WOMENS-HEALTH Messages for May, 1999: Re: suspension a little confused (Dr. Folgar)

Re: suspension a little confused (Dr. Folgar)

From: Elizabeth (anonymous@obgyn.net)
Wed, 26 May 1999 14:22:00 -0500 (CDT)

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At Tue, 25 May 1999, Elizabeth wrote: >
>At Mon, 24 May 1999, Laureano wrote:
>>
>> Dear Elizabeth,
>> In my hospital we do 2-3 resuspensions for each histerectomy. For premenopausal women we consider that resuspension have the same successful than histerectomy with less secondary efects, mainly, vagina reduction which
>>can cause dificulties in intercourse. We use Burch or slings for the uretra,and reduction and reinforcement of vaginal anterior wall if it is descend.
>>If an stress urine incontinent exist the failure of the procedure is close to 20-30% with Burch and 40-50% with sling procedures, so a urodinamic study is needed. The rectocele is done by reducting it and reinforcement of the
>>perineal floor with the aproximation of the anal evators. In young people with no intetion of being pregnant again we do Manchester procedure wich consist in a cervical amputation with approach of cardinals and uterinsacral
>>ligaments, the success is the same as histerectomy in mild uterine prolapses.
>>
>> In general it is not a very success surgery, because of that, we only do it if there are large symptoms.
>>
>>Laureano Folgar ob/gyn especialist
>>Hospital Comarcal Melilla
>>MALAGA, SPAIN
>
>&& Thank you so much Dr. Folgar for the very detailed information -
>exactly the kind I'm looking for. I appreciate you taking the time to
>answer me! I just had two small questions in regards to your post.
>First, why the amputation of the cervix? And two, when you stated that
>the surgery is not that successful, does that mean with or without a
>hyst the outcome is about the same for vaginal repairs? If that's not
>the case, then what do you attribute the failures too?
>
>thank you again so very much!
>Elizabeth
>
>--
>Elizabeth
>

--
Elizabeth

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