Does cryopreservation of testicular sperm affect ICSI outcomes in azoospermia ?

Objective: To evaluate the outcomes of intracytoplasmic sperm injection (ICSI) cycles when using fresh versus frozen testicular testicular sperm extraction (TESE) samples in non obstructive and obstructive azoospermia in terms of fertilization, cleavage, embryo quality, implantation and clinical pregnancy rates.

Study Design: A total of one hundred and forty consecutive testicular sperm extraction ICSI cycles were performed at our centre between 2012 and 2018 involving infertile men with obstructive and non-obstructive azoospermia.  Fresh TESE samples were used in 56 consecutive ICSI cycles (group 1) and frozen-thawed TESE sperm samples were used in 84 ICSI cycles (group 2).

Pregnancy in kidney transplanted women: what are the optimal conditions for a better pregnancy outcome?

Background: Motherhood has long been not recommended for kidney transplanted women for fear of adverse effects on the graft and the risks to the fetus.

Aims: This article aimed to provide evidence based answer to the following questions regarding pregnancy in kidney transplanted women: 1. what are the nephrologic and obstetrical parameters that can influence the pregnancy outcome? 2.

[Obstetric vesicovaginal fistulas, about 131 cases].

Background: Vesicovaginal fistulas are the most frequent type of urogenital fistulas. Obstetrical cause remains the dominant etiology. They still represent a public health problem.

[Lower urinary trauma complicating gyneacologic and obstetrical surgery].

Introduction: The trauma of the lower urinary tract in gynecologic and obstetrics surgery is rare.

Aim: Discover the circonstances of their happening, their symptoms, and their methods of diagnostic and their treatment.

Methods: Authors report 24 cases observed over a 12 years period.

[Cesarean deliveries in the maternity of military hospital of Tunis. Indication and prognosis: about 5008 cases].

Background: The rates of cesareans increased in many countries, these last years.

Aim: we propose to evaluate the indications, and the maternal and foetal prognosis.

Methods: it's a retrospective study of 5008 cesareans during 10 years period, collected in the maternity of the military hospital of Tunis.

[Premature ovarian insufficiency. Analysis of 30 cases].

Premature menopause is a relatively rare disease but it has delicate consequences dominated by infertility problems. Most often, etiologic investigation is disappointing. Helped in some cases by the association to some auto-immune diseases or a previous treatment with chemotherapy or an irradiation may be useful to understand the origin of the premature ovarian failure.

[The approach diagnoses of ovarian tumors by echography].

In more of positive diagnosis, echography makes it possible to approach the histological nature of ovarian tumors. From a series of 106 cases of ovarian tumours, we propose to evaluate this approach by analysing the various echographic signs according to histological types'. The serous cysts are anechogen in 77,7% of the cases.

[Maternal and foetal prognostic during severe toxemia].

Severe gravidic toxemia gives heavy maternal and foetal morbidity and mortality. The purpose of our study is to loosen the factors of bad maternal and foetal prognostic. It's a retrospective study about 100 cases of severe and complicated gravidic toxemia repertorieted in the maternity of Military Hospital of Tunis.

[Surgical laparoscopy in the management of women infertility].

The authors report their experience about surgical laparoscopy in the management of women infertility. Based on a series of 87 patients (median age: 31 years), 61% have primary infertility. The surgical procedures were distal tuboplasty in 26 cases, endometriosis cure in 19 cases, ovarian driling for polycystic ovarian syndrome in 18 cases and adhesiolysis in 24 cases.

[Potter's reno-facial syndrome].

Potter's reno-facial syndrome is a rare innate abnormality. We bring 4 observations repertoried at the maternity of military hospital of Tunis over a period of 6 years (1997 - 2002). The purpose of our work is to determine after a review of the literature the echographic and foetopathologic characteristics, and the forecast of this syndrome.

[Umbilical endometriosis: apropos of 3 cases].

Umbilical endometriosis is a rare localisation of the disease. The authors report three cases of umbilical endometriosis. The symptomatology is not usually typic.

[Role of uterine curettage in endometrial pathology. Report of 200 cases].

Unlabelled: The aim of this study is to evaluate the reliability of the uterine curettage in endometrial pathology. It is a retrospective analysis of 200 uterine curettages carried out in the military hospital of Tunis over 4 years (1994-1998). The reasons of consultation were genital hemorrhage, sterility and amenorrhea.

[Management of urogenital prolapse in the maternity service of the Tunis military hospital. 82 cases].

This survey has for goal to specify the epidemiological and of the prolapse of our patient, as well as our therapeutic attitude. It is about a retrospective survey that concerned 82 cases of prolapse, structural on a period of 5 years. The average of age of our patient is of 59 years.