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I have endometriosis and fibroid tumors (occasionally ovarian cysts). OB recommend hysterectomy. Read about Acessa. Wondering: procedure any good?
Perhaps not for you: Acessa is a novel, fairly good and very promising procedure for treating uterine fibroids and preserve the uterus. Its success depends often on the size, location and number of fibroids in a uterus. It is not a treatment for endometriosis. Hysterectomy laparoscopic, transabdominal or transvaginal at this point in your life may not be a bad recommendation, particularly if you are very symptomatic ...Read more
Yes: This is one option among many.Get a more detailed answer ›
?: What exactly is your question?Get a more detailed answer ›
Three: The type of myomectomy is performed based on the location and size of the fibroid. Very large fibroids are often removed by an open abdominal myomectomy. You will have a larger skin incision with this approach. Smaller fibroids can be removed laparoscopically. Fibroids located inside the uterine cavity can be removed hysteroscopically and a new device called myosure can be used for this approach. ...Read more
Do surgeons do pathology tests on endometriosis adhesions and lesions?? I have servere endo deep pelvic & residual with kissing ovaries & endometrioma
Not always.: Endometriosis is usually pretty obvious to the surgeon and pathology tests are often not needed just to make the diagnosis at the time of surgery; however, if anything is removed from the body it will be sent to pathology for tests. Biopsies are sometimes done if there is question about the diagnosis. Best wishes! ...Read more
It depends.: It's always best to try and find out why someone is infertile before recommending treatment. The man would undergo a history, physical exam, semen analysis, blood testing for hormones and possibly other factors, and then the treatment would be geared toward correcting or overcoming the discovered problem(s). ...Read moreSee 1 more doctor answer
It depends: An ovarian dermoid is a benign neoplasm (tumor) that won't spread beyond the ovary, but may continue to grow. If imaging (ultrasound or mri) suggest a dermoid, management may depend on whether there are any symptoms, the size of the tumor, whether it is growing, and whether there is any suggestion that it might be a different type of tumor or cancer. ...Read more
No, not really: No "gallbladder flush". With or without gallbladder disease, healthy balanced diet is best. If you have gallbladder disease definitive and demonstrated treatment is surgery. The fear of occult "liver packed with gallstones" is really unsubstantiated and not supported. These links may assist: http://goo.Gl/6iiah and http://goo.Gl/1c7et and http://goo.Gl/5l7ya. ...Read moreSee 2 more doctor answers
How accurate is a 2d ultrasound at diagnosing gynecological issues like pcos, fibroids, cysts, endometriosis, etc...?
Gyn sez they don't have "operative hysteroscope" for polypectmy. Must find another dr. What is difference btw hysteroscopes? Don't all gyns have 'em?
No: Most obgyns will not have an operative hysteroscope in the office but should have access to one in a hospital operating room. Some have access in their office. Not all know how to do a hysteroscopic polypectomy. Find a doctor who can do a procedure called myosure. It is a great procedure for uterine polyps. ...Read more
Depends: At 4 1/2 cm if it's a simple cyst, then it may not need to be operated on at all. At that size, many of these cysts do resolve on their own, considering, of course, that they are simple and filled with solely fluid. Having said that, if the cyst is causing twisting of the ovary, if there's severe pain, then doctor might have other recommendations. ...Read more
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