Traitement chirurgical du cancer du col uterin [a prepos de 113 CAS]

We report in this study 113 cases of the cancer of uterine neck operated in obstetric gynecology [professor OSTOWAR] at the Souiss maternity of Rabat over a period from January 1st, 1970 to December 31st, 1990. 88 cases [77,88%] of our patients are multiparas.Average age is 41 with extremes of 20 and 70 years. [57,29%] are in a period of genital activity.30 cases [26,55%] are in a period of menaupose. The most frequent recealing sign is metrorrhagia, it is observed in 102 cases [90,27%]. The lack of precocions detection, of prophylaxy and hygiene make that the majority have come to consult at a late stage. Thus, almost half of them [49,56%] have come at stage IIB Budding and ulcero-budding forms are the most frequent 100 cases [88,50%] underwent surgical treatment of EIGS type. The other patients, 7 cases [6,19%] underwent a Weir theim and 6 cases [5,30%] did a hysterectomy. Prognosis is good in the majority of the cases, the number of cure is 93 cases [82,30%]. Yet, post-operation complications are especially ureteral 10 cases [8,85%]. Recurs are not rare: -12 cases of local recur-3 cases of for metastases

prolapsus genital [a propos 150 cas]

Our work is intersted in the retrospective study of 150 cases of genital prolapse, selected at gynecologie-obstetric service <> of maternity Souissi of Rabat over ten years [1894-1983]. The epidemiological profile of our study were dominated by advanced age [mean 56 years], multiparity in 135 cases [90%] and 105 cases [70%] of our women were menopausal. The most of commonest association of lesion was complete prolapse in 84 cases [56%], stress incontinence urinary was found in 43 cases [28,6%] On the therapeutic level, the perineal tract is used in 125 cases. The vaginal hysterectomy with anterior time and posterior time remains the most used in 84 cases [67,5%] Magendie technique in 19 cases [12,7%] Labhardt technique in 8 cases [5,4%]. the immediate evolution were excellents in majority of cases [one death]. But, the remote results were difficults because the number of our cases review is limited and does not allow to conclude

Les Cancers et lesions precancereuses de la vulve [a props de 100 CAS]

We report here the results of a retrospective study of 100 vulva cancer and pre existant vulva dystrophic lesions. The cancer of vulva is a rare affection accruing often in old menopaused and multiparous women The diagnosis of certitude is based on the histologic study often vulvar biopsy, and invasive epidermoide carcinoma is the most frequent histologic type. Ideal treatement is total vulvectomy with bilateral inguinal currage in monobloc, because lymphatic extension is precocious and frequent. Prophylactic treatement of vulva cancer lies in cares of corporal hygiene, the destruction of viral lesions especially of condylomas and the treatement of vulva dystrophic lesions

Methods for natural and voluntary selection of genders

We are just starting to understand the complexity and the multiple factors influencing the natural choice of genders. This selection has a certain interest in the prevention of diseases or abnomalities which transmission is linked to sexual chromosomes. By combining different methods we can arrive to success rate of 80 to 90%. This stastically significant rate can be improved and we foresee in the near future the possibility for the couples to choose not only the number of their offspring but also their gender