ABSTRACT
OBJECTIVE OF STUDY: The objective of the study is to determine the optimum diagnostics of vaginal yeast infections and to compare the effects of treatment of these infections by Natamycin with those by Clotrimazol. TYPE OF STUDY: Prospective comparison of both option of treatment of vaginal infections. NAME AND PLACE OF RESEARCH: Obstetrics and gynaecology department, Brno-Bohunice. METHODS: 30 patients treated with hydrophobe Natamycin and 20 patients treated with hydrophyll Clotrimazol formed a sample of 50 women. Regular checks were made on the 10th and 30th day after the beginning of treatment. Diagnosis was performed by means of native microscopy supplemented by an examination for cultivated yeasts in the culture medium "FUNGI-QUICK". At the same time a microscopic examination of slides stained by Gram and Giems was made. RESULTS: A correlation between the evaluated native slide and the culture examined thereafter was 96%. Statistical evaluation of the difference of the rate of success of treatment between the two groups by means of the t-test revealed a value of 0.29, the level of probability was 0.05 at N1 = 0.1795 and N2 = 0.2179. CONCLUSION: Native microscopy is irreplaceable in the diagnosis of vaginal candidosis. No significant differences in the effects of treatment with Natamycin and Clotrimazol were found. On the basis of these results we made some recommendations on the principles of optimum treatment.
Subject(s)
Candidiasis, Vulvovaginal/drug therapy , Antifungal Agents/therapeutic use , Candidiasis, Vulvovaginal/diagnosis , Chronic Disease , Clotrimazole/therapeutic use , Female , Humans , Natamycin/therapeutic useABSTRACT
OBJECTIVE: To present personal experience in the fixation of the vaginal stump to the sacrotuberal ligament. METHOD: Description of the surgery including modified surgical instruments. RESULTS: 32 surgical procedures were performed during a 4-year period. Two relapses were recorded. DISCUSSION: Various surgical procedures including abdominal approach to the fixation are mentioned, complications and prevention of relapses are discussed. CONCLUSION: The method is appropriate for sexually active patients. It preserves the length, axis and volume of the vagina.
Subject(s)
Uterine Prolapse/surgery , Aged , Female , Gynecologic Surgical Procedures/methods , Humans , Ligaments/surgery , Middle AgedABSTRACT
The uterine and vaginal descent create multidisciplinary issue. Its consequences interfere in gynaecology, urology, geriatrics, general medicine and psychiatry. Collateral symptomatology, pathology of the anatomy, diagnostics, both conservative therapy and surgery are discussed. The author mentions the abdominal and vaginal approach, being most experienced with the latter. Prevention is seen shortening of the labour stress, reduction of chronic elevation of the intraabdominal pressure and use of hormonal replacement therapy in the menopause.
Subject(s)
Uterine Prolapse/diagnosis , Uterine Prolapse/therapy , Female , HumansSubject(s)
Labor, Induced , Pregnancy, Prolonged , Female , Fetal Monitoring , Humans , Infant, Newborn , PregnancyABSTRACT
The objective of the work was to evaluate one approach of evaluation of the effect achieved by the mentioned corrective operation, i.e. the subjective evaluation by the patients themselves. In order to ensure comparability of evaluation at different time intervals, the authors used a questionnaire with 13 questions focused on continence and changes of micturition as well as on sexual aspects and changes in the social sphere. Sixty-nine patients were at least one year after operation. Evaluation 6 weeks after operation was implemented in 105 patients. The subjective sensation of complete recovery and satisfaction with treatment in 93.33% after six weeks and 94.20% after one year with minimal complaints regarding micturition indicates that the operation sec. Burch is a very good corrective operation, resolving stress incontinence of urine in women.
Subject(s)
Urethra/surgery , Urinary Incontinence, Stress/surgery , Vagina/surgery , Adult , Aged , Female , Humans , Methods , Middle AgedSubject(s)
Amniocentesis , Congenital Abnormalities/diagnosis , Fetal Diseases/diagnosis , Karyotyping , Female , Humans , PregnancySubject(s)
Gynecology , Obstetrics , Patient Advocacy , Czechoslovakia , Female , Humans , Legislation, Medical , PregnancySubject(s)
Amniotic Fluid/analysis , Estrogens/analysis , Female , Humans , Male , Pregnancy , Pregnancy Trimester, Third , Pregnancy in Diabetics/metabolismSubject(s)
Amniotic Fluid/microbiology , Bacteria/growth & development , Female , Humans , In Vitro Techniques , PregnancySubject(s)
Erythroblastosis, Fetal/immunology , Isoantibodies/analysis , Female , Humans , Infant, Newborn , PregnancySubject(s)
Acid-Base Equilibrium , Fetal Distress/diagnosis , Fetal Monitoring , Heart Rate , Female , Fetus/metabolism , Humans , Infant, Newborn , PregnancySubject(s)
Amniotic Fluid/analysis , Pregnancy, Prolonged , Urea/analysis , Uric Acid/analysis , Female , Gestational Age , Humans , Pregnancy , Pregnancy Trimester, ThirdSubject(s)
Amniotic Fluid/analysis , Cholesterol/analysis , Female , Humans , Pregnancy , Pregnancy Trimester, ThirdABSTRACT
A bimodal distribution of the beta-glucuronidase activities was observed within a group of amniotic fluid samples obtained from women by transabdominal amniocentesis in the third trimester of complicated gestations: lower enzyme activities were found in the larger subgroup and extremely high enzyme activities in the smaller subgroup. There was no relation between the enzyme activity and pregnancy complications. However, a sex-relationship was observed, in that all the children from all the pregnancies showing very high enzyme activities were boys. This may be due to the known stimulating effect of androgens on the specific activity of beta-glucuronidase.
