WOMENS-HEALTH Messages for July, 2000: Re: prolapsed bladder and chronic UTI's post hysterectomy

Re: prolapsed bladder and chronic UTI's post hysterectomy

From: John R. Miklos M.D. (anonymous@obgyn.net)
Tue, 18 Jul 2000 11:34:54 -0500 (CDT)

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Reply: Lisa: "Re: prolapsed bladder and chronic UTI's post hysterectomy"

At Tue, 18 Jul 2000, Lisa wrote: >
>I am a 35 year old woman who underwent a hysterectomy due to prolapse in
>February of 2000. My chief complaint before surgery was a grade 3
>cystocele which caused chronic UTI's and bladder/pelvic pain. The
>surgery was not sucessful in lifting the bladder, although the bladder
>neck is suspended. I continue to have chronic UTI's - a new one every
>week or even more often, while I am still treating the last with
>antibiotics.
>
>I wanted to know if there is a surgery which can more securely lift my
>bladder so that it can drain completely and I can stop getting these
>UTI's. My surgery was vaginal and the bladder was supported by sewing
>the vaginal fascia tighter. Is there a surgery that is effective for
>suspending the bladder when the vaginal surgery has failed?

LISA,

MOST DOCS PERFORM AN ANTERIOR REPAIR FOR CONDITIONS OF CYSTOCELE ---JUST AS YOU SAID A TIGHTENING OF THE FASCIA--SORT OF PUSHING THINGS UP. THE MAIN REASON WHY THE BLADDER FALLS IS BECAUSE THE VAGINAL WALL WHICH IT SITS UPON IS NO LONG ATTACHED TO THE MUSCLES OF THE PELVIC SIDEWALL. THIS CONDITION IS KNOWN AS A PARAVAGINAL DEFECT. MOST PATIENTS SHOULD HAVE A PARAVAGINAL REPAIR TO CORRECT CYSTOCELE NOT AN ANTERIOR REPAIR. If so, is >there a center or a doctor somewhere in the U.S. who is on the
>forefront of this type of pelvic reconstruction?

MANY UROGYNECOLOGISTS PERFORM THIS OPERATION....SOME OF US DO IT ROUTINELY LAPAROSCOPICALLY. MY WEBSITE WILL BE UP TOMORROW (WITHOUT PICTURES) --- YOU MAY FIND IT TO BE INFORMATIVE, I THINK IT WILL BE MORE INFORMATIVE ONCE WE HAVE THE PICTURES WITH THE TEXT.

http://www.UROGYNECOLOGYCHANNEL.COM

HOPE THIS IS HELPFUL

-- JOHN R. MIKLOS M.D.

I am very desperate >because I have been on a constant rotation of various antibiotics for 2 >1/2 years and am becoming allergic to many of them. > >Thanks for this forum and for your time. > >Sincerely, > >-- >Lisa Young >

--
john r miklos M.D.
Urogynecology & Reconstructive Pelvic Surgery
Advanced Laparscopic Surgery
Atlanta Georgia

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In reply to: Lisa: "prolapsed bladder and chronic UTI's post hysterectomy"
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Reply: Lisa: "Re: prolapsed bladder and chronic UTI's post hysterectomy"

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