Top
39
Doctor insights on: What Is The Best Treatment For Uterine Perforation

Share
1

1
What is a uterine perforation and how is it repaired?

What is a uterine perforation and how is it repaired?

Perforation: The uterus is very muscular. Procedures with sharp instruments such as uterine curettage (d and c) may cause a defect through the uterine wall. Most often, these perforations heal spontaneously. ...Read more

Dr. Jonathan Strauss
29 Doctors shared insights

Uterine Perforation (Definition)

When performing a uterine procedure through the vagina, a complication can be a uterine perforation. This is when an instrument is inserted through all the layers of the uterus, creating a hole in the uterus. Most perforations occur in the midline away from large blood vessels and usually can be observed. Lateral perforations or injury with an active energy ...Read more


2

2
What is the definition or description of: uterine perforation?

What is the definition or description of: uterine perforation?

Uterine trauma: When performing a uterine procedure through the vagina, a complication can be a uterine perforation. This is when an instrument is inserted through all the layers of the uterus, creating a hole in the uterus. Most perforations occur in the midline away from large blood vessels and usually can be observed. Lateral perforations or injury with an active energy electrode requires abdominal exploration. ...Read more

3

3
Had uterine perforation but the dr is not sure enough to treat?

Had uterine perforation but the dr is not sure enough to treat?

Observation: Most uterine perforations will happen through the fundus or thicker muscular top of the womb. This area tends to heal well with minimal bleeding. Observation is appropriate as long as the patient's blood count is normal and no signs of infection are present. ...Read more

4

4
What is the risk of uterine perforation from an iud?

What is the risk of uterine perforation from an iud?

Very low: Uterine perforation is a potential complication of placement of an iud. Once properly placed, the iud is not likely to move. Perforation rates may be as low as <1% for a very experienced physician who places iud's frequently. Ultrasound before and after placement will virtually eliminate the risk, as any improperly placed iud will be detected and can be corrected immediately. ...Read more

5

5
What is the risk of uterine perforation with an IUD placement?

What is the risk of uterine perforation with an IUD placement?

Very low: This procedure very seldom causes any perforation of the uterine wall. ...Read more

6

6
What is uterine perforation and how is it treated?

What is uterine perforation and how is it treated?

Observation: Most uterine perforations will happen through the fundus or thicker muscular top of the womb. This area tends to heal well with minimal bleeding. Observation is appropriate as long as the patient's blood count is normal and no signs of infection are present. ...Read more

7

7
If need d&c will you end up with major issues such as uterine perforation?

Observation: Most uterine perforations will happen through the fundus or thicker muscular top of the womb. This area tends to heal well with minimal bleeding. Observation is appropriate as long as the patient's blood count is normal and no signs of infection are present. ...Read more

8

8
Uterine perforation occurred during removal of septum from uterus. Are such incidences frequent?

Uterine perforation occurred during removal of septum from uterus. Are such incidences frequent?

No, but a risk: This is a known risk and complication of this procedure and will happen occasionally with even the most experienced surgeon. As long as it is immediately recognized and appropriately managed you should be fine. ...Read more

9

9
What are symptoms of uterine perforation or embedment with mirena (levonorgestrel) IUD 1 year after insert. What would this show up as on transvaginal ultrasound? Thanx

What are symptoms of uterine perforation or embedment with mirena (levonorgestrel) IUD 1 year after insert. What would this show up as on transvaginal ultrasound? Thanx

Pain and discharge: Perforations of the uterus are usually painful. On the sonogram the problem will become evident as there is no IUD found within the uterus. There may be signs of air or even infection. A standard X-ray of the abdomen would be needed to locate the device. Hope that is not what has happened ...Read more

10

10
What's the best treatment for uterine fibroids?

What's the best treatment for uterine fibroids?

