Evaluation of the outcome of transobturator vaginal tape in management of stress incontinence in women

To evaluate the therapeutic results of a minimally invasive anti-incontinence operative procedure-the tension free vaginal tape [TVT]-obturator. With this prospective, observational, and consecutive patient series, TVT-obturator surgery was performed, according to de Leval [2003], on 44 patients with urodynamically proven stress urinary incontinence. Follow-up lasted 3-24 month. The demographic and therapeutic aspects of the patient group data were evaluated. The TVT-obturator required neither bladder catheterization nor intraoperative diagnostic cystoscopy. 4 patients [9.09%] with postoperative voiding difficulties had urethral bladder catheterization for 1-4 d; there were 4 cases [9.09%] of early therapeutic failure rate for the TVT-catheterization for 1-4 d; there were 4 cases [9.09%] of early therapeutic failure rate for the TVT-obturator, no postoperative field infections were noted. Use of the TVT-obturator, a novel midurethral sling, seems to reduce the incidence of some of the operative complications novel midurethral sling, seems to reduce the incidence of some of the operative complications associated with the TVT, primarily bladder penetration and postoperative outlet obstruction. The early therapeutic results and the cost-effectiveness of the TVT-obturator appear similar to those reported for common TVT surgery

Trained and untrained traditional birth attendants knowledge concerning labour in Assiut, Egypt [a comprative study]

This study was conducted in eighteen villages and five cities in Assiut Government to compare the knowledge of trained traditional birth attendants [TBAs] and untrained TBAs concerning labor. The study included 58 traditional birth attendants divided to 38 TBAs trained and 20 TBAs untrained. Data were collected through a questionnaire sheet during the period from February 1999 to May 1999 through the interview of the TBAs during the home visits for TBA on two days per week. The results of this study indicated that 87.9% of the sample were from rural areas and 12.1% from urban. Statistical significant differences were found between trained TBAs and untrained TBAs in relation to their knowledge about the time of enema and their knowledge about care during the preparation for labor. There was no statistical significant difference between the two groups in their knowledge related to most items