WOMENS-HEALTH Messages for July, 2001: Re: Anterior and/or Posterior repair?? Please help!

Re: Anterior and/or Posterior repair?? Please help!

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Thu, 19 Jul 2001 10:06:09 -0500 (CDT)

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In reply to: Renee: "Anterior and/or Posterior repair?? Please help!"

Based upon symptomatology and a full and thorough exam, with urinary incontinence, other procedures like a Burch procedure or sling operation might be better than an anterior repair. As far as the posterior repair, that may be helpful but with all that's going on, a vaginal vault suspension may be need. Paravaginal repair may also be needed for symptomatic relief. Your doctor may be able to do what's needed but if you need a second opinion, a urogynecologist is the way to go.

Hope this helps and write back anytime for more information.

HSM

At Wed, 18 Jul 2001, Renee wrote: >
>I am a 37 year old mother of three very large babies (8.11 to 9.6 lbs)
>that I gave birth to vaginally. After my last child (16 months ago), I
>am having trouble holding my urine, having bowel movements (I sometimes
>have to push againt my perineum with my finger to provide support to
>push out stool), I can not hold tampons in, and my husband has indicated
>there is very little friction when we hav intercourse.
>Do either or both of these procedures help with my problems? My doctor
>has suggested kegals, but after a year of trying they do not seem to
>have helped. Are there any other procedures I can look into.
>
>I am also going to be scheduling a tubaligation, should I try to fix all
>of this at once?
>
>Thanks in advance
>
>P.S.
>
>Sorry for the duplicate post. I have seen posts before and after that
>have already had responses.

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

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