Depends: The "best" treatment depends on many things. Do they bother you? Are you done having kids? Are they growing rapidly? You definitely need to discuss options with your doc, but they include doing nothing, minimally invasive surgery removing just fibroid, minimally invasive types of hysterectomy, open hysterectomy, uterine artery embolization. Find the option that best fits your needs/desires. ...Read more

11

11
Which treatment works the best and fastest for perforated septum?

Which treatment works the best and fastest for perforated septum?

More info needed: Need additional information: are you referring to a nasal septum or the heart septum (or another septum)? ...Read more

12

12
What is the best treatment for uterus myomatous?

What is the best treatment for uterus myomatous?

It depends: The common term to which you refer is a fibroid which are found in up to 70% of women depending on studies. If asymptomatic, as the majority are, they require no treatment. There are treatments that will decrease their size but to remove them requires surgery, either a myomectomy or hysterectomy depending upon the patient's wishes. Meds can control bleeding if that is the issue. ...Read more

14

14
What`s the best treatment for :Exophytic Fibroid at the Fundus of the Uterus measuring 5.0 x 4.4 x 4.4?? Thanks

What`s the best treatment for :Exophytic Fibroid at the Fundus of the Uterus measuring 5.0 x 4.4 x 4.4?? Thanks

Best: If you are 45 years old and the fibroid is not causing problems with bleeding/pressure, the best treatment is probably to do nothing. If its causing symptoms consider hysterectomy, UFE, or possibly myomectomy. If you are not 45 years old - you should always give your correct age - it would depend on whether you have wishes for pregnancy in the future. ...Read more

15

15
What are the best treatment options for endometrial stromal sarcoma grade Ib? After removing the uterus and one ovary (with one still left)

What are the best treatment options for endometrial stromal sarcoma grade Ib? After removing the uterus and one ovary (with one still left)

Gyn Oncologist: It is important to see a Gyn Oncologist for treatment of sarcomas. Surgery is the main component of treatment. Adjuvant treatments - chemo and/or radiation may be offered depending on your specific case. ...Read more

16

16
What is the treatment for gastrointestinal perforation?

What is the treatment for gastrointestinal perforation?

Emergency: An intestinal perforation is a serious emergency problem that would require emergency surgery to repair or resect the perforation site before serious life threatening sepsis develops. ...Read more

17

17
What is the treatment for TMJ disc perforation? In the case of anterior disc displacement without reduction and condyle deformity.

What is the treatment for TMJ disc perforation? In the case of anterior disc displacement without reduction and condyle deformity.

Depends on symptoms: It depends on what your symptoms are and how much it bothers you. If you have no pain, or limitation of opening - no treatment indicated. If you are having troublesome symptoms, I would start with conservative treatment including otc pain meds, soft diet, jaw exercises. Splints often help. If you've tried conservative treatment, you may benefit from steroid injection, arthrocentesis or athroscopy. ...Read more

18

18
What's the treatment for septal perforation?

What's the treatment for septal perforation?

A few options: A septal perforation causes crusting and bleeding. Saline irrigations and mineral oil drops will help with the symptoms. Your ENT doctor can help you decide on long term fixes to solve this like a removable "button", or surgical repair of the hole. ...Read more

19

19
What is the treatment for ear discharge in tympanic membrane perforation, is it safe to use CPAP device in this situation?

What is the treatment for ear discharge in tympanic membrane perforation, is it safe to use CPAP device in this situation?

Is there infection: If there is an infection you will need to be treated with anabiotic's. The discharge should be evaluated. I don't think the CPAP will be a major problem. You can discuss this with your physician. ...Read more

20

20
Is tympanic membrane perforation a contraindication for CPAP & APAP use for sleep apnea, what is the treatment for ear discharge from this condition?

Is tympanic membrane perforation a contraindication for CPAP & APAP use for sleep apnea, what is the treatment for ear discharge from this condition?

