Background: To identify an effective misoprostol-only regime for the termination of second trimester pregnancy. Objectives: To compare the efficacy, safety and acceptability of sublingual and vaginal misoprostol for second trimester pregnancy termination. Methods: In a prospective randomized comparative study, over 138 pregnant women at 13 20 weeks (91 140 days) of gestation requiring medical a...

UNLABELLED Background and Objective : Contraceptive pills are generally taken orally and can cause side effects such as nausea, vomiting and hypertension. The vaginal use of these pills can reduce such complications. Our objective was to compare the efficacy and side effects of low dose contraceptive pills by oral and vaginal route in the management of dysfunctional uterine bleeding-(DUB) Metho...

Leiomyoma in the female genital tract is a common benign tumor of the uterus, followed by cervix, round ligament and inguinal ligament. Vaginal leiomyoma is a rare entity with only about 300 reported cases. Here, we report a case of a vaginal leiomyoma in a 22 year old nullipara who presented with dyspareunia and infertility. Vaginal examination revealed a mass in the anterior vaginal wall. MRI...

BACKGROUND Obstetric fistula is a resultant effect of prolonged obstructed labour. The best surgical management of simple uncomplicated fistula determines the outcome of care. OBJECTIVE To compare outcome of uncomplicated mid-vaginal fistula between vaginal and abdominal route of repair. MATERIALS AND METHOD This was a hospital based retrospective study conducted at the University College H...

Objective: To compare the effect of sublingual versus vaginal misoprostol on preoperative cervical priming in first trimester abortion. Material and methods: One hundred women seeking first trimester abortion were randomized into either sublingual or vaginal groups of 50 each. They were given 400 μg misoprostol via sublingual or vaginal route for cervical priming three hours before the procedur...

Vaginal hysterectomy fulfills the evidence-based requirements as the preferred route of hysterectomy for benign gynecologic disease. Despite proven safety and effectiveness, the vaginal approach for hysterectomy has been and remains underused in surgical practice. Factors associated with underuse of vaginal hysterectomy include challenges during residency training, decreasing case numbers among...

The majority of the anterior vaginal wall prolapse results from paravaginal defects 70% (lateral detachments from the ATFP) mostly unilateral, on the right side, and at the level of the ischial spines; rather than midline defect. This new understanding of site specific vaginal defects has lead to changes in surgical techniques, to include, abdominal, laparoscopic, and vaginal repairs. Abdominal...

IMPLICATIONS OF HYSTEROCTOMY ON VAGINAL ROUTE IN GYNECOLOGIC PATHOLOGY (Abstract): Vaginal hysterectomy was mentioned before our era by Soranus of Ephesus, and it is one of the most frequent surgical interventions in gynecologic practice; performed for the first time by Sauter of Constance, in 1822, who practiced a vaginal hysterectomy without ligation of vessels, carrying out the hemostasis wi...

Correspondence: Jerome H Check 7447 Old York Road, Melrose Park, PA 19027 Tel +1 215 635 4156 Fax +1 215 635 2304 email [email protected] Abstract: Supplementation of progesterone in the luteal phase and continuance of progesterone therapy during the first trimester has been found in several studies to have benefits in promoting fertility, preventing miscarriages and even preventing pre-term lab...

Vaginal leiomyoma is a rare solid tumour with a variable presentation that can lead to pre-operative misdiagnosis. Local recurrence and transformation into sarcoma are also rare and surgical excision is recommended. Here, we present the case of a 23-year-old woman with a painless vaginal mass associated with severe dyspareunia since marriage (2 months ago) and dysmenorrhoea. She underwent surge...