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Case Studies
- Mrs. P.D, 51 years came to us in 2005 with complaint of frequent heavy periods since 6 months. She needed to change pads almost every 2-3 hours. Mrs P.D was obese, had diabetes and high blood pressure. Her investigations revealed that the heavy cycles were because; of hormonal imbalance which had led to thickening of the endometrium. Mrs. P.D. wanted to get her uterus removed but in view of no fibroids in the uterus and she being a high risk for surgery, patient was counseled for Balloon Therapy as an alternative treatment. Mrs. P.D. was willing for it and underwent the procedure after 2months. It is one year since the procedure and Mrs. P.D. is completely relieved of her complaints.
- Mrs. V.C. 41 years came to us in 2004 with c/o heavy periods. On investigations she was found to have a 5x4.5cm submucosal fibroids (fibroids protruding into the cavity of the uterus). Mrs. V.C. was given the option of medical treatment/ hysteroscopic removal of submucous fibroids/hysterectomy. To begin with, Mrs. V.C. opted for medical treatment in the form of GnRH analogues which had to be taken once every four weeks. She took 3 such courses of treatment during which she had no periods. After 6 months, Mrs. V.C. again developed complaint of heavy periods. Mrs. V.C. was keen on preserving her uterus so hysteroscopic myomectony was done. Mrs. V.C. is absolutely symptomless as of now.
- Mrs. M.V. came to us with 6 weeks of a menorrhoea in 2005 . She had past history of a painless abortion at 4 months of pregnancy in 2003. On thorough investigations, Mrs. M.V. was found to have autoimmune antibodies (Anti nuclear antibody) for which she was started on Inj. Heparin immediately. In view of previous history of abortion. Mrs.M.C. was scheduled to undergo cervical cerclage ( Os tightening) at14 weeks of pregnancy. At 13 weeks of pregnancy she developed pain in abdomen and was found to have an open os. Patient was immediately admitted to hospital and was treated conservatively with medications and complete bed rest for seven days. After seven days patient underwent os tightening the procedure was uneventful. Presently Mrs. M.V. is 34 weeks pregnant and is doing fine.
- Mrs. R.K. /38 years first came to us for IUD insertion on 22/03/05. On taking detailed history, Mrs. R.K. gave history of leakage of urine while coughing and sneezing. No c/o frequency of urination or urge incontinence. She had history of two full term normal deliveries. Both the labours were uneventful with no history of prolonged first or second stage of labour.
On examination, Mrs. R.K’S vital signs were normal. She had a first degree uterine prolapsed along with small cystocoele. Bonney’s test was positive. In view of a clinical diagnosis stress urinary incontinence she was advised urodynamic studies which were found to be normal. Considering, the very obviously positive Bonny’s test and negative urodynamic study, Kegel’s exercise for toning of her pelvic floor muscles. She was veassessed after 6 months and was found to have no relief from SUI. Mrs. R.K. was counseled about a simple surgical solution to relieve her problem following which she opted for surgical repair.
Mrs R.K. underwent SUI repair by TVT-O and anterior colporrhophy on 25th Sep 05. It is 6 months following surgery now and the patient is completely relieved of her urinary complaints.
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