Pregnancies and obstetrical prognosis after oocyte donation in Turner Syndrome: A multicentric study.

Introduction: Turner syndrome is one of the most frequent chromosomal abnormalities in women, with a prevalence estimated to be 1 of 2500 live birth. Pregnancy in women with Turner syndrome is known to be at high risk, whether it is spontaneous or after oocyte donation, because of miscarriages and potential cardio-vascular complications which can be life-threatening. All of these patients should therefore be screened with a comprehensive cardio-vascular assessment before pregnancy, and have a close follow-up during and after pregnancy.

Transvaginal repair of stage III-IV cystocele using a lightweight mesh: safety and 36-month outcome.

Introduction And Hypothesis: The aim of this study was to assess the 36-month safety and efficacy of a lightweight polypropylene mesh used for the transvaginal repair of stage III-IV cystocele.

Methods: A multicenter prospective cohort study was performed. Preoperative assessment included an interview and evaluation with the Pelvic Organ Prolapse Quantification (POP-Q) system.

[GnRH agonist triggering in IVF and luteal phase support in women at risk of ovarian hyperstimulation syndrome].

Objective: To evaluate the efficacy and safety of ovulation triggering by agonists in antagonists IVF cycles with fresh embryo transfer in modulating low HCG dose for luteal phase support in patients at risk of ovarian hyperstimulation syndrome (OHSS).

Patients And Methods: In an observational study from September 2011 to March 2013, we triggered with agonist 107 cycles with OHSS risk, we initially triggered 39 cycles with 2 doses of Triptorelin 0.1 mg.

[Safety and 12-month results on stage 3-4 cystocele repair by the vaginal route using a light-weight mesh].

Objective: To assess safety and efficacy at short-term of a light-weight polypropylene mesh (28 g/m2) for stage 3-4 cystocele repair by the vaginal route.

Material And Methods: A multicentric prospective cohort study, performed between 2010 and 2011 in seven centers. Pre-operative assessment included prolapse quantification using the POP-Q.

Programming in vitro fertilization retrievals during working days after a gonadotropin-releasing hormone antagonist protocol with estrogen pretreatment: does the length of exposure to estradiol impact on controlled ovarian hyperstimulation outcomes?

Objective: To verify whether a variable number of days beyond the menses of estrogen (E) pretreatment may impact on controlled ovarian hyperstimulation (COH) outcomes and birth rate using a GnRH antagonist protocol.

Design: Single center, prospective, nonrandomized study.

Setting: Nonacademic fertility unit.

[Influence duration of the use of estrogens beyond the menses in estradiol IVF antagonist programming cycles].

Objective: To evaluate by the birth rate the impact of the number of days of estrogens continued beyond the menses in a four days estradiol IVF antagonist programming cycles.

Patients And Methods: Retrospective study from September 2004 to January 2009 among women of age ranging between 25 and 38 years. Four milligrams of provames is prescribed 3 to 5 days before the theorical menses and continued until the beginning day of stimulation, which is distributed equitably between Thursday and Sunday.

[Efficiency of antagonist IVF cycle programming by estrogens].

Objective: Assess the efficiency of estradiol programming in In Vitro Fertilization (IVF) with antagonists by comparing with classical long luteal agonist protocol.

Patients And Methods: It is a prospective randomized study, comparing 426 cycles in the arm estradiol antagonist with 412 cycles in the arm long agonist. Estradiol 4 mg/day begins on the 25th day of the previous cycle and continues during the menses until the first day of the stimulation which is from Thursday to Sunday whatever the beginning of the menses.

[Ovarian hyperstimulation in medically assisted reproduction: which practical approach?].

Ovarian hyperstimulation syndrome (OHS) with serious grade could be a live threatening disease, that occurs in 0.5% to 1% of in vitro fertilization program. The prevention of OHS is based on the recognition of risk factors and on ultrasonic and hormonal monitoring, with well adapted treatment in order to reduce the number of follicles.

[Term birth of a twin after the rupture of the uterine horn at 15 weeks gestational age].

