Re: 4th degree tear
From: jwang,MD (anonymous@obgyn.net)
Mon, 14 Aug 2000 18:49:10 -0500 (CDT)
I haven't heard of silicone injections for anal incontinence. I can
only guess that it would only be temporary. You would probably do best
seeing a gyn pelvic surgeon who specializes in reconstructive surgery.
At Mon, 14 Aug 2000, Jenn wrote:
>
>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
>
--
J Wang, M.D
Assitant Clinical Prof.
Tufts University School of Medicine
>**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.>
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