CPAP: CPAP
OVERVIEW
(Continuous Positive Airway Pressure) is a tool
which can be used to assist
the oxygenation of several
respiratory pathologies. CONTRAINDICATIONS:Unconsciousness
‰
Suspected pneumothorax
‰
Inadequate respiratory drive
‰
Shock/Hypotension (BP <90)
‰
Chest wall trauma
‰
Persistent nausea/vomiting
‰
Has active upper GI bleeding or history of recent gastric surgery ...Read more

21

21
Why don't men want to go to doctors? My husband has perforated eardrum, and I feel I have to drag him in to be seen. What will happen to him without treatment?

Why don't men want to go to doctors? My husband has perforated eardrum, and I feel I have to drag him in to be seen. What will happen to him without treatment?

Will likely be fine.: Many perforated eardrums heal up on their own with no complications. He shouldn't be swimming or putting anything into his ear. If he's getting more pain or discharge from the ear or fevers, he needs to go in. Tell him if he loses his hearing, you'll just have to talk louder. Good luck! ...Read more

22

22
What, if any, are the home treatment methods for uterine prolapse?

What, if any, are the home treatment methods for uterine prolapse?

Kegel's: Doing kegel, or pelvic floor exercises, can help to strengthen the muscles of the pelvic floor and may help with the symptoms of prolapse. However, if the prolapse is severe, other treatments may be necessary. One option is to be fitted by your doctor with a device called a pessary, there are also surgical options to correct the prolapse. ...Read more

23

23
Toddler with perforated eardrum, what is the proper treatment?

Toddler with perforated eardrum, what is the proper treatment?

See doctor: Typically we use ear drops and/or oral antibiotics and follow up in 10-14 days to be sure it is healed. ...Read more

24

24
How many cycles after d and c is it recommended to initiate a new IVF treatment? I've had uterine linning issues in the past (only reaching 7 mm)

How many cycles after d and c is it recommended to initiate a new IVF treatment? I've had uterine linning issues in the past (only reaching 7 mm)

Only 1: But the bigger issue is getting the uterine lining thicker. Pregnancy rates even with donor egg are very very low when the lining is not at least 8-9 mm. I have personally only seen 1 women in 10 years have a baby when the lining was 7 or less so that is the bigger issue. ...Read more

26

26
What is the treatment for a perforated duodenal ulcer?

What is the treatment for a perforated duodenal ulcer?

Surgery: Perforated doudenal ulcer is a surgical emergency and needs surgical intervention, as the ulcer can burn through the wall of the stomach and it is life threatening and needs surgical intervention and fluid replacement. ...Read more

27

27
What is the treatment for uterine prolapse?

What is the treatment for uterine prolapse?

Need urogynecologist: This problem generally involves the uterine wall which becomes weak (for example after multiple vaginal deliveries), and there is a dropping of the uterine wall beyond the vagina (almost like turning a sleeve inside out). Usually, there are urination abnormalities invvolved--this is in realm of urology. Uterine problem--gynecology. Here, consider rx options from a uro-gynecology consultation. ...Read more

28

28
What are the treatment methods for uterine prolapse?

What are the treatment methods for uterine prolapse?

Prolapse: Prolapse is generally managed surgically. This may be approached vaginally with repairs or abdominally with sacral colpopexy for apical support. In patients who are medically fragile and poor surgical candidates, can be managed with a variety of pessaries. ...Read more

29

29
Just was told I have a uterine polyp about 7.2cm. What is the treatment, is it considered small or large and should I be concerned?

Just was told I have a uterine polyp about 7.2cm. What is the treatment, is it considered small or large and should I be concerned?

Symptomatic?: 7.2 cm is a fairly large polyp, the non pregnant uterus is about 7.6 cm. I assume that you had symptoms that led to finding the polyp. If you can live with the symptoms then you can live with the polyp. If the symptoms are not bearable or get worse then you should have it surgically removed. ...Read more

30

30
What are treatment options for uterine fibroids?

What are treatment options for uterine fibroids?

