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Post by cherry on Nov 9, 2006 20:37:40 GMT -5
Hi, this has mystified me since I got to read my letters from the gynae to my doctor. He stated I had lesions on my utero-sacral and utero-versical ligaments, as well as my cul de sac. I think this may have been typed up wrong as I can't really find anything on utero-versical anything... only that there is a versical surface near the uterus. But there isn't much else. I would just like to know so i can look into this further, whether this may be affecting my bladder etc (going to the toilet is now a major feature of my day!) thanks in advance xx
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Post by ouchy on Nov 10, 2006 17:28:34 GMT -5
Hi, cherry. I know that there are utero-sacral ligaments...and there is also the term "Visceral"--maybe he misspelled it? Here is a definition of "visceral" from MedicineNet.com. "Visceral: Referring to the viscera, the internal organs of the body, specifically those within the chest (as the heart or lungs) or abdomen (as the liver, pancreas or intestines). In a figurative sense, something "visceral" is felt "deep down." It is a "gut feeling." The link: www.medterms.com/script/main/art.asp?articlekey=18275
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Post by cherry on Nov 10, 2006 19:06:13 GMT -5
whoa now I am even more confused... I found something on the utero vesical area, a common place where fistulas form (nasty problem for women especially in the lesser developed countries) then there is versicle, again in relation to a type of bladder or sac. So with detective work I have worked out I don't have a permanent bladder infection... I think its my endo. I also think my doctor's secretary has caused me a lot of puzzlement cos of his/her misspelling!
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Post by cherry on Nov 10, 2006 20:15:33 GMT -5
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Post by ouchy on Nov 10, 2006 20:15:37 GMT -5
Humm. Yah. "Vesical" is a type of sac--like a bladder. "Vesicle" is a type of sac or bladder or cyst--usually contains fluid. There is some more stuff to research... "Vesical" and "vesicle."
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Post by ouchy on Nov 10, 2006 20:26:16 GMT -5
...the link requires a password.
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Post by cherry on Nov 11, 2006 6:25:58 GMT -5
oops sorry, here is the article:- Report outlines pathogenesis, management of "deep" endometriosis A report in a recent issue of the Journal of the American Association of Gynecologic Laparoscopists outlined the pathogenesis and management of so-called "deep" endometriosis. According to Paolo Vercellini and colleagues at the University of Milan's Obstetrics and Gynaecology Clinic, "'Deep endometriosis includes rectovaginal lesions as well as infiltrative forms that involve vital structures such as bowel, ureters, and bladder. The available evidence suggests the same pathogenesis for deep infiltrating vesical and rectovaginal endometriosis (ie. intraperitoneal seeding of regurgitated endometrial cells, which collect and implant in the most dependent portions of the peritoneal cavity and the anterior and posterior cul-de-sac, and trigger an inflammatory process leading to adhesion of contiguous organs with creation of false peritoneal bottoms). "According to anatomic, surgical, and pathologic findings, deep endometriotic lesions seem to originate intraperitoneally rather than extraperitoneally. Also the lateral asymmetry in the occurrence of ureteral endometriosis is compatible with the menstrual reflux theory and with the anatomic differences of the left and right hemipelvis," Vercellini and co-authors wrote. Indeed, they added, " eritoneal, ovarian, and deep endometriosis may be diverse manifestations of a disease with a single origin (ie. regurgitated endometrium)."
Proposed classification schemes have been based on "different pathogenetic hypotheses," the researchers said, but they noted that "further data are needed to demonstrate their validity and reliability."
With regard to treatment of symptoms Vercellini and associates said that "[d]rugs induce temporary quiescence of active deep lesions and may be useful in selected circumstances. Progestins should be considered as first-line medical treatment for temporary pain relief. However, in most cases of severely infiltrating disease, surgery is the final solution."
They concluded by emphasising the need for "complete and balanced counseling, as awareness of the real possibilities of different treatments will enhance the patient's collaboration."
Source: Vercellini P, et al. Deep endometriosis: Definition, pathogenesis, and clinical management. J Am Assoc Gynecol Laparosc, 2004;11(2):153-161. © www.EndometriosisZone.org
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