Cases: Two patients developed solitary unilateral peripheral femoral neuropathy after vaginal hysterectomy. Methods: Both were operated under spinal anesthesia in the lithotomy position. Straight rod leg supports with swing stirrups were used, and both of the procedures lasted for approximately 1½ hours. The complication is thought to be due to the extreme abduction of thighs with external rotation at the hip causing ischemia of the femoral nerve as it is kinked beneath the tough inguinal ligament. Conclusions: The prognosis was found to be excellent, with complete recovery within 8-10 weeks. The complication is preventable by using lateral thigh supports, limiting the degree of abduction. The pathophysiology contributing to this operative complication as well as measures for prevention and treatment are discussed. A personal observation and a literary review on femoral neuropathy after vaginal hysterectomy are presented. ( J GYNECOL SURG 26:171)
Objectives To study the prevalence of male and female genital tuberculosis in Indian infertile couples as detected by semen polymerase chain reaction (PCR) and endometrial PCR and to study the correlation of semen TB PCR with endometrial TB PCR of sexual partner. Design Noncomparative retrospective observational series. Patients A total of 100 couples presenting with infertility at clinic were enrolled after obtaining informed consent. Interventions All couples were tested for mycobacterium tuberculosis (MTB) by nested PCR on the semen and the endometrial sample. The results of PCR of sexual partners were mutually correlated. Results Out of 108 couples, 56 males and 52 females had positive PCR in the sample of semen and the endometrium. Also, 30 couples simultaneously had both semen PCR and endometrial PCR positive. Conclusion Addition of PCR tests to the routine clinical and laboratory assessments may add to the detection of subclinical urogenital infection and the timely evaluation of the asymptomatic partner of the infected person can improve the early detection of a silent but potentially devastating infection. How to cite this article Baxi A, Neema H, Kadi P, Baxi D, Kaushal M. Prevalence of Male Genital Tuberculosis in Indian Infertile Couples and Its Correlation with Female Genital Tuberculosis. J South Asian Feder Obst Gynae 2016;8(1):13-15.
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