[Contraception with levonorgestrel subdermal implants. A Tunisian study]. / La contraception par les implants sous-cutanés de lévonorgestrel. Une étude tunisienne.

OBJECTIVES: We report our experience in Tunisia with contraception by subdermal levonogestrel implants. METHODS: From January 1, 1990 through June 30, 1994 we inserted 1021 implants at our family planning center in Ariana. RESULTS: Our experience with this pure progesterone implant showed that this method provides effective long-duration contraception. There was only one case of ectopic pregnancy among our 1021 patients. The most frequent undesirable effect and the first cause of discontinuing treatment was disturbed menstrual cycle with irregular discharge. CONCLUSION: Our results underline the importance of counselling before implant insertion. A 10-day estrogen regimen may provide a solution for menstrual disorders.

[The association of genito-urinary prolapse and bladder lithiasis]. / L'association prolapsus génito-urinaire et lithiase vésicale.

Two cases of third degree tri-segmentary prolapse were associated with bladder calculi. Two cm calculi in the first case and a unique 4 x 5 cm calculus in the second made diagnosis difficult and raised the question of the choice of therapy.