BACKGROUND Abnormal uterine bleeding (AUB) is one of the most common debilitating menstrual problems and has remained one of the most frequent indications for hysterectomy in developing countries. Approximately in 40% of hysterectomy specimens, no definite organic pathology could be established. The problem is common worldwide but causes may vary from one region to another. This study may help ...

Computer-based surgical simulation promises to provide a broader scope of clinical training through the introduction of anatomic variation, simulation of untoward events, and collection of performance data. We present a haptically-enabled surgical simulator for the most common techniques in diagnostic and operative hysteroscopycervical dilation, endometrial resection and ablation, and lesion ex...

OBJECTIVES To determine the experience, acceptability and outcome of hysteroscopic surgery at the Aga Khan Hospital, Nairobi. DESIGN A retrospective study. SETTING Aga Khan Hospital, Nairobi. PATIENTS Between May 2000 and April, 2003, 463 cases of hysteroscopy were undertaken at the Aga Khan Hospital, Nairobi, of these 54 patients (11.7%) underwent various hysteroscopic surgical procedure...

OBJECTIVE Few studies on the prognosticators of the patients with recurrent endometrial cancer after relapse have been reported in the literature. The aim of this study was to determine the prognosticators after relapse in patients with recurrent endometrial cancer who underwent primary complete cytoreductive surgery and adjuvant chemotherapy. METHODS Thirty-five patients with recurrent endom...

AIMS AND BACKGROUND Endometrial carcinoma is a rare cause of brain metastases, accounting for less than 1% of all metastatic lesions to the brain. This report aims to review our experience in the treatment of patients with brain metastases from endometrial carcinoma in order to establish the characteristics of these patients and evaluate the results and efficacy of whole-brain radiation therapy...

INTRODUCTION Hysteroscopy is considered the 'gold standard' procedure in assessing uterine pathology however it is more expensive and invasive method than ultrasonography. An alternative to the diagnostic hysteroscopy is sonohysterography. AIM To evaluate the usefulness of sonohysterography in detecting endometrial polyps in female patients diagnosed with infertility. MATERIAL AND METHODS W...

The prevalence of endometrial polyps in postmenopausal womencanbeashighas35%, and it hasbeen steadily increasing with the wide dissemination of ultrasound in the routine gynecological practice.1 Endometrial polyps are important because they can cause symptoms, and might be associated with endometrial cancer. The percentage of malignant lesions found in association with the polyps, or even withi...

Instances of iatrogenic endometriosis after laparoscopic supracervical hysterectomy are uncommon but have been reported in the literature in women undergoing hysterectomy for pelvic pain. A 41-year-old woman with no history of endometriosis developed cyclic pain and a mass in her lower abdominal wall after uterine morcellation for a laparoscopic supracervical hysterectomy and sacrocolpopexy for...

Uterine sarcomas are a rare group of neoplasms with aggressive clinical course and poor prognosis. They are classified into four main histological subtypes in order of decreasing incidence: carcinosarcomas, leiomyosarcomas, endometrial stromal sarcomas and "other" sarcomas. The pathological subtype demands a tailored approach. Surgical resection is regarded as the mainstay of treatment. Total a...