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Doctor insights on: Starr Procedure Rectocele

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Vaginal vault prolapse surgery--what kind of surgeon performs this procedure?

Vaginal vault prolapse surgery--what kind of surgeon performs this procedure?

Vag Vault Prolapse: Generally performed by a urogynecologist. Make sure you find out in advance whether or not your doctor performs these with or without mesh, the route of surgery (vaginal vs. abdominal), and how often the doctor performs this type of procedure. ...Read more

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Dr. Michael Hulse
154 doctors shared insights

Rectocele (Definition)

An outpouching of the rectum into the wall of the vagina due to a weakness in the tissue wall separating ...Read more


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What's a hysteroscopic myomectomy done for?

What's a hysteroscopic myomectomy done for?

Alternative idea: Fibroids are tissue growth that affect the uterus. They are extremely common and present in up to 50% of women (i've seen as high as 70% quoted). They commonly cause abnormal bleeding and a hysteroscopic myomectomy is done to remove fibroids that protrude into the cavity of the uterus as an alternative to hysterecomty. It's done through the cervix with minimal anesthesia. A nice little surgery. ...Read more

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What is the procedure done during hemorrhoid surgery?

What is the procedure done during hemorrhoid surgery?

Varies: Depends. If it is a rubber band office procedure, it constricts the internal hemorrhoid veins. Surgery may remove external and internal hemorrhoid veins, or ligate them. Surgical stapling can excise the veins and loose internal lining. ...Read more

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What is urethrocystoscopy + bladder neck incision? I underwent that procedure. Is painful urination common after catheter being removed? Please rush

What is urethrocystoscopy + bladder neck incision? I underwent that procedure. Is  painful urination  common after catheter being removed? Please rush

Common: It is common to have painful urination for a week or two after catheter is removed. Given your young age, your urologist probably diagnosed you with a high riding bladder neck that was causing you difficult voiding symptoms. The procedure involves putting a camera scope in your urethra and making relaxing incisions in your bladder neck with laser or cautery to change your bladder neck angle. ...Read more

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Meatal stenosis urologic surgery : Is in-patient surgery (stitches) to be preferred over out-patient surgery? How do we qualify a urologic surgeon?

Meatal stenosis urologic surgery : Is in-patient surgery (stitches) to be preferred over out-patient surgery?  How do we qualify a urologic surgeon?

Meatal stenosis: The surgery to correct mental stenosis, a meatotomy, is usually an outpatient procedure. It is a fairly minor procedure. I assume the surgeon you or your lived one has been evaluated by was recommended by another physician. If you trust that physicians judgement that no further prequalification is warranted. If not, go online, check reviews and malpractice history. ...Read more

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Has anybody done a laparoscopic supracervical hysterectomy?

Has anybody done a laparoscopic supracervical hysterectomy?

Yes: The most common reason for leaving the cervix is patient request. Current medical evidence doesn't suggest any advantages to leaving the cervix, though sexual function or bladder function were concerns in the past. If the cervix is left, the uterus must be removed by morcellation which can be a tedious and time-consuming endeavor, especially with a large uterus. ...Read more

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What happens during a laparoscopically assisted vaginal hysterectomy lavh?

What happens during a laparoscopically assisted vaginal hysterectomy lavh?

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

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Is da vinci robotic surgery a reliable option for hysterectomy?

Is da vinci robotic surgery a reliable option for hysterectomy?

Can be: This is a procedure that requires a highly trained specialist who has plenty of experience in this procedure. In the right hands of a well trained surgeon, it can be highly successful. ...Read more

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What would cause severe starbursts after YAG procedure following cataract surgery?

What would cause severe starbursts after YAG procedure following cataract surgery?

See your eyedoc: Seeing better out of an eye with a multifocal lens following YAG might do it. Other causes might be a new PVD, severe pitting of lens, corneal edema from intraocular pressure spike, and other causes. You need to consult your ophthalmologist to ease your mind! Best wishes. ...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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Obgyn transcription: "elective appendectomy was performed. patient given preop intravenous ____ (monasid)?" What does this mean?

Obgyn transcription: "elective appendectomy was performed. patient given preop intravenous ____ (monasid)?" What does this mean?

Maybe antibiotic: We frequently give antibiotics prior to certain procedures. That is probably what the surgeon was describing. ...Read more

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Is hemorrhoid surgery a difficult surgery what's the downtime?

Is hemorrhoid surgery a difficult surgery what's the downtime?

Depends : There are different ways hemorrhoids are treated. Internal hemorrhoids are treated by banding them with a rubber band. Painless with some cramping. Large external hemorrhoids removal is painful. Large hemorrhoids that prolapse or protrude can be treated with a stapling technique. A very well tolerated procedure. Surgery for hemorrhoids should always be a last resort. ...Read more

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What type of sugery is done after perforated uterus during abortion?

What type of sugery is done after perforated uterus during abortion?

DEPENDS: Please discuss with your doc, depends on how big it is, where it is , if there is active bleeding depending on the situation options are hospitalization with antibiotis and no surg, vs repair the perf vs hysterectomy. ...Read more

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Had bleeding after menapause. Found polypxs after office procedure to look into uterus with camera. Couldnt reach polyp to remove. Scedule surgery to ?

Had bleeding after menapause. Found polypxs after office procedure to look into uterus with camera. Couldnt reach polyp to remove. Scedule surgery to ?

Yes: Sadly, if a lesion like a polyp is found, it should be removed. Very rarely a cancer can be inside the polyp and it's important to remove any lesion in the uterus in event had cancerous elements. Almost always polyps are benign, so don't worry too much! ...Read more

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Should my girlfriend have a hysterectomy or leep loop electrosurgical excision procedure ?

Should my girlfriend have a hysterectomy or leep loop electrosurgical excision procedure ?

Depends: The answer to this question really depends on her diagnosis. I assume she has some sort of problem with her pap smear. Usually cervical issues, those conditions found in a pap test, dont require hysterectomy. The leep can be both diagnostic and treat most conditions involving her cervix, but she should consult her doctor as to why either procedure should be done. ...Read more

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