2nd World Congress on Midwifery and Neonatal Nursing August 28-30, 2017 Philadelphia, Pennsylvania, USA

Achour Radhouane is Associate Professor at Faculty of Medicine, El Manar University of Tunis, Tunisia. He has published many basic and clinical articles in relation to gynecology and obstetrics. He serves as Associate Professor, Emergency Department of Gynecology and Obstetrics in Maternity and Neonatology Center Tunis, Tunisia. He also serves as Member of the Editorial Team of Asian Pacific Journal of Reproduction, the Global Journal of Rare Diseases and Journal of Neonatal Biology

Urinary incontinence is a relatively common condition that affects between 23% and 45% of women in the world [1].rnStress urinary incontinence (SUI) in women is defined as the involuntary loss of urine during physical exertion, coughing, sneezing or sudden change in position.rnThe objective of this prospective study was to compare the post-operative quality of life after TVT and TOT procedures in women with SUI.rnResults:rnThe study population included 366 women. The groups were similar in terms of demographics, preoperative data, and cure rates. De novo urgency 1-rates were similar in both groups. rnrnIn our study, like others [2, 3] both techniques appear to be equally effective in the surgical treatment of SUI. rnConclusion:rnrnTreatment of SUI using the TOT procedure was associated with a lower rate of de novo urgency. However, Postoperatively, urinary infection rnand chronic pain were significantly more frequent with TOT procedure (P = 0.01).rn

Achour Radhouane is Associate Professor at Faculty of Medicine, El Manar University of Tunis, Tunisia. He has published many basic and clinical articles in relation to gynecology and obstetrics. He serves as Associate Professor, Emergency Department of Gynecology and Obstetrics in Maternity and Neonatology Center Tunis, Tunisia. He also serves as Member of the Editorial Team of Asian Pacific Journal of Reproduction, the Global Journal of Rare Diseases and Journal of Neonatal Biology

The interstitial pregnancy is an exceptional entity that represents nearly 2 % of ectopic pregnancies.\r\nThe actual incidence of interstitial twin pregnancies is unknown due to the rarity of this condition.\r\nWe report the first case diagnosed in our department.\r\n\r\nCASE REPORT:\r\nA 46 years multigravida, Gravida:6, Para:4, presented to our clinic with the complaint of an acute lower painful abdomen at 9 weeks of gestation. She present some risk factors as intrauterine contraceptive device for two years and an oral contraceptive micro progestin during the last three years. \r\nThe current spontaneous pregnancy is estimated at 9 weeks of amenorrhea (WA). The beta-hcg rate was 29000UI/ml. The patient consulted the emergency department with the complaint of an acute lower painful abdomen. \r\nA transvaginal pelvic ultrasound was performed objectifying an empty uterus, a gestational sac containing a monoamniotic twin pregnancy (Figure1). Heart activity was positive for both twins (Figure 2,3), and there was no effusion in douglas. \r\nAn interadnexal hysterectomy was performed. The anatomopathology report confirmed the diagnosis of tubal twin pregnancies.\r\n\r\nCONCLUSION:\r\nCorneal pregnancy is an unusual ectopic pregnancy, which should be diagnosed at an early stage. Transvaginal ultrasound is a very good means of diagnosis allowing its discovery at an early stage\r\nThis case demonstrates the importance of eliminating ectopic pregnancy at any gestational age, with any form (single or twin). \r\n