Doctor insights on:
Laparoscopically Assisted Vaginal
Same as any surgery: The risks include bleeding, infection, damage to bowel bladder and adjacent organs, pain, postoperative bleeding, failure to cure pain, scar formation, need for additional surgery. In the case of the lavh - there would be the risk of needing open abdominal surgery as well. ...Read more
Safe and efficient s: The laparoscope allows excellent visibility inside the abdomen for releasing the uterus (and ovaries as appropriate) before proceeding with the vaginal portion of the hysterectomy. Many studies show fewer complications with lavh compared to an abdominal hysterectomy or a vaginal hysterectomy. There is the additional benefit of inspecting the abdominal cavity before and after the hysterectomy. ...Read more
What is the age range of women who have laparoscopically assisted vaginal hysterectomy (lavh) performed?
Could be any age: The nice thing about an lavh is that it can usually be performed on anyone requiring a hysterectomy - regardless of age. I have performed lavh on women up to 94 years of age. There would not be a minimum age - most women are going to recover more quickly and easily from an lavh than from an abdominal hysterectomy. One great benefit is the lower complication rate compared to abdominal or vaginal. ...Read more
That varies: The specific instruments used will depend on the training and experience of the surgeon as well as the particular requirements based on the patient's anatomy and body habitus. I usually use laparoscopic staples for the internal portion of the surgery and absorbable sutures for the vaginal portion. ...Read more
What position does the patient lie in while having a laparoscopically assisted vaginal hysterectomy (lavh)?
I need to know anything and everything you can tell me about a laparoscopically assisted vaginal hysterectomy (lavh)! pre, intra and post operative?
LAVH: Many studies show that complication rates are lowest for lavh compared to any other route for hysterectomy. It is impractical to try to relate everything known about lavh here. There are many resources available - first and foremost would be your gynecologist for a full and complete discussion of lavh and other treatment options. ...Read more
I am 285lb had open appendectomy and tubal in past. Vaginal birth to 4 kids. Can my gallbladder sludge be removed laproscopically. Very large sludge?
Yes...: Though you have had previous surgery, and obesity increases your peri-operative risks, its highly likely you will be a candidate for laparoscopic cholecystectomy (gallbladder removal). These risks increase the rates of conversion to open-cholecystectomy if problems arise after starting with the laparoscopic approach. ...Read more
Pros/cons of c-section vs. Assisted vaginal delivery? Baby persistently locked in posterior position, estimated 8lbs+.
Depends: That is a decision that would need to be made in the moment. Many women can deliver vaginally with no problem from the occiput posterior position. If the baby can not be delivered with pushing then options of forceps, vacuum and c section should be considered. The size of the baby, the shape of the pelvis, the position of head and the experience of the doctor are all important considerations ...Read more
I'm having laparoscopic vaginal assisted hysterectomy feb 3 and plan to travel from Ontario to England on March 22 that is 7 weeks post op that ok?
Ask your surgeon: You need to ask your surgeon this question as he/she will know the answer. ...Read more
Forceps assisted delivery 9w ago and Mirena (levonorgestrel) fitting 4w ago. Dr removed vaginal polyp. Related? Dr explained why hut don't remember. Concerned!
Can you experience odd sensations from your nerves following a assisted vaginal hysterectomy. Have tingling and pulsating.?
Tingling: There are a number of reasons why you might have tingling or numbness following such a procedure. There can be local inflammation of the nerves, and not just compression or mechanical irritation. It depends very much where you are having the symptoms. This is important in attempting any further answers to your question. ...Read more
2 weeks after assisted keyhole vaginal hysterectomy. Does it effect your bladder? Slight pain in tummy when weeing and pinching feeling after.
Possible: You could have a bladder infection. You need to see your doctor. ...Read more
I had a vaginal robotic assisted hysterectomy a month ago I am now having more pain in my left lower abdomen incision site. And inside my abdomen. Is?
? Question: Your question was cut off, but generally speaking if you have any issues related to your recent surgery, I would call the surgeon as soon as possible as they would know your case best and may want to see you and examine you to assure all is healing appropriately and for continuity of care. Best wishes. ...Read more
Diet and exercise: Often the flora (bacteria) of our vagina is affected by things like our diet and exercise and sleep and stress. Sometimes an odor can occur in response to outside, e.g. Change in soap, detergent, lubricant, new sex partner, etc. I recommend trying to find reason for odor first, and then try to treat with probiotics or making more of the good bacteria, lactobacilli. If still bothersome, see a md. ...Read more
Depends on type: Vaginal mesh slings, widely considered the standard of treatment for stress urinary incontinence, have a complication rate of less than 5-8% generally. Vaginal mesh "kits" used for pelvic organ prolapse surgery (to fix bulges within the vagina from the bladder/rectum or prolapse of the vaginal cuff after hysterectomy) have been found to have a complication rate of around 20-30%. ...Read more
If the condom: Is stuck you must go to the doctor and the doc can easily remove it, so go now, on sunday you can go to an urgent visit center or the er and in my opinion if you are 14, you are way too young to be having intercourse. ...Read more
You can't entirely: Vaginal odor is caused by an std or an overgrowth of anerobic bacteria in the vagina. See your ob/gyn to rule out trichomonas, chlamydia and gonorrhea. They can also test for bacterial vaginosis - the name of bacterial overgrowth that produces strong fishy odor. Once treated, never douche. Use mild soaps on the vulva and wear loose fitting clothes to avoid trapping moisture and bacteria. ...Read more
Hmmm....: Usually, cleaning of a vagina is not needed. The outside is the vulva and can be gently washed during baths and showers. The inside is the vagina. Vaginas are not meant to be washed. That means washing vaginas is not natural, and can mess up the inner, balanced conditions of a vagina. It's nice to have good hygiene, but know that vaginas are self-cleaning, but vulvas need daily attention. ...Read more
When needed or 21: Most women do not need a vaginal exam until 21 or as soon as sexually active to screen for stds & abnormal cytology (pap smear). Other reasons for an earlier exam would be for symptoms of infection, abnormal bleeding, or pain. Current standards are increasing the intervals between exams or delaying initial exams but it's probably best to discuss this with your gyn to see what's best for you. ...Read more
Vaginal Lubrication: This is a very good question. Natural ways to increase the vaginal lubrication prior to penetration are all about foreplay. Your vaginal fluid glands will react with passion and time as your vagina prepares for penetration. There is a lot of good written information in books such as "our bodies, ourselves" or "the joy of sex". ...Read more
Genital ulcer: If there was no obvious injury (e.g. traumatic sex), the genital herpes is the most common cause of genital ucers or "cuts". Syphilis also is common in your country, if at risk. Yeast infection (thrush) if there also is a lot itching/irritation. See a doctor ASAP for testing and treatment, if available to you -- the sooner the better for accurate diagnosis and effective treatment. Good luck! ...Read more
Kegels: And pelvic floor therapy a good start. See a urogyn if no response. ...Read more