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

Re: 4th degree tear

From: John R. Miklos M.D. (anonymous@obgyn.net)
Tue, 15 Aug 2000 21:30:00 -0500 (CDT)

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In reply to: Jenn: "Re: 4th degree tear"

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?

COLLAGEN INJECTIONS HAVE BEEN PERFORMED BUT THERE IS NOT MUCH LITERATURE CONCERNING THIS TECHNIQUE.....IT IS SOMETHING THAT MIGHT BE CONSIDERED SINCE IT IS SO MINIMALLY INVASIVE AND PROBABLY WON'T CAUSE MUCH HARM. >
>Thank you,
>
>--
>Jenn
>

--
John R. Miklos M.D.
Director Urogynecology & Reconstructive Pelvic Surgery
Atlanta Center for Laparoscopic Urogynecology and
    Reconstructive Vaginal Surgery
Atlanta Georgia

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In reply to: Jenn: "Re: 4th degree tear"

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