Serous papillary cystadenofibromas (SPCAFs) of the fallopian tube are very rare benign tumors of the female genital tract. They are usually asymptomatic and are found incidentally. Until now, only 18 cases of this tumor have been reported in the world literature. We report a case of SPCAF of the left fallopian tube in a 30-year-old female who presented with a large abdominal mass and pain. On computed tomography, a diagnosis of ovarian neoplasm was given. However, during surgery the tumor was found to arise from the fallopian tube and was treated with tubal cystectomy with sparing of the ovary. We present this unique case on account of its rarity, unusual presentation, and huge size along with a short review of literature.

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INTRODUCTIONStress urinary incontinence (SUI) is defined as involuntary loss of urine due to increased intra-abdominal and intravesical pressure, which exceeds the pressure that the urethral closure mechanism can withstand and little urinary loss results.1,2 Stress incontinence affects 15-60% of women. Stress incontinence is a disorder of young as well as old people.More than a quarter of nulliparous, young college, athletes experience stress incontinence while participating in sports. 2,3 We have older methods like Kelly's repair and abdominal bladder neck suspension surgeries. The newer techniques are Tension-free vaginal tape (TVT), trans-obturator tape (TOT) and meshplasty. 1-4 Principle of meshplastyRecent advances in the mechanism of SUI show that the support at midurethral level is weak resulting into sagging of midurethra. Whenever intra-abdominal pressure rises while coughing, sneezing, The intravesical and the proximal urethral pressure becomes more than that in the midurethra resulting into dribbling or urine (SUI).2 It will be irrational to use this already weak and torn pubovesicocervico vaginal fascia to support the urethra.2 It may give temporary relief but not long term success as seen in Kelly's plication suture. Hence these supports should be enhanced and re-established by using synthetic material like polypropylene mesh, to provide a permanent solution. We innovated the technique of meshplasty for SUI correction in which the lost fascial support of mid urethra is re-established by simply fixing the flexible, non-absorbable, non-reactive polypropylene ABSTRACT Background: Stress urinary incontinence is when there is involuntary loss of urine due to increase intra-abdominal and intravesical pressure. Methods: This is a prospective clinical trial which was conducted at a Municipal General Hospital in Mumbai in the Department of Obstetrics and Gynecology for a period of 10 years from January 2005 to December 2015.The study group consisted of 518 cases with clinically demonstrable SUI with or without pelvic floor defects. Meshplasty was performed as a choice of surgery for SUI correction. Results: The study group was divided based on age (25-40,41-55,>55),parity(I,II-III,>IV), symptoms (SUI, Dysfunctional uterine bleeding, prolapse), type of anaesthesia (local, general/spinal anaesthesia), surgery performed (meshplasty alone, meshplasty with cystorectocele repair, meshplasty with vaginal hysterectomy (VH), meshplasty with VH with cystorectocele repair, meshplasty with VH with cystorectocele repair with sacrospinous fixation), complications (mesh rejection, urine retention). Conclusions: Meshplasty is a simple inexpensive procedure with short learning curve. This has a 94% success rate.