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Re: 6mths post op from TAH/BSO and now having bladder/adhesion issues?

From: D. Ashley Hill, MD (anonymous@obgyn.net)
Fri, 25 Aug 2000 12:10:19 -0500 (CDT)


At Fri, 25 Aug 2000, gidge wrote: I've been having alot of >>trouble since my abdominal hysterectomy in February due to endometriosis
>>and recurrent ovarian cysts, I am 34 yrs of age.
>>
>>Since my hyst I have had alot of cramping that goes through to my lower
>>back and down my legs and some really extreme shooting like pains that
>>totally take my breath away.

There are a number of possibilities, which is why it can take multiple visits to your doctor(s) to get an answer. Adhesions are extremely common after abdominal hysterectomies, particularly in patients with endometriosis. Without the benefit of doing an exam, adhesions would be at the top of the list. Endometriosis can sometimes recur despite removal of the uterus and ovaries, regardless of whether you are on HRT. As your urologist suggests, interstitial cystitis or other bladder problems could cause this. Colon problems could cause pain, as could trigger points (tender areas on the abdominal wall). It usually requires a number of visits to pin this down, and it is best diagnosed with a cooperative patient and a concerned doctor. If you feel your doctor is not listening to you, why not obtain a second opinion? Just be sure to bring the operative note, hospital history and physical, and pathology report, as well as any office notes. Good luck,

--
David Ashley Hill, MD
Associate Director
Department of Obstetrics and Gynecology
Florida Hospital Family Practice Residency
http://home.cfl.rr.com/dahmd





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