Post circumcision clitoridal cyst; the unique sexual phenomenon before and after surgery

In this work, 57 cases of clitoridal cysts were studied for their relation to circumcision and their sexuality. Different pathogenetic factors were identified. Sexuality was assessed by sexual questionnaire sheet. The development of clitoridal cyst was associated with a compensatory increase in all sex scores, so as to reach nearly the total sexuality gain recorded for the uncircumcised controls. The development of clitorolabial orientation after its previous loss by circumcision explains the occurrence of this unique phenomenon of stimulated sex following the formation of such cysts

Ovarian ligament and unexplained infertility

This study included 50 fertile and 25 cases of unexplained infertility. In all fertile and infertile cases, the ovarian ligament was studied. The study was done either by laparoscopy and laparotomy in the patients needed an operative interference for their complaints. The length of ovarian ligament was measured and wedge biopsy from the origin and insertion of ovarian ligaments were studied. Other factors determining ovum picking were also included. The results showed that the ovarian ligament and the ovulation border were significantly shorter in the fertile cases than those in the infertile cases. Meanwhile, the fimbria ovarica was significantly longer and the ovulation site was more accessible to the fimbrial end of the tube in the fertile cases. The fimbrio-ovarian accessibility test showed a significant correlation with the above parameter. The role of ovarian ligament could be suggested from the histological examination and was found to assist the ovum pickup by fixing the ovary during the process of picking and it also buffer any traumatic effect on the ovum during that procedure. It was concluded that the ovarian ligament is essential for ovum picking. The fimbrio-ovarian accessibility test is very useful in investigating such procedure

role of colposcopy in the diagnosis and management of chronic vulvar pain [vulvodynia]

Fifty women complaining of chronic vulvar pain and 22 age-matched patients without pain were selected for this study. After full gynecological examination, a histopathologic analysis was carried out and biopsy was taken from any detected lesion. The results showed that vulvodynia was found to be either primary or secondary; the primary is the commonest and may be diffuse or localized and the secondary may be associated with lower genital infection, rectal and/or urethral lesions. The characteristic colposcopic lesion was the acetowhite area with or without the associated micropapillary lesion detected in 24% of the cases. Cases having such lesion showed epithelial koilocytosis by a histopathological examination and it indicated chronic HPV infection. It was concluded that chronic HPV infection is definitely a cause of vulvodynia. Colposcopy examination is essential in these cases as well as histopathology and bacteriology are essential for the confirmation of the diagnosis and planning the management

Ultrasonographic abnormalities of the chorio-decidual membrane and its relation to abortion and vesicular mole formation

Two groups of sonographic abnormalities of the developing chorio-decidual membrane were detected. The first is an absent, defective and irregular appearance; the second is complete or incomplete thickening of the chorio-decidual membrane. The first group of abnormalities is associated with abortion in 90% of cases, while in the second 37.5% of cases end as vesicular moles and 50% as missed abortions. Focused ultrasonography of the choriodecidual membrane should be used, in conjunction with the other data reported, for proper determination of the outcome of pregnancy