Ob-Gyn questions? Ask a gynecologist online.
Hi, I am an American Board Certified Doctor and I am very glad to help you with your health concerns.
If pelvic CT scan looks okay then probably there is nothing abnormal pushing the bladder, rather it indeed could be normal intestine. However considering you are having symptoms in the form of problems going to the bathroom so it is better this gets investigated further. I am not sure what other investigations have been already done, if not done then you may ask for an Ultrasound of the pelvis and an MRI of the pelvis too. Generally CT scan is good but rarely if something is missed on the CT scan it may show up in the Ultrasound or MRI scan etc. Also you may ask for a clinical evaluation from a neurologist too, because problems with going to the bathroom can also be due to neurological problems and in that case undergoing an MRI of the Spine (especially lumbosacral and thoracic spine MRI) can be of help.
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Yes, gynecological examination can identify the fibroma of the uterus, but if fibroma is clinically missed then Ultrasound of the pelvis focusing on the uterus is considered as one of the best investigation for this purpose. If the initial stone was passed then they also need to look for any additional stones which may be the cause for persisting symptoms. also there may be residual infection and inflammation which also can be the cause for persistent symptoms. and as far as the fibroid is considered, most of them are indeed detected by gynecologist during their clinical examination of the pelvis and uterus and an Ultrasound should almost always should detect it. And if colonoscopy was okay in the recent pas then this is unlikely any tumor or growth from the lower intestine. While routine constipation in general should not be the cause for pressure on the bladder, but if there is severe and prolonged constipation then it can obstruct the intestine and the dilated loops of the intestine can indeed cause pressure on the bladder.
Based on the information you have provided it is very unlikely you are having any cancer of the uterus. If you are having cancer of the uterus then you would in general have symptoms like abnormal bleeding etc. And the genecologist would have suspected it during their clinical examination/evaluation too. And CT scan of the pelvis too is good in detecting tumors of the uterus.
You had pap smear which was normal, gynecological exam normal, 2 Ct scans normal, and you do not seem to have any abnormal uterine bleeding – and all these strongly imply that this is unlikely from an uterine tumor or cancer.
Hi, please let me know if you have any further questions for me.