Masculinizing tumors of the ovary.
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Biomedical subjects
Publications and source records attributed to J A Adeleye.
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Fifty consecutive patients underwent minor elective gynecologic surgery. Most of them were from the low socioeconomic class. Twenty-five patients had their pubic, vulval and perineal hair shaved as part of the preoperative preparation. All patients underwent the same routine perineal, vulval and vaginal swabbing in the operating room. All patients were then examined for postoperative complications. Only two women (who were shaved) complained of mild lower abdominal pain 48 hours after operation, but neither had any clinical evidence of genital or urinary infection. Their symptoms disappeared with the use of analgesics. Even in developing countries where patients with poor personal hygiene are common, preoperative vulval, pubic and perineal hair shaving prior to minor gynecologic surgery is unnecessary. We suggest that this procedure should be discontinued.
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The occurrence of pre-invasive cervical carcinoma among siblings and in mother-daughter pairs has been reported previously in Europe. Invasive cervical cancer diagnosed in two Nigerian sisters within a period of three months is reported. It is suggested that sisters and daughters of patients with cervical cancer may be at a higher risk of developing the lesion because of similar socio-economic and cultural backgrounds and should therefore have regular cervical screening.
A radiological method of assessment of Caesarean-section wound healing is described. A total of fifty-eight cervico-hysterosalpingograms were performed, ten as controls and forty-eight on patients each of whom had primary or multiple Caesarean sections. Radiological changes were noted in the cervix, isthmus, uterus and the fallopian tubes. The exact significance of some of the radiological changes demonstrated in the cervico-hysterosalpingograms is not yet clear but it is believed that the follow-up of these patients in subsequent deliveries will amplify the significance of these changes which may revolutionize the present policy of delivery following lower-segment Caesarean section in our community.
The consequences of coital experience in the non-pregnant female are varied and are occasional diagnostic puzzles. They range from those typified by manifest or concealed haemorrhage, to those revealed by immunologic, neurologic or pharmacologic phenomena and to those, whose patho-physiology is as yet, unclear. Observations are made of the likelihood of recurrence, and that, most patients would typically not readily admit to the preceding act of coitus.