Transobturator tape compared with tension-free vaginal tape for stress incontinence: a randomized controlled trial.

Objective: To compare the effectiveness of transobturator tape with tension-free vaginal tape (TVT) in terms of objective cure of stress urinary incontinence (SUI) at 12 months postoperatively.

Method: Women with SUI were randomly allocated to either transobturator tape or TVT procedures and reviewed at 12 months after surgery. The primary outcome was objective evidence of "cure," evaluated by standardized pad test (cure defined as less than 1 g urine leaked).

Intravenous nitroglycerin for external cephalic version: a randomized controlled trial.

Objective: To estimate whether treatment with intravenous nitroglycerin for uterine relaxation increases the chance of successful external cephalic version.

Methods: Two double-blind, randomized clinical trials were undertaken: one in nulliparous women and a second in multiparous women. Women presenting for external cephalic version at term were eligible to participate.

Endocrine disruptors and spontaneous premature labor: a case control study.

Background: Premature labor is a poorly understood condition. Estrogen is thought to play a key role and therefore the labor process may be affected by endocrine disruptors. We sought to determine whether or not an environmental toxicant, DDE, or dietary derived endocrine disruptors, daidzein and genistein, are associated with spontaneous preterm labor.

Trans-obturator surgery for stress urinary incontinence: 1-year follow-up of a cohort of 52 women.

This study was a 1-year follow-up of a cohort of 52 women who underwent trans-obturator tape (TOT) procedures using Obtape. Follow-up information was available for 45/52 (87%) women. The rate of erosions was 8/52 (15%).

Five cases of tape erosion after transobturator surgery for urinary incontinence.

Background: Before introducing the transobturator tape into our practice we undertook 52 transobturator tape procedures. The transobturator tape procedures were undertaken with an "outside-in" approach, using nonwoven polypropylene mesh with average pore size of 50 mum.

Cases: Five cases of vaginal erosions have been identified, 1 complicated by a groin abscess.