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Doctor insights on: Manchester Operation For Uterine Prolapse

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Is mitral valve prolapse a contraindications to cosmetic surgery?

Is mitral valve prolapse a contraindications to cosmetic surgery?

No: Depending on the severity of the valve prolapse and the extent of the cosmetic surgery, you will probably need clearance from your cardiologist. ...Read more

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Uterus (Definition)

The uterus is a muscular organ in a woman's pelvis where the the fertilized egg attaches ...Read more


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How successful is surgery for pelvic prolapse?

How successful is surgery for pelvic prolapse?

Very: Surgery for pelvic prolapse done by a well trained specialist has a high degree of success and a somewhat predictable rate of long term failure or recurrence. The key is good training and ongoing volume and surgery chosen that is applicable to the patient's specific prolapse problem(s). ...Read more

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Whst is the difference between TVT mesh surgery and laparoscopic hysteropexy for prolapse. Really worried as I have read horrendous stories about mesh?

Whst is the difference between TVT mesh surgery and laparoscopic hysteropexy for prolapse. Really worried as I have read horrendous stories about mesh?

A "meshy" problem: Meshes were often used to augment and support prolapse repairs in the past. Some of the meshes, deteriorated "early" and created some systemic as well as local repair failures. Attorneys have had a "field day" with class action suits for these cases and many MD surgeons will not use them for that reason. Forewarned is forearmed. ...Read more

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I'm scheduled for robotic total hysterectomy with pelvic lymph node dissection for uterine cancer. What;s the recovery time?

I'm scheduled for robotic total hysterectomy with pelvic lymph node dissection for uterine cancer.  What;s the recovery time?

Quick : Robotic surgery allows rapid recovery. You will need to confirm the plan with your surgeon. Most likely you will stay overnight in the hospital. People usually take 2-6 weeks before returning to work ...Read more

Dr. Craig Lum Dr. Lum
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27 yrs old unmarried.Recently, laparoscopic surgery done (removing large 8cm uterus fibroid).After surgery, how many days bleeding goes on?

Dr. Craig Lum Dr. Lum
1 doctor agreed:
27 yrs old unmarried.Recently, laparoscopic surgery done (removing large 8cm uterus fibroid).After surgery, how many days bleeding goes on?

Bleeding(answer 1): First of all and probably most important is where exactly is the bleeding at? Next is for how long has the bleeding been taking place? Then, how much bleeding is there? If it is at the skin incisions, for just a day, and just spots of blood on your dressing, then I wouldn't worry too much. Just keep your routine follow up appointment. If it is from your vagina or skin incision, for just a day or ...Read more

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Is gastric muscosal prolapse serious problem? Report shows gastric muscosal prolapse in o-g junction at 38cms. How to treat?

Is gastric muscosal prolapse serious problem? Report shows gastric muscosal prolapse in o-g junction at 38cms. How to treat?

Gastric prolapse: This is often asymptomatic and treatment depends upon symptoms and cause of prolapse. Weight loss often helps. It can cause acid reflux with pain, nausea, vomiting, dyspepsia, etc. You need to discuss this at length with your GI doctor. ...Read more

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What is the procedure for surgical fixation of a prolapsed uterus?

What is the procedure for surgical fixation of a prolapsed uterus?

Depends: The risk/benefit analysis will take into consideration the degree of prolapse and the future need/use of the uterus. Removal with hysterectomy is one of several options available. Okay to take friend/family with you to gyn surgery consult to help ask questions and understand your options. Be well. ...Read more

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Hysterectomy ,TVT,correctional bladder prolapse6wk out experience "contraction-like" pain Ct saw fecalization of smIntestine. Fam hist.rectalcancer?

Hysterectomy ,TVT,correctional bladder prolapse6wk out experience "contraction-like" pain Ct saw fecalization of smIntestine. Fam hist.rectalcancer?

Postoperative pain: I believe that the surgeon who performed your procedure is best qualified to evaluate and advise you. I don't feel that the symptoms or ct findings are necessarily a sign of rectal cancer, but the surgeon can also best address that question. ...Read more

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Had a leep cone biopsy doctor billed for vaginal wall repair, is that right?

Need more info: A cone biopsy isn't a vaginal wall repair, but perhaps your physician did both. Ask, or get a copy of the operative note and see what is described. Billing for a procedure not done would be fraud and most physicians are honest, so it may have been done or could be a coding error. ...Read more

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An Expert Mitral Valve Surgeon Explained to my Father Surgeons usually repair a Prolapse Mitral Valve in patients that are under the age of 75 Why?

