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Removal/biopsy of fibroid in vaginal wall

From: irene (anonymous@obgyn.net)
Fri, 17 Nov 2000 05:42:53 -0600 (CST)


For 10 years I've had a pea-sized lump in the anterior vaginal wall about halfway between introitus and cervix. Four years ago I was told it was a Gartner's duct cyst, and not to worry. However, it has increased in size(about 2cm diameter now) over the past 6 months, so I had it checked out again by another gynaecologist, who maintains that it is solid, not fluid-filled, and therefore probably a fibroid(based on bimanual exam. only; I was not offered a vaginal ultrasound scan - would this clarify the diagnosis?). I wondered if it were possible/advisable to have a biopsy rather than remove it outright (it is asymptomatic, and my periods are normal and regular). The gyn. wants to rule out the possibility of a tumour in the bladder via a cystoscopy, then go ahead and remove it. My concern here is that: 1)she wants to perform the cystoscopy under general anaesthesia, then wake me up to inform me whether a urologist needs to be called in to work on the bladder (this can't be called informed consent if I'm groggy!), and 2)she will not perform a biopsy as she claims it is no easier than removing the lump entirely. No option for me then if it's not malignant!

What I would like to know is 1) can the cystoscopy be performed first under local or even no anaesthesia? and 2)what exactly is involved in the excision/biopsy procedures that make it so difficult? The gyn. kept saying that "it's a two-person job, you have to pull everything down (the vagina?), it's just like having a baby". These nebulous statements, which she would not elaborate upon, scared me more than any definite explanation could have!

--
Irene





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