Reversibility after female sterilization

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Citations from the Literature

women contained infectious EBV. The discovery of EBV shedding in its cell-free infectious form from the uterine cervix raises the possibility of venereal transmission, neonatal infection, and EBV involvement in cervical pathology.

GENERALGYNECOLOGY Acupuncture for the management of primary dysmenorrhea Helms JM 2340 Ward Street, Berkeley, CA 94705. USA OBSTET. GYNECOL.; 69/l (51-56) 1987 The effectiveness of acupuncture in managing the pain of primary dysmmenorrhea was investigated in a randomized and controlled prospective clinical study. Forty-three women were followed for one year in one of four groups: the Real Acupuncture group was given appropriate acupuncture and the Placebo Acupuncture group was given random point acupuncture on a weekly basis for three menstrual cycles; the Standard Control group was followed without medical or acupuncture intervention; the Visitation Control group monthly nonacupuncture visits with the project physician for three cycles. In the Real Acupuncture group, 10 of 11 (90.9%) women showed improvement; in the Placebo Acupuncture group, 4 of 11 (36.4%); in the Standard Control group, 2 of 11 (18. 2%); and in the Visitation Control group 1 of 10 (10%). There was a 41% reduction of analgesic medication used by the women in the Real Acupuncture group after their treatment series, and no change or increased use of medication seen in the other groups. Voiding difficuItica after colposuspension

Lose G; Jorgensen L; Mortensen SO; et al Deporrment of Surgery D, Section of Urology, Rigshospitalet, University of Copenhagen, 2100 Copenhagen, Denmark OBSTET. GYNECOL.; 69/l (33-38) 1987 To study subjective and objective changes of micturition after colposuspension, 80 patients were evaluated before and after surgery. It was found that colposuspension may introduce an element of urethral obstruction, which leads to a significant proportion of immediate as well as late voiding difficulties, Thus, 25% of the patients developed severe voiding difficulties in the immediate postoperative course. Low pressure voiding (P(det) less than 15 cm water) preoperatively voiding difficulties. Another 20% developed late voiding difficulties. Increased urethral resistance preoperatively was found to predispose significantly to late postoperative voiding difficulties. Increased urethral rigidity is suggested as an underlying factor. Only four (5%) of the patients developed both immediate and late postoperative voiding difficulties. The detrusor pressure at maximum flow was found to be an unreliable parameter in assessing the true potential of the detrusor. It is emphasized that a thorough preoperative evaluation of both bladder and urethral function and the use of a proper surgical technique are required to avoid voiding difficulties after colposuspension.

Znt J Gynaecol Obstet 25

One-hour pad-weighing teat for objective assessment of female urinary incontinence Jorgensen L; Lose G; Andersen JT Department of Surgery, Section of Urology, Rigshospitalet, University of Copenhagen, 2100 Copenhagen, Denmark OBSTET. GYNECOL.; 69/l (3942) 1987 In a Hi-month period the one-hour pad-weighing test proposed by the International Continence Society was used in 126 instances for objective assessment of the degree of incontinence in 81 women with urinary incontinence. The present study deals with applicability of the test, patient compliance, reproducibility of the test, and comparison of test results with conventional methods for objective assessment of urinary incontinence. In spite of a rather high mean age (55 years), 73 patients (88%) were able to perform the entire test program. In 85 tests (68%) the patients indicated the result to be in accordance with the daily leakage. The reproducibility of the test was relatively good (r = 0.68; P < .Ol), but significantly better (r = 0.93; P < .tXJOl) when taking into consideration the bladder volume at test start and the diuresis during the test. When compared with the padweighing test, the stress test and voiding-cystourethrography gave false negative results in approximately half the cases. The one-hour pad-weighing test was found to be practical and useful in quantifying the degree of leakage in women with urinary incontinence. Reversibility after female sterilization Boeckx W; Gordts S; Buysse K; Brosens I Centre for Gynaecological Microsurgery, University Hospital St Rafael- Gasthuisberg, 3ooO Leuven. Belgium BR. J. OBSTET. GYNAECOL.; 93/8 (839-842) 1986 The factors influencing the results of reversal of tubal sterilization were investigated in a series of 78 patients who requested this operation during a 5-year period between 1977 and 1982. In the Falope-ring group isthmo-isthmic anastomosis resulted in a 92% pregnancy rate. On the other hand, no pregnancy occurred when the final tubal length after anastomosis was less than 4 cm. Ectopic pregnancy occurred in 58 of the patients. EvaIaatlon of colposcopy in the postmenopausal women Toplis PJ; Casemore V; Hallam N; Charnock M The John Radcliffe Hospital, Headington, Odord OX3 9DU, UK BR. J. OBSTET. GYNAECOL.; 9318 (843-851) 1986 Cytology, colposcopy and histology findings in 121 postmenopausal and 120 premenopausal women referred to the Oxford colposcopy clinic were compared; 88% of postmenopausal and 69% of premenopausal women were referred by their general practitioners. Cervical smear reports, within the preceding 5 years, were available for 21% of the postmenopausal and 54% of the premenopausal women. Colposcopic assessment was technically unsatisfactory in\ 53% of the postmenopausal women because the transformation zone was not completely visible, this contributed to a cone biopsy rate of 71% in this group. Only 17% of postmenopausal women