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Re: Bladder Too Tight - cystocele/cystourethrocele repair

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sun, 31 Dec 2000 14:16:35 -0600 (CST)


At Sun, 31 Dec 2000, Tami wrote: >
>At Sun, 31 Dec 2000, William F. von Almen, II, MD, FACOG wrote:
>>
>>At Sun, 31 Dec 2000, Louise wrote:
>>>
>>>I had rectocele, cyctocele, and cystourethrocele repair two weeks ago.
>>>The rectocele repair went very well. The repairs to the bladder have
>>>resulted in an inability to void completely without self catherization.
>>>What is the minimum time I must wait to have this reversed? If I had
>>>known how this would turn out I would have stayed with wearing extra
>>>absorbent pads (stress incontinence). This is worse to deal with on a
>>>psychological basis.
>>>My sincere thanks for any professional advice or advice learned through
>>>common experience.
>>Louise
>>
>>I have never had to unfix a repair, so I am not sure of the answer to
>>your specific question. I am sure two weeks is way too soon, though.
>>Talk to your MD. I am sure he has some tricks up his sleeve to stretch
>>the repair and make it work better before abandoning it and trying
>>another surgical repair. Hope this helps.
>>
>>--
>>William F. von Almen, II, MD, FACOG
>>Editorial Advisor-Pregnancy and Birth
>>Private Practice
>>New Orleans, La.
>
>Dr. Almen,
>
>Thanks much, and I will talk to my OB/GYN regarding her further
>diagnosing during the D&C. I will be Day 9 of my cycle (JUST finishing
>menstruation) Should this be an issue? Also, how much does the Cortisol
>level really control blood pressure? Having the test come back at an
>abnormal level, leads me to believe that the hypertension could be
>hormonal as well.
>
>>*Please understand I can not respond to private emails.
>>
>>*These comments are for educational purposes only. They are
>>not meant to take the place of an examination by a qualified
>>health care provider. They are not intended to be the start
>>of a physician-patient relationship.
>>
>--
>Desperately seeking a straight answer.
>

Tami

I do not remember the relationship between cortisol and hbp except to know that it does exist. Try to get the d+c done during the later phase of the cycle, it is better to date the endometrium and to tell if ovulation has occured. Good Luck

--
William F. von Almen, II, MD, FACOG
Editorial Advisor-Pregnancy and Birth
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only. They are not meant to take the place of an examination by a qualified health care provider. They are not intended to be the start of a physician-patient relationship.




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