To study and compare the effectiveness of transobturator tape versus Kelly’s repair in the treatment of female stress urinary incontinence

Background: To compare the effectiveness of transobturator tape (TOT) versus Kelly’s repair in the treatment of female stress urinary incontinence.Methods: A retrospective experimental comparative study was conducted in the department of obstetrics and gynaecology in Lokmanya Tilak Municipal General Hospital, Mumbai, India from 2015 to 2016. A cohort of 60 patients was divided in two groups of 30 each. In group 1, patients who underwent transobturator tape fixation were included. In group 2 patients who underwent Kelly’s repair and outcomes were compared with a follow up of 1 year post surgery.Results: Out of 30 patients included in group 1, 29 slings were successful and 1 had a surgical failure in terms of persistence of stress incontinence whereas 3 had persistent symptom in group 2. 2 patients in group 1 and 4 in group 2 had urinary retention in the immediate postoperative phase. Dyspareunia occurred in 1 TOT patient and 3 Kelly’s repair. None had symptoms of overactive bladder in group 1, whereas group 2 had 1 patient with overactive bladder symptoms. None developed erosion in a 1 year follow up period.Conclusions: The transobturator approach is an effective treatment of SUI with higher cure rate, low morbidity, good patient satisfaction and faster recovery

To study and compare the obstetric and neonatal outcome of pregnancies complicated with hypothyroidism amongst antenatally detected and treated hypothyroid patients and patients found to be hypothyroid at the time of labor

Background: To evaluate pregnancy outcome in women with elevated serum thyroid stimulating hormone (TSH) values as compared to those in whom hypothyroidism was treated.Methods: A prospective interventional comparative study was conducted in the department of obstetrics and gynaecology in King Edward Memorial Hospital, Mumbai, India from 2014 to 2015. A cohort of 60 hypothyroid patients was divided into two groups of 30 each. Group 1, euthyroid (treated hypothyroid) and group 2, hypothyroid at the time of labor and pregnancy outcomes were compared.Results: All patients in group 1 delivered at term; whereas in group 2, 9 (30%) patients had preterm deliveries and 21 (70%) delivered at term, amongst which 5 patients delivered babies with severe intrauterine growth restriction (IUGR). Neonatal intensive-care unit (NICU) admission were required for 3 neonates in group 1 and 11 (36.67%) neonates in group 2. Group 1 delivered 5 (16.67%) low birth weight babies (weight <2.5 kg) whereas 16 (53.34%) babies had low birth weight in group 2.Conclusions: Treatment of patients diagnosed with hypothyroidism during pregnancy significantly (p value <0.05) reduced the risk of preterm labor, low birth weight, need for NICU admission

To study and compare the effectiveness of transobturator tape versus Kelly's repair in the treatment of female stress urinary incontinence

Background: To compare the effectiveness of transobturator tape (TOT) versus Kelly’s repair in the treatment of female stress urinary incontinence.Methods: A retrospective experimental comparative study was conducted in the department of obstetrics and gynaecology in Lokmanya Tilak Municipal General Hospital, Mumbai, India from 2015 to 2016. A cohort of 60 patients was divided in two groups of 30 each. In group 1, patients who underwent transobturator tape fixation were included. In group 2 patients who underwent Kelly’s repair and outcomes were compared with a follow up of 1 year post surgery.Results: Out of 30 patients included in group 1, 29 slings were successful and 1 had a surgical failure in terms of persistence of stress incontinence whereas 3 had persistent symptom in group 2. 2 patients in group 1 and 4 in group 2 had urinary retention in the immediate postoperative phase. Dyspareunia occurred in 1 TOT patient and 3 Kelly’s repair. None had symptoms of overactive bladder in group 1, whereas group 2 had 1 patient with overactive bladder symptoms. None developed erosion in a 1 year follow up period.Conclusions: The transobturator approach is an effective treatment of SUI with higher cure rate, low morbidity, good patient satisfaction and faster recovery