Re: GYNECOLOGIC: Pelvic Prolapse age 26 (Manchester/ Fothergill operation)
From: Amy Rosenman, M.D. (anonymous@obgyn.net)
Sun, 23 Dec 2007 20:15:36 -0600 (CST)
Message posted on Amy Rosenman, M.D. behalf by: Hope, Women’s Health
Forum Moderator
There are surgical options that do not require hysterectomy such as a
uterine suspension performed abdominally (laparoscopically) to attach
the uterus back to the support ligaments, or vaginally (a Manchester
Fothergill operation) where the ligaments are shortened and so is the
cervix. Without a uterus, there is no hope for pregnancy, with uterine
preservation there is hope.
--
Amy Rosenman, M.D.
Assistant Clinical Professor GYN
Geffen School of Medicine at UCLA
Santa Monica, California
http://www.obgyn.net/meet.asp?page=/all_advisors/A_Rosenman
(Hope): Management Of Genital Prolapse
http://www.obgyn.net/english/pubs/features/presentations/panda23/GenitalProlapse.ppt
Manchester/ Fothergill’s operation & Shirodkar’s modification;
Uterus/Cervix suspension/fixation; Vaginal vault suspension/fixation
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 emails cannot be entertained due to time
constraints; consequently, they will receive no response.
At Wed, 19 Dec 2007, bubbley wrote:
>I am 26 years old with pelvic prolapse.Protrusions out of the vagina and
>rectum. I have never had kids and have been to 5 doctorsa; a
>gastroenterologist, 2 physicians, a colorectal surgeon, my OBGYN and a
>pelvic surgeon- I am very uncomfortable wearing a pessary, it feels like
>it may be pushing against my rectum which does not help matters since i
>couldnt go to the bathroom well to begin with. The Pelvic surgeon i see
>has me trying my second pessary, i am not comfortable at all and would
>like to still have kids in 3 years or so. Im at a loss since this
>condition usually happens to people who have had kids and/ or are older.
>Please help. Any advice would be greatly appreciated.
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