An Expert Mitral Valve  Surgeon Explained to my Father Surgeons usually  repair a  Prolapse Mitral Valve in patients that are under the age of 75 Why?

Prolapse surgery: When a patient has mitral prolapse causing problems which require surgery as an intervention, the preferred approach, if possible, is mitral valve repair. Most patients with prolapse don't need surgery. Each patient has their own specific situation and decision making has to be consistent with that patient's particulars. Some patients who need the surgery aren't appropriate for repair. ...Read more

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Surgerical uterus mesh fact, risk, is pregnancy possible with a mesh on uterus?

Surgerical uterus mesh fact, risk, is pregnancy  possible with a mesh on uterus?

I think...: ...Putting the mesh on in the first place was to enable you to be pregnant again; but you need to discuss this with the original surgeon who knows the details of the operation. ...Read more

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Hi, fibroid size4.2×4.5cm in posterior wall of uterus.Dr.told remove uterus,any possible to remove ly fibroid,after surgery any prblm,pls give opnion?

Hi, fibroid size4.2×4.5cm in posterior wall of uterus.Dr.told remove uterus,any possible to 
remove ly fibroid,after surgery any prblm,pls give opnion?

Fibroid removal: If you are having heavy bleeding, pain or your uterus is greater than 12 weeks size, removing the fibroid or uterus is advisable Fibroids tend to be multiple and can return after surgery. If you have completed childbearing then uterine removal is a consideration. If you have not or just desire to retain the uterus knowing the risk of fibroid return then myomectomy is a consideration.(only fibroid) ...Read more

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Grade 2 cystocele and rectocele grade 1-2 uterine prolapse. No sensation of heaviness etc would you repair while doing sling for stress incontenence?

Grade 2 cystocele and rectocele grade 1-2 uterine prolapse. No sensation of heaviness etc would you repair while doing sling for stress incontenence?

Probable not: If you are currently asymptomatic, i would probably not recommend repairing the cystocele or rectocele providing they are not causing any issues. That said, a number of factors go into determining whether to have surgery or not. I would suggest you discuss your options with your physician and follow their recommendation. ...Read more

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Has anyone undergone emergency surgery for delivery and rupture of the uterus?

Has anyone undergone emergency surgery for delivery and rupture of the uterus?

Yes: I had a patient in 1992 that had a ruptured uterus and required an emergency delivery and repair of the uterus. The baby developed CP and died a few years later. ...Read more

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Fibromuscular dysplasia hypertension im having stent procedure for narrowing arteries/disection.What is the prognoses please?

Fibromuscular dysplasia hypertension im having  stent procedure for narrowing arteries/disection.What is the prognoses please?

Good: Usually, that is. Need more info but in my experience in dealing w pts who have had HTN due to vascular dysplasia in renal artery do well. ...Read more

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Can robotic hysterectomy be safe for precancerous conditions of the uterus and ovaries in morbid obese patients?

Can robotic hysterectomy  be safe for precancerous  conditions of the uterus and ovaries in morbid obese patients?

Possibly: You need to interview a few surgeons in your area and see if they are comfortable using the robotic surgery suite for your surgery. I think every surgeon will have their own view on this. Best of luck. ...Read more

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Ques for a friend: menorrhagia, lots of cramps. Previous c-section, tubal ligation, no bc needed. Pros/cons IUD vs surgical removal of lining?

Ques for a friend: menorrhagia, lots of cramps. Previous c-section, tubal ligation, no bc needed. Pros/cons IUD vs surgical removal of lining?

Here ya go: Iud - in office, no surgery/or time - but may not solve problem. Endometrial ablation - quick outpatient surgery at least 50% likely to reduce or eliminate bleeding (and pain with it). Downside is it still is a surgery, even if so-called "minor". ...Read more

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What is the best surgical correction for pelvic organ prolapse?

Patient specific: The best surgical treatment is one that is tailored to your specific findings and complaints. One surgery does not fit all patients. There is controversy about newer mesh surgery versus older methods. There is more and more robotic prolapse surgery. The best surgery is one done to your specific needs by a surgeon who does these surgeries often and has experience. ...Read more

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Successful ufe in 2005; can myomectomy help my bladder issues--18 wk uterus size?

Successful ufe in 2005; can myomectomy help my bladder issues--18 wk uterus size?

Uterine Fibroids: The fibroid is creating an environment structurally similar to carrying a 5 month pregnancy! as the uterus enlarges, the bladder loses its' capacity and this leads to frequency of urination, leakage of urine, and indirectly more frequent urinary tract infections. ...Read more

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