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The pubovesical ligament in stress incontinence
The authors coacluile, raontrary to Aticirr+on anti Elflm:t.n~s sow studies, that the yhosphatase activity of rat uterus appeared after castration and diaappeare,i during the: re-estabbshment of an experimental c~mlocrino cycle, fiir j~hf~tomi~~ograpl~3 :cru 7 rm: tuirlc rsr7zompan~ fht2 article. L‘.. E. l“oI~;so\ii
Endometriosis Meleiro
de Sousa, 2: 19, 1949.
Henrique:
Heterotopic
Endometriosis,
Rev.
Clin.
do.
Instit.uto
Maternal
The author, chief of the gynecological service of the Slfredo da Co& Maternity Jfospita1 in Lisbon, reports on his series of 35 cases of heterotopic endometriosis before the 1948 Second Portuguese-Spanish Congress of Obstetrics and Gynecology. These 35 cases were encountered during the year of 1947 among 287 operative gynecologic oaseh, an incidence of 12.0 per cent. They represent 26.9 per cent of the actual laparot.omy cases, 130 patients. Among the 82 uteri remored and examined histologically heterotopic endometriosis was found in 32 cases, 3Q.0 per cent. In 60 l’er cent of the 35 cases, the patients gave a history uf progressively increasing degree of symptomatology from menarche up to the poriod for surgical indication which fell in between the fourth and fifth decades of life. The more frequent symptoms included menorrhagia, menometrorrhagia, pelvic pain, a& dysmenorrhea. IIysmenorrliea occurred more frequently in the younger pa.tients--as primary dysmenorrhea in 76 per cent of the patients and secondary dysmenorrhea in the remaining ::I) per cent whose ages were between 40 an? 40 years. Relative infertility and a prolonged menstrual period appeared in about one-half of the patients under the age of 40 years and half of the series in women between the ages of 30 and 40 years. All cases were treated with conservative surgery in so far as possible, viz, 11 total hgstercctomies and 15 subt,otal lry~tcrectomies with variable adnexal conservative surgery. In 17 patients the following associated pathologic condition8 were present: follicle cysts of ovary in 6 cases; hemorrhagic luteal cysts of ovary in one case; paraovarian cyst in one case; endometrial hyperplasia in 4 cases; tuberculosis of the endometrinm in one case; In “7 chronic salpingitis in 3 cases, and carcinoma of the Fallopian tube in one case. - cases the endometriosis was confined to the uterus; to the ovary in 2 cases; to the tube alone in one case; to uterus and ovaries in 4 eases and once to the utcrua and tubes. There are DO tables, graphs, or illustrat,ione. C. E. For>soarF
Gynecology Ingelman-Sundberg, et gynec.
Axel:
Scandinav.
The Pubovesical 28:
185,
Ligament
in Stress Incontinence,
Acta
obst.
1949.
The known facts concerning the anatomy of stress incontinence in the female are reviewed, and it is stated that the basic lesion is ptosis of the bladder during urination, caused by relaxation of the pelvic floor, and resulting in increased tension on the pubovesical liga ment. Theoretically, the elimination of this tension by surgical division of the pubovesical An operation based on this assumption is ligament might relieve the stress incontinence. The procedure consists of incising and bluntly dissecting the pubovesical h&a described. The operation was successful in relieving the through a median suprasymphyseal incision. stress incontinence of four patients who had remained incontinent following anterior colporrhaphy or bladder suspension. DOUGLAS M. HAYNES
Wagner,
Helmut:
Virilism, The feminine
Interstitial
Zentralbl.
Hemorrhage
f. Gynak.
case history is presented existence, developed during
72:
360,
From
a Ruptured
Rk%l&enberg
Tumor
With
1950.
of a para i, gravida a period of 6 months
i, who, after 29 years cf normal an intra-abdominal mass toget,her
Endometriosis Meleiro
de Sousa, 2: 19, 1949.
Henrique:
Heterotopic
Endometriosis,
Rev.
Clin.
do.
Instit.uto
Maternal
The author, chief of the gynecological service of the Slfredo da Co& Maternity Jfospita1 in Lisbon, reports on his series of 35 cases of heterotopic endometriosis before the 1948 Second Portuguese-Spanish Congress of Obstetrics and Gynecology. These 35 cases were encountered during the year of 1947 among 287 operative gynecologic oaseh, an incidence of 12.0 per cent. They represent 26.9 per cent of the actual laparot.omy cases, 130 patients. Among the 82 uteri remored and examined histologically heterotopic endometriosis was found in 32 cases, 3Q.0 per cent. In 60 l’er cent of the 35 cases, the patients gave a history uf progressively increasing degree of symptomatology from menarche up to the poriod for surgical indication which fell in between the fourth and fifth decades of life. The more frequent symptoms included menorrhagia, menometrorrhagia, pelvic pain, a& dysmenorrhea. IIysmenorrliea occurred more frequently in the younger pa.tients--as primary dysmenorrhea in 76 per cent of the patients and secondary dysmenorrhea in the remaining ::I) per cent whose ages were between 40 an? 40 years. Relative infertility and a prolonged menstrual period appeared in about one-half of the patients under the age of 40 years and half of the series in women between the ages of 30 and 40 years. All cases were treated with conservative surgery in so far as possible, viz, 11 total hgstercctomies and 15 subt,otal lry~tcrectomies with variable adnexal conservative surgery. In 17 patients the following associated pathologic condition8 were present: follicle cysts of ovary in 6 cases; hemorrhagic luteal cysts of ovary in one case; paraovarian cyst in one case; endometrial hyperplasia in 4 cases; tuberculosis of the endometrinm in one case; In “7 chronic salpingitis in 3 cases, and carcinoma of the Fallopian tube in one case. - cases the endometriosis was confined to the uterus; to the ovary in 2 cases; to the tube alone in one case; to uterus and ovaries in 4 eases and once to the utcrua and tubes. There are DO tables, graphs, or illustrat,ione. C. E. For>soarF
Gynecology Ingelman-Sundberg, et gynec.
Axel:
Scandinav.
The Pubovesical 28:
185,
Ligament
in Stress Incontinence,
Acta
obst.
1949.
The known facts concerning the anatomy of stress incontinence in the female are reviewed, and it is stated that the basic lesion is ptosis of the bladder during urination, caused by relaxation of the pelvic floor, and resulting in increased tension on the pubovesical liga ment. Theoretically, the elimination of this tension by surgical division of the pubovesical An operation based on this assumption is ligament might relieve the stress incontinence. The procedure consists of incising and bluntly dissecting the pubovesical h&a described. The operation was successful in relieving the through a median suprasymphyseal incision. stress incontinence of four patients who had remained incontinent following anterior colporrhaphy or bladder suspension. DOUGLAS M. HAYNES
Wagner,
Helmut:
Virilism, The feminine
Interstitial
Zentralbl.
Hemorrhage
f. Gynak.
case history is presented existence, developed during
72:
360,
From
a Ruptured
Rk%l&enberg
Tumor
With
1950.
of a para i, gravida a period of 6 months
i, who, after 29 years cf normal an intra-abdominal mass toget,her