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a little confused (Dr. Folgar)From: Elizabeth (anonymous@obgyn.net)Thu, 27 May 1999 09:27:30 -0500 (CDT)
>>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
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