WOMENS-HEALTH Messages for June, 1998: Re: Adhesions?

Re: Adhesions?

From: J.Glenn Bradley MD (anonymous@obgyn.net)
Sun, 7 Jun 1998 11:54:10 -0500 (CDT)

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At Sat, 6 Jun 1998, Julie wrote: >
>I am very confused and concerned about persistant pelvic pain I am
>suffering with. I was diagnosed with endometriosis in 1990 via
>laparoscopy. (operative)
>I have had a total of four laps and one laparotomy (3/97)
>Following my laparotomy which included cysto with stent placement for
>ureter lysis (around the ureter) my pain returned approx. 3 months
>post-op. Along with the right pelvic pain, pain during and after
>intercourse, I started having pain with urination, blood in my urine and
>tenderness in the lower abdomen and pubic area. These all still
>persist.
>
>IC has been ruled out by one urologist. Except for the urinary
>symptoms, the pelvic pain and intercourse pain feel very much the same
>as when I had active endo. Do adhesions and scaring cause similar pain?

You might consider a trial of Lupron. If pain due to active Endo., up to 90% of patients will experience relief within a month.

Dr.B >And could adhesions be causing the urinary symptoms? My GYN says she is
>hesitant to do surgery again. I have been to a pain clinic with no
>results. I don't know where to turn. Is laparoscopy indicated in your
>opinion?

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