WOMENS-HEALTH Messages for September, 2000: Re: cyst blocking ureter (help... what to do??)

Re: cyst blocking ureter (help... what to do??)

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 20 Sep 2000 22:48:12 -0500 (CDT)

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In reply to: H.: "cyst blocking ureter (help... what to do??)"
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Reply: H.: "Dr. L. Montgomery, sorry, i needed clarification...."

At Wed, 20 Sep 2000, H. wrote: >
>I wrote earlier about my problem and finally got to see an ob/gyn today
>who left me feeling more uncertain than ever.
>
>Had a total hysterectomy 9/99 with removal of both ovaries.
>Had cyst on right side removed 2/2000, that was blocking my right
>ureter. pathology "ovarian" tissue/cyst.
>
>Had same kidney pain but in left side on 8/31/00, ended up with stent
>placed to open the ureter. CT scan showed bilateral cysts roughly 1.5
>cm
>
>Today 9/20 had ultrasound showing a 3 cm cyst on left nothing on right.
>still have stent in place.
>
>Gyn said they rarely do surgury on such small cysts, might try going off
>the premarin. But what she seemed to be ignoring was the stent and fact
>that cyst is blocking my ureter..... I am still in pain, its totally
>interfereing with any type of "normal" life. I am very upset.
>
>What about laparscopic surgery to remove cyst, take a look around? and
>then remove stent too....
>
>I am reluctant to stop the premarin, I just turned 40 last week, seems
>like there are a lot of bad side effects from not having any premarin.
>
>Thanks for any input/advice.... I am really upset at lack of resolution
>during this visit to doc....

First, I agree with the Premarin. Second, It is pretty unusual for you to have sooo many cysts of ovarian origin after removal of both your ovaries. There is a fairly common occurence called ovarian remnant syndrome, but this should be remedied with a follow-up surgery and no problems after. I have never heard of somebody having a problem for than once from this. It concerns me that you physician cannot seem to get all of your ovarian tissue. I would be inclined to seek a second opinion and I would seek it from somebody who is very qualified in gynecologic surgery... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**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.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

Next message: Lynn D. Montgomery, MD: "Re: Pregnancy"
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In reply to: H.: "cyst blocking ureter (help... what to do??)"
Next in thread: H.: "Dr. L. Montgomery, sorry, i needed clarification...."
Reply: H.: "Dr. L. Montgomery, sorry, i needed clarification...."

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