[Results of treatment of condyloma in the male and its effect on the couple in the presence of intraepithelial cervical neoplasia]. / Resultados del tratamiento del condiloma en el varón y el efecto en la pareja con neoplasia intraepitelial cervical (NIC).

Genital papillomavirus is an infection sexually transmitted, besides it is frequently associated with cancer of the uterine cervix. It is controversial if it is useful to treat the sexual partner. The present study analyzes in a comparative way patients with CIN with treated partner and untreated partner. From 1986 to 1991 251 women treated for CIN, were prospectively studied; they had completed a one year follow up and during this time they presented, or not, treatment failure. Fifty six were examined and their sexual partners were treated for genital papillomavirus, and the control were 195 women, similar to the study group as to age, race, socio-economical level, CIN histological degree, distribution of lesions and therapeutical methods, in whom the male was not examined nor treated. Statistical methods were Umann-Whitney, homogeneity test, and the fractions difference test to compare the groups. It were obtained the persistence and recidive of the treated couple and untreated couple (41% vs 32.8% with P greater than 0.05) not significant, which shows that papillomavirus treatment of the male partner has no effect on CIN treatment failure in the woman. These statistical results should be considered with caution as it is known that the male is a virus reservoir that together with other cofactors may explain the greater risk for the woman to develop CIN.

[The male factor in the incidence and persistence of condyloma of the cervix and intraepithelial cervical neoplasms]. / Factor masculino en la incidencia y persistencia de condiloma de cervix y neoplasia intraepitelial cervical.

From 1988 to 1990, prospectively, were studied 113 masculine couples (males), and 113 women, treated for intraepithelial cervical neoplasia, alone, or associated to viral infection by human papilloma virus-80 males were asymptomatic (70.7%). Colposcopy and local application of acetic acid, were needed for the diagnosis of 69.9% of lesions, which presented with a gray color to a brilliant white color. Papulous lesion, (56.70%) was most frequent; and the classical lesions as condyloma acuminatum, were 15.52%; urethral cytology was positive for condyloma (one condyloma in 30%), and biopsies in 91.66%. There were persistence and recidiva, nonsignificant, when the man had received treatment suggesting that the treatment does not alter the appearance of condyloma, nor cervical intraepithelial, neoplasia.

[Active management of labor]. / Manejo activo del trabajo de parto.

Eighty three primigravidae patients at the end of latency labor, erased cervix, 3 cm dilation, vertex presentation and adequate pelvis, were studied. Two groups were formed: 53 patients in the study group, who received active management of labor, and 30 patients in the control group, treated in the traditional way. In all the patients a graphic recording of labor, was carried out; it included all the events, and as labor advanced, a signoidal curve of cervical dilatation, was registered, as well as the hyperbolic one for presentation descent. The study group received the method in a systematized manner, as follows: 1. Peridular block. 2. Amniotomy. 3. IV oxytocin one hour after amniotomy. 4. FCR monitoring. 5. Detection of dystocia origin. Materno-fetal morbidity was registered in both groups, as well as cesarean section rate, instrumental delivery and its indications, labor duration, and time of stay in labor room. Diminution of above intems and opportune detection of dystocia, were determined. It was concluded that a constructive action plan, starting at hospital admission in most healthy women, allows a normal delivery of brief duration.

[An epidemiological study of 1000 sterile couples]. / Estudio epidemiológico en mil parejas estériles.

Our purpose was to study the characteristics of our infertile population, to evaluate prognostic fertility parameters and to know our pregnancy rates. One thousand infertile couples were studied under a protocol by factors. We found the highest alteration in the ovarian factor (35%), followed by the tuboperitoneal factor (28%) and male factor (26%). The woman's age, the duration of infertility and multifactorial infertility (17.6%), were of prognostic importance. Our pregnancy rate of 61.4% compares with the reported in the literature. We believe that establishing an infertility protocol with a multidisciplinary approach, helps to a more precise diagnosis and more specific treatments with better results.

Cistouretropexia retropúbica en incontinencia urinaria de esfuerzo: II. Operación de Pereyra modificada / Repropubic cysto-uthropexis in urinary stress incontinence: II modified pereyras operation

En el Hospital "Luis Catelaro Ayala", del IMSS en un periodo de un año se operaron 176 pacientes con el procedimiento de Pereyra modificado; 70 casos llevan seis o más meses se seguimiento y el resultado ha sido bueno en 67 de ellos. La operación se efectuó en 160 pacientes sin cirugía previa y en 16 casos con operación previa para corrección de la Incontinencia Urinaria de Esfuerzo; se obtuvieron complicaciones en 32 casos (18%) correspondiendo la mayoría de ellas a retención de orina o infección de vías urinarias. Se presentaron dos casos de lesión vesical. Se describe método de selección para la técnica, criterio de seguimiento y se reseña brevemente el procedimiento según con los lineamientos generales señalados por los autores