[Guest]

About 13 months ago I had a hysterectomy and bladder repair the procedure was the Marshall Marchetti Krantz. Since then I have had nothing but pain and problems 24 hours a day seven days a week it never stops.When I brought this up to my OB/GYN who is Stanley Gould in Butte, Mt he said that I was just be sensitive.So I decided to go to another doctor in a different town.So I went to Tim Burke in Missoula,MT Dr.Tim is A OB/GYN.He put me on Tylenol/Codine#3,Celebrex and Prodium.Nothing has helped the pain is still there I can not walk, standing is very difficult I have no control over my bladder at all,the pelvic pain is unbearable. I am worst now then before the surgery.So do you think I should stay with Dr.Tim or do I need to go to a Urologist?

[Guest]

Such a scenario might be due to osteitis pubis. If your doctors have not been able to resolve the problem, seeing a GYN or urologist at a major medical school/clinic should be helpful.
See below:

Osteitis pubis after Marshall-Marchetti-Krantz urethropexy: a pubic osteomyelitis.
Am J Obstet Gynecol 1998 Sep;179(3 Pt 1):586-90 (ISSN: 0002-9378)
Kammerer-Doak DN; Cornella JL; Magrina JF; Stanhope CR; Smilack J
Department of Operative Gynecology, Mayo Clinic, Scottsdale, Arizona, USA.
OBJECTIVE: Our purpose was to review cases of osteitis pubis encountered at our institution after Marshall-Marchetti-Krantz retropubic urethropexy. STUDY DESIGN: The charts of patients diagnosed with osteitis pubis subsequent to Marshall-Marchetti-Krantz retropubic urethropexy from 1980 to 1994 were reviewed. RESULTS: Fifteen cases of osteitis pubis were diagnosed after 2030 Marshall-Marchetti-Krantz procedures (0.74%). Onset of symptoms related to osteitis pubis began a mean of 69.8 days postoperatively (range 10 to 459 days). Although initial plain films of the symphysis pubis were normal in 7 (54%), radiographic abnormality was eventually demonstrated in all a mean of 25.7 weeks after surgery (range 4 to 78 weeks). A variety of conservative treatments resulted in symptomatic relief in 47%. Seven of the remaining patients underwent operative therapy with partial or complete relief noted in all. Subsequent bone cultures were positive in 5 (71%). At follow-up a mean of 58 months after the Marshall-Marchetti-Krantz procedure complete resolution of symptoms was noted in 33% and continued pain or ambulatory difficulty in the remainder. There was no relationship between postoperative urinary tract infections, postoperative complications, presenting sign of fever, elevated leukocyte count or sedimentation rate, and subsequent operative intervention (P > .05). CONCLUSIONS: Osteitis pubis after urogynecologic surgery is an uncommon event requiring aggressive surgical and antibiotic therapy. When bone cultures are performed, a microbial cause may be demonstrated in as many as 71% of patients.

[quote] About 13 months ago I had a hysterectomy and bladder repair the procedure was the Marshall Marchetti Krantz. Since then I have had nothing but pain and problems 24 hours a day seven days a week it never stops... [/quote]