WOMENS-HEALTH Messages for March, 1998: Re: Post Operative Back, Upper Vaginal and Bladder Discmfort

Re: Post Operative Back, Upper Vaginal and Bladder Discmfort

From: Judy (anonymous@obgyn.net)
Sun, 8 Mar 1998 23:33:23 -0600 (CST)

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Reply: Garry E. Siegel, M.D.: "Re: Post Operative Back, Upper Vaginal and Bladder Discmfort"

At Sun, 8 Mar 1998, Garry E. Siegel, M.D. wrote: >
>At Sun, 8 Mar 1998, Judy wrote:
>>
>>I had a partial hysterectomy in 1996 for a rapidly growing fibroid. This
>>was done vaginally. Since, I have experienced chronic lower back
>>pain(sacral region), a tightness and pulling sensation at the top of the
>>vaginal vault(more noticeable when the rectum is full) and marked
>>bladder discomfort and urinary urgency. A laproscope has revealed
>>marked adhesions at the top of the vaginal vault including an abnormal
>>fold. The vagina is also tethered to surrounding tissue. The right
>>ovary was imbedded in scar tissue.During the laparoscpy the adhesions at
>>the top of the vaginal vault were separated and the ovary was freed from
>>some of the scar tissue.These procedures have not fixed the pain. I
>>have sort 3 gynaecological opinions and all agree that more surgery may
>>not necessarily fix the problem but realise as a former elite athlete
>>who still wants to compete at Masters level that my quality of life is
>>being compromised.
>>
>>Question 1. Could the sacro uteral ligament be tied up with adhesions
>>in the vaginal vault area and hence be trapping nerve fibres?
>
>Probably not. I bet the adhesions are on the top of the vagina, and the
>uterosacrals are below it (educated guess only).
>
>>Question 2. If so what surgical procedure/s may be followed to resolve
>>this?
>
>You didn't say how old you are, but if one of your ovaries is embedded
>in scar tissue, and it couldn't be cleared up with the scope, then you
>may been to have more surgery to remove one or both tube and/or ovaries.
>It would be up to your doctor to decide whether it could be done with a
>scope versus an abdominal incision. Sometimes, it just isn't possible
>to do this safely with a scope, and you have to have the larger
>incision, which is more major, longer recovery, etc.
>
>Many doctors will recommend removing all that is left if you're having
>pain, have adhesions, and are having another surgery. This is so it
>will be (hopefully) your last surgery.
>
>What type of surgery did your 3 opinion docs recommend?
>
>Garry
>
>Due to time constraints, I cannot respond to private emails.
>
>My opinion is for educational purposes only, and should not replace
>contact with your
>own doctor. It does not constitute a physician-patient relationship.
>
>Thank you for your understanding.
>
>--
>Garry E. Siegel, M.D.
>Private Practice, Ob-Gyn
>Roswell, Ga.
>
>--
>Garry E. Siegel, M.D., FACOG
>Private Practice
>Roswell, Ga.
>

Thanks for your reply Gary.

One Doctor has suggested vaginal restructuring(from yhe vaginal end) ie top of the vault as well as removing the right ovary. However I do not get pelvic pain per se.

The second Doctor(preferred option) would wait to decide on doing a laparatomy and would look at the adhesions at the top of the vagina to see if anything could be done there.

--
Judy Flanagan

Next message: Liz: "endometrial biopsy to diagnose luteal phase defect"
Previous message: Ann: "Repost: Pulse Rate and Pregnancy"
In reply to: Garry E. Siegel, M.D.: "Re: Post Operative Back, Upper Vaginal and Bladder Discmfort"
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Reply: Garry E. Siegel, M.D.: "Re: Post Operative Back, Upper Vaginal and Bladder Discmfort"

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