? thank you for your help stevie
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