Nutritional Rx: Fibroids are a result of high estrogen levels. High estrogen can be caused by excessive carbohydrate intake (via competetive inhibition of glucoronidase enzyme) therefore a low carb diet is beneficial to reduce estrogen and help shrink fibroids. You may also have low iodine, thyroid problems, low progesterone. All of these things should be evaluated. All phytoestrogens should be avoided. ...Read more

31

31
How much time can you live with perforated bowel with no treatment?

How much time can you live with perforated bowel with no treatment?

Not too long: Perforated bowel is a surgical emergency and without treatment results invariably in sepsis and death. ...Read more

32

32
Consequences and treatment for perforated colon?

Consequences and treatment for perforated colon?

Perforated colon: A perforated colon (pc) is a surgical emergency and needs to be treated as soon as possible. It can lead to death unless treated promptly. The consequences are death and sepsis, infection, due to the release of bacteria in the colon into the peritoneal space. With early repair and appropriate antibiotics, the patient with a PC may recover. Good luck. ...Read more

33

33
I'm worried because my dad is being sent home with just anti-biotic treatment (2 days worth) for perforated appendix, doctors say no need to operate. How can this be, what do you suggest?

I'm worried because my dad is being sent home with just anti-biotic treatment (2 days worth) for perforated appendix, doctors say no need to operate. How can this be, what do you suggest?

Many factors involve: There are many factors involved, how was the diagnosis made? Ct? How big is the perforation, was it localized? I will discuss all of these factors with the surgeon who treated him. ...Read more

34

34
There is a new treatment for uterine fibroids called acessa. Is this procedure done somewhere in Canada??

Maybe: Acessa is a fairly new technology to treat uterine fibroids. US physicians are unlikely to know about availability in Canada. I would check the manufacturers website to see ...Read more

35

35
If I have endometriosis, fibroids, and uterine prolapse is there any possibility that I could have children again? Is the only treatment hysterectomy?

If I have endometriosis, fibroids, and uterine prolapse is there any possibility that I could have children again? Is the only treatment hysterectomy?

Depends.: Most women can still have children with fibroids or endometriosis. Their are times when a woman cannot get pregnant or may have trouble carrying a pregnancy because of these problems. Their is nothing wrong with getting a second opinion. Prolapse can be treated when you are finished having kids. In severe cases it could be treated before having another child. You would need to see a specialist. ...Read more

36

36
My mom was sent home on hospice Sept 2nd with a perforated bowel and stage 4 uterine cancer. It's Sept 29 and she hasn't eaten or had a bowel movement. Has she been misdiagnosed?

My mom was sent home on hospice Sept 2nd with a perforated bowel and stage 4 uterine cancer. It's Sept 29 and she hasn't eaten or had a bowel movement. Has she been misdiagnosed?

See answer: Without knowing all the details it's not possible to give specific advice other than: Speak with her physician. Is she on Hospice care? If not, it may be helpful. Write down a list of questions you would like answers to. Her physician should be able to give reasonable answers. Knowing a family member is involved helps to keep physicians particularly attentive to your moms care. ...Read more

37

37
I have wegeners, complete with nasal and palate perforations. I had acute renal failure, am on treatment and having relapses. Odds for survival?

I have wegeners, complete with nasal and palate perforations. I had acute renal failure, am on treatment and having relapses. Odds for survival?

Fair to good: Acute kidney failure can be reversed in healthy individuals. Wagener's is present so recovery may never be complete. The only thing I know, other than your social drinking, about your medical history is your intake of cyclophosphamide. There are other medications like imuran, (azathioprine) methotrexate, etc. Used in the treatment of wagener's that have promising positive results. Visit the mayo clinic. ...Read more

39

39
What are the symptoms of uterus perforation after a d & c?

What are the symptoms of uterus perforation after a d & c?

Varied: Uterine perforation symptoms range from none to increased cramping, severe lower abdominal pain, heavy vaginal bleeding, fever, dizziness, faintng. If you are having any of the more severe symptoms, please contact your doctor. Also, asking your doctor if there were any surgical complications may be helpful. ...Read more

Uterus (Definition)

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