WOMENS-HEALTH Messages for August, 2000: Re: 6mths post op from TAH/BSO and now having bladder/adhesion issues?

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

From: gidge (anonymous@obgyn.net)
Fri, 25 Aug 2000 17:40:38 -0500 (CDT)

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Reply: D. Ashley Hill, MD: "Re: 6mths post op from TAH/BSO and now having bladder/adhesion issues?"

At Fri, 25 Aug 2000, D. Ashley Hill, MD wrote: >
>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
>Dr. Hill, thanks for your reply, to whom should I be readdressing the issue with? My family dr? My gyn or my urologist?? My gyn seems very unconcerned and when I mentioned recurring endo or adhesions she said "chances are almost nil"....my family dr says wait until we address the bladder and then we'll see....and the urologist says wait until we do the scope...OR do I need to see a whole other dr for adhesions (is there such a thing??) is it a general surgeon? I just want to be out of pain, it's been a long three years and I don't want to feel this way, any further direction would be hugely appreciated, thanks!!

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