WOMENS-HEALTH Messages for April, 1999: Dr. Ind: sorry to hear and thanks ~~Pelvic repair

Dr. Ind: sorry to hear and thanks ~~Pelvic repair

From: Elizabeth (anonymous@obgyn.net)
Fri, 30 Apr 1999 09:27:36 -0500 (CDT)

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In reply to: Thomas: "Re: 4th posting: Dr. Ind: thanks and ~~Pelvic repair"

At Thu, 29 Apr 1999, Thomas wrote: >
>Sorry about the need for a 4th re-post. A colleague has recently suffered a berievement and I'm spending most of my time at the hospital as a result.
>
&& Sorry to hear your friend has just suffered a loss - nice of you to be so supportive, can understand you not having any extra time.

>Not specifically stated and I am not aware of a paper that says the more mild a degree of prolapse the more likely the success of an operation. However, theoretically, YES.
>
&& If someone has surgery to correct the prolapse(s) - if that repair is still in place after about a year, are the chances of it lasting for a long time (30 years) pretty good?

>On one hand you could argue that if she can keep a pessary in then she is cured and there is no need for surgery. On the otherhand you can say that in an individuals case it is inconvenient and therefore the answer
>above applies.
>
&& A pessary helps w/the symptoms - but it doesn't seem to be a long term fix. I'm wearing a pessary until I get surgery later down the line, my family is a tad young so I thought it best to wait. I would think that a pessary doesn't really help w/the other "celes" much and that repair might be necessary regardless?

&& If the success rate is pretty good with women who have resuspension surgery (w/uterus), do you think that perhaps more women would opt for the surgery keeping the uterus versus having it out?

The usual and established operation is a >vaginal hysterectomy. A sacrocolpoplexy is normally performed for a woman who has had a hysterectomy already and repairs the vault (top of the vagina) which is prolapsing down).
>
&& Any particular reason why this approach has become so popular? Is it possible that prolapse might reoccur?

&& Would appreciate any studies you might have on any prolapse surgery - especially w/those that keep the uterus/cervix etc.

&& May I ask roughly how many resuspension of the uterus along w/pelvic repair you've done? How are they doing and how long have they been successful? Is a woman able to go about a normal daily routine again?

&& Thanks for your time and all the information!!

-- Elizabeth

--
Elizabeth

Next message: Susan: "New Hysterectomies"
Previous message: Elizabeth: "Dr. Ind: Break through bleeding"
In reply to: Thomas: "Re: 4th posting: Dr. Ind: thanks and ~~Pelvic repair"

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