[Prolene mesh comparing with sacrospinal fixation in the treatment of genital prolapse in women. Prospective multicentre randomized study].

Objective: Polypropylene mesh in the treatment of genital prolapse in women was introduced at the turn of the millennium with the rationale of decreasing surgical invasiveness, reinforcing weak tissues and to possibly complement insufficient surgical techniques. Prospective randomized studies comparing traditional and modern operations are lacking.

Subject: Prospective multicentre randomized study.

Propiverine versus tolterodine: efficacy and tolerability in patients with overactive bladder.

Objectives: Propiverine and tolterodine were compared with respect to efficacy, tolerability and impact on the quality of life in the treatment of patients with idiopathic detrusor overactivity.

Methods: In a randomised, double-blind, multicentre clinical trial, patients with idiopathic detrusor overactivity were treated with 15 mg propiverine twice daily or 2mg tolterodine twice daily over a period of 28 days. The maximum cystometric capacity was determined at baseline and after 4 weeks of therapy.

[Successful treatment of severe post-partum bleeding after caesarean section using recombinant activated factor VII].

Objective: To present a case report of severe post-partum bleeding after caesarean section and successful using recombinant factor VIIa.

Setting: Department Obstetrics and Gynecology, Regional Hospital, Kladno, Czech Republic.

Case Report: A 28-year old nullipara presented with major post-partum bleeding after caesarean section due to uterine atony.