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 miklos MD (anonymous@obgyn.net)
Tue, 18 Jul 2000 12:40:36 -0500 (CDT)

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

At Tue, 18 Jul 2000, Lisa wrote: >
>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?

GREAT QUESTION....REALLY....MOST PEOPLE DO NOT REALIZE BUT TO DO A PARAVAGINAL REPAIR THE SLING WILL NEED TO BE TAKEN DOWN TO DO THE REPAIR. LISA--SEND ME A FAX # AND i WILL FAX YOU A PAPER WITH GOOD PICTURES. >

Jrm >Again many thanks for your help :D I will be visiting your website as
>soon as it is up and running.
>
>--
>Lisa Young
>

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

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