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Re: prolapsed bladder and chronic UTI's post hysterectomyFrom: Lisa (anonymous@obgyn.net)Tue, 18 Jul 2000 11:56:17 -0500 (CDT)
At Tue, 18 Jul 2000, John R. Miklos M.D. wrote: >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. Thank you so much for your response. Would you mind describing the parivaginal repair proceedure for me? Also, I now have a pubovaginal sling securely scarred into place and vaginal stenosis resulting from vaginal adhesions. Would either of those facts be a deterrant to doing the parivaginal repair? Again many thanks for your help :D I will be visiting your website as soon as it is up and running.
-- Lisa Young
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