Manchester repair. An alternative to hysterectomy

Local data regarding Manchester repair are not available in the current literature. We report a retrospective case series of 7 women who presented with uterine prolapse, and underwent Manchester repair from January 1997 to May 2008 at King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia. All of these women were multiparous [para 3 +/- 1] and wanted to avoid hysterectomy, and become pregnant. The duration of the procedure was 119 +/- 16 minutes. No operative complications were observed. The mean duration of follow up was 5 +/- 2 years. All of the women were satisfied with the procedure. Two [28.6%] patients subsequently became pregnant and had a successful vaginal delivery. Manchester repair is a valid alternative to hysterectomy for women with a second degree uterine prolapse who want to preserve their fertility

Chlamydial infection in Saudi infertile patients

In the Andrology and Infertility Clinic at King Abdulaziz University Hospital, Jeddah, Saudi Arabia, we tested sixty five specimens of thirty four male and thirty one female patients. The male patients were clinically suspected of having chlamydial infection. All the thirty one female patients had undergone a laparoscopy for evaluation of their tubal factor. A direct test using fluorescein labelled monoclonal antibodies was used for the identification of chiamydial elementry bodies in direct smears of swabs from the endocervix in female patients and from the urethra in male patients. Nine females [29%] and nine males [26.4%] were found to be positive in the endocervical and urethral specimens respectively. When we compared the results of the laparoscopic findings, the nine patients who had positive tests for chlamydia, and the twenty-two patients who had negative tests, we found that seven out of nine and six out of twenty-two patients had tubal disease, with a statistically significant difference [p < 0.005]

Abnormal cervical cytology: a preliminary report on 21,372 women from the Western Region of Saudi Arabia

This is a preliminary report on 21 372 patients who attended the gynaecological out-patient department of three major hospitals in Jeddah, Saudi Arabia, for cytological examination of their cervices for cervical dysplasia. Out of those, 10571 [49.5%] were examined due to symptomatology of cervical pathology [Group A] and 10801 [50.5%] were screened routinely by cervical smear [Group B]. The detection rate was 0.24%. When comparing the detection rate of the two groups, we found that Group B had a lower detection rate than Group A, which was statistically significant [p<0.0010]. The distribution of nationality, age groups and percentage of cervical dysplasia in each group are discussed and interpretation of the results and recommendations are presented