Having treated a case which resulted in the delivery at term of an intrauterine twin when the other twin had been lost after the rupture of a uterine cornu which itself followed a salpingectomy without removal of the interstitial portion of the tube brings the authors to discuss the physiopathology and the symptomatology of such cases. They also discuss the value of resecting the interstitial portion of the tube and what management should be when there is a live intrauterine pregnancy.

[Intratubal transfer of an embryo or a zygote. (TET or GIFT) Past, present and future? Comparative study of tubal embryo transfer (TET) versus in vitro fertilization].

The pregnancy rate per transfer does not appear to be increased if the embryos are placed in the Fallopian tube rather than using in-vitro fertilization or inserting the gametes into the tubule ampulla. Consequently, the indications are specific to particular cases.

[Nipple discharge without palpable tumor. Apropos of 46 cases].

The authors report 46 cases of nipple discharge without any palpable lesion. The diagnostic is made, most of the time, by 3-views bilateral mammograms. The place of other examinations (ultrasonography, galactography) is reported.

[The value of fertilization in vitro and derived technics in oligo-astheno-teratospermia].

The authors report the advantage of fertilization in vitro and ancillary techniques in hypofertility by male component. In their fertilization in vitro program, a male indication is individually found in 10% of the cases, but also in female indications, even those of tubal origin. In summary, sperm anomalies are reported in 25% of couples entering a program of fertilization in vitro.

[Hydrosalpinx and sterility. Value of studying tubal microbiopsies using scanning electron microscopy].

Microbiopsies were taken from the tubes of 13 women who were sterile with hydrosalpinges. They were studied using scanning electron microscopy. It was possible to point out several degrees in the evolution of these lesions of the tubal epithelium.

[Demons-Meigs syndrome. Apropos of a case. Review of the literature].

On the basis of one case, the authors discuss the clinical, paraclinical and evolutive features of Demons-Meigs syndrome. They review the literature in an attempt to define the pathogenesis of this rare syndrome.

[Emergency uterine embolization in postpartum hemorrhage secondary to coagulopathy].

Acute post-partum hemorrhage secondary to a coagulation disorder was successfully treated by embolization of the uterine arteries. The technique used is described, and the place of embolization as an alternative to surgical procedures discussed.

[Fetal bradycardia caused by an anomaly of auriculo-ventricular conduction. Apropos of a case with prenatal diagnosis. Review of the literature].

In discussing a case of isolated A-V block, the authors note that this condition occurs frequently in association with other cardiac and non-cardiac foetal malformations. Diagnosis of this type of disorder has been greatly facilitated by the development of ultrasonography. Obstetric management depends on the degree of malformation.

[The diagnostic value of celioscopy in the evaluation of chronic pelvic pain. Apropos of 184 cases].

The authors report on a retrospective study of 184 laparoscopies carried out assessing the aetiology of chronic pelvic pain. The population that was studied has a mean age of 28.8 years, with most of the patients being between 20 and 30 years of age.

[Cervical pregnancy. A rare entity that should not be missed].

The authors report a new case of cervical pregnancy in a primigravid woman of 31 years of age who had had 15 weeks of amenorrhoea. They review the clinical and anatomo-pathological criteria necessary to make the diagnosis. The diagnosis which had become suspected because of ultrasound was confirmed by examination under a general anaesthetic before interrupting pregnancy.

[Injury of the umbilical cord during late amniocentesis].

Damage to the umbilical cord is a rare complication of late amniocentesis. It is so serious for the fetus that it should be recognized immediately and the baby should be delivered as quickly as possible. We report a new case here and analyse the principal features to be found in the literature.

[Acute hydramnios and twin pregnancy. Apropos of 5 cases].

Five cases of acute hydramnios occurring in twin pregnancies are reported here. The obstetrical management is discussed in the light of our results and the facts given in the literature. It would seem that abdominal route amniocentesis drawing off quantities of liquor is a simple manoeuvre which can be repeated and work so that the inexorable progress to late abortion or premature labour is avoided.

[The obstetrical future of women who have been operated on for uterine synechiae. 107 cases operated on (author's transl)].

The authors undertake to show that the obstetric future of women who have been operated on for uterine synechiae is not as poor as would appear from previous publications. 59 p. 100 of 75 women who wanted to become pregnant did so and 46 p.