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Re: HYSTERECTOMY: Dr. von Almen, please!

From: Robin (anonymous@obgyn.net)
Sat, 29 Dec 2007 07:47:14 -0600 (CST)

Hey Dr. von Almen!!

Sorry I am just now posting.

I saw the Urologist and he said the RPF is not the RPF in the true sense. I have a lot of adhesions from the abdominal surgeries and the past presence of Endo. He said while this can be dangerous especially with the extent of my adhesions, this is not RPF as he treats. He said with RPF it is not a cancer, but can act like one. Thank Gd I am not dealing with that!! He said the ureters appear to be draining fine.

So, this is great news for me. Now to figure out the pain...unless of course it is a hematoma from the injury the day after surgery.

Why can't anything be easy for me?? I am looking for 2008 to bring that to me :).

I hope you have a great New Year!! 

--
Robin


At Wed, 26 Dec 2007, William F. von Almen, II, MD, FACOG wrote:
>
>Robin
>
>Well, that depends.
>1.  out and out injury(devascularization or transecting), it may have to
>be resected and reimplanted into the bladder, or more complex-beyond out
>discussion at this point
>2.kinking-it may need a stent put in to allow the ureter to straighten
>out and do ok.
>
>All I can tell you based on info so far...dr. bill
>
>At Wed, 26 Dec 2007, Robin wrote:
>>
>>Hi Dr. Bill...
>>
>>Just wanted to update you.  I am seeing the Urologist tomorrow.  I am
>>having the CT Scan done.  My GYN thinks it is one of two things.....I
>>may have a hematoma from when I was getting back in bed at the hospital
>>and pulled something (maybe a suture).  If that is the case, only time
>>can help take care of the problem.  The other thing may be an injury to
>>the ureter as he had to do a lot of work on the ureter due to the
>>RPF(however, wouldn't there be additional symptoms? It does hurt when he
>>taps on my back on the left side, but other than that, there is
>>nothing...urine was clear as well).
>>
>>I didn't even think to ask, but what is the treatment if there is an
>>injury to the ureter???
>>
>>I am scared!!!!
>>
>>Thank you for EVERYTHING!!
>>
>>--
>>Robin
>>
>--
> 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.
>
>William F. von Almen, II, MD, FACOG
>Private Practice
>New Orleans, La.
>





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