WOMENS-HEALTH Messages for August, 2000: Re: 4th degree tear

Re: 4th degree tear

From: Jenn (anonymous@obgyn.net)
Mon, 14 Aug 2000 13:11:47 -0500 (CDT)

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Reply: John R. Miklos M.D.: "Re: 4th degree tear"

At Mon, 14 Aug 2000, John R. Miklos M.D. wrote: >
>At Mon, 14 Aug 2000, Jenn wrote:
>>
>>When I delivered by daughter 6 years ago I had a 4th degree tear. I
>>have had incontinence problems ever since due to the scar tissue that
>>developed as a result of the tear. I have had to repairs to the vaginal
>>floor muscles and one rectal repair. This condition is not improving
>>but worsening. I can't imagine that I am the only person with this
>>problem but rectal surgery seems to be the only alternative I am being
>>offered again. Any other suggestions that I might offer to my
>>physician?
>
>I am assuming that you are having anal incontinence. If you are .....
>might I suggest that you ask the doctor if this is a procedure he/she
>performs routinely. If a doctor only performs one or two of these a
>year I would encourage you to seek someone who performs more and who has
>a good reputation. It sounds as if you already have had one 4th degree
>repair, one reparative surgery (making this the second surgey), .... try
>to make this your last surgery. Multiple surgeries in this area can
>lead to futher mucles and nerve damage.... I am NOT saying you can't be
>cured after two or three surgeries but the highest chance of cure comes
>with the first surgeries.
>
>Good luck>
>>Thank you.
>
>--
>John R. Miklos M.D.
>Director Urogynecology & Reconstructive Pelvic Surgery
>Atlanta Center for Laparoscopic Urogynecology and
> Reconstructive Vaginal Surgery
>Atlanta Georgia
>

Thank you for your quick response. Yes it is anal incontinence. The first 2 repairs were pelvic floor muscle repairs that my ob/gyn handled. The last surgery was performed by a colon rectal surgeon. Have you ever heard of silicone injections to tighten those muscles? This was something that a friend in the medical field suggested and I wasn't sure if this is something valid or not?

Thank you,

--
Jenn

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