[Polycystic ovary syndrome with infertility]

The definition of the polycystic ovary syndrome has been controversial for a long time. Rotterdam consensus established precise criteria since two among three set the definition as follow: anovulation, hyperandrogenism and polycystic ovaries. of this study is to stress on the particularity of ovarian dystrophy and the management of the resulting infertility that represents an important rate of medical counselling of women desiring pregnancy. Literature review. Management consists in two parts: treating hyperinsulinism and stimulating ovulation. The "step up low done" protocole is now taking the place of the classical "step down" protocole. Ovarian drilling have to be considered in case of resistance to Citarate of Clomifen. The hyperstimulation syndrome is the common complication to avoid by a regular following. The "coasting" represents an interesting alternative in case of an explosive response in order to obtain a controlled follicular failure. Clinical management of the PCOS have to be organized in regard to patient's age, history, desire of pregnancy and medical staff experience

Antenatal diagnosis of multicystic renal dysplsia. report of 11 cases

Multicystic dysplastic of the kidney [UCDK] in the most common cause of an abdominal man in the new born period and is the most common cystic malformation of the kidney in infancy. The increasingly widespread use of prenatal diagnostic techniques has revealed that UCDK is apparently even more prevalent than had been assumed. The aim of this study was to assess the utility of antenatal ultra ecography for in utero diagnosid of UCDK and its management. A retrospective study of 11 UCDK cases diagnosed by antenatal ultra echography performed between the 4th and 6th monts of pregnancy. The outcome measure was radiographic imaginy It acts of a retrospective study of the 11 cases of DRMK diagnosed in antenatal by an echography obstetricale of the second quarter. A diagnostic confirmation was obtained by radiological examinations in post native for the pregnancies carried. Patients with UCDK have significant associated urological and/or non urological malformations. In certain cases of non lethal anomalies, antenatal detection may influence both obstetric and postnatal management. Conservative management requires appropriate investigation of urinary tract tract and long-term follow-up