The Journal of the Institute of Obstetrics and Gynaecology Trust

Volume 16 Number 6 November 1996

REVIEW
A. R. Priddy and R. F. Lamont
Should we be performing amniocentesis in women admitted in preterm labour with intact
membranes? 455

OBSTETRICS
T. J. Draycott, R. J. Mann, R. J. Lock and R. Fox
Immunological investigation of late intra-uterine death: a survey of current practice in the United
Kingdom 460

Emma Gorton and B. Alderman
How helpful are investigations after a stillbirth? 464

T. A. J. Mould, M. E. Rodgers, R. de Courcy-Wheeler and D. L. Byrne
The use of gemeprost for induction of labour after intrauterine death in the third trimester 468

G. R. Howarth, M. Funk, P. Steytler, L. Pistorius, J. Makin and R. C. Pattinson
A randomised controlled trial comparing vaginally administered misoprostol to vaginal
dinoprostone gel in labour induction 474

F. Harsoulis, I. Gouni, A. Vyzantiadis, E. Bili, M. Mamopoulos and I. Papadimas
Drug treatment for Graves' disease during pregnancy-experience with 50 pregnancies 479

E. C. Nwosu, C. R. Welch, P. Manasse, Karen Gazvani and S. A. Walkinshaw
Clinical estimation of fetal weight in labour by mothers and midwives 483

P. K. Sarkar and Lynda Hill
Maternal anxiety and depression-the experience of prolonged pregnancy 488

U. I. Esen
Prolonged interpregnancy interval: a marker for non use of contraception and unplanned
pregnancy 493

S. C. L. Koh, M. L. Boey, S. S. Ratnam and O. A. C. Viegas
Plasminogen activators and inhibitors, D-dimer and b-TG in systemic lupus erythematosus
pregnancy in relation to their obstetric outcome 496

F. T. Akagbosu
Cervical cerclage in pregnancy at University of Benin Teaching Hospital (1983-1987) 505

M. H. Soltan, N. Chowdhury and B. Adelusi
Postoperative febrile morbidity in emergency and elective caesarean sections 508

Obstetric short communications
M. J. Turner and Catherine Casey
Delivery after caesarean section: a proposed analysis 513

E. S. M. Fung, S. Y. Sin and L. Tang
Secondary postpartum haemorrhage: curettage or not? 514

T. Draycott, N. Hawkes and M. D. Read
Induction of labour with vaginal misoprostol after intrauterine death from 24 weeks
gestation 517

Obstetric case reports
J. W. Barrington and A. Roberts
Temporary oligohydramnios secondary to severe maternal dehydration 519

R. Balasubramanian
Double survival despite cord entanglement in monoamniotic twins 520

A. H. Lawal and P. J. Haynes
Histiocytosis X and diabetes insipidus in pregnancy 521

D. Tucker, D. Liu and P. Ramoutar
Myocardian infarction at term: a case report to consider management options 522

GYNAECOLOGY
Noreen Gleeson, Fionnuala Gough, Catriona Barry Walsh, M. Turner, J. Clinch and W.
Prendiville
Large loop excision of the transformation zone (LLETZ) and LLETZ conisation in the management
of early squamous carcinoma of the cervix 525

Nermeen Varawalla, Patricia Patton, R. Hodder and M. Usherwood
A comparison of cyrocauterisation, laser vaporisation and large excision of the transformation
zone for the treatment of cervical intraepithelial neoplasia 529

A. P. Warwick, H. