Re: HYSTERECTOMY: Dr. von Almen, please!
From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sat, 29 Dec 2007 08:00:21 -0600 (CST)
Robin
Glad the ureters are intact. Here's hoping for steady improvement in
2008...Dr. von Almen
At Sat, 29 Dec 2007, Robin wrote:
>
>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.
>>
--
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.
![[ Women's Health Forum ]](http://www.obgyn.net/images_women/wh-forum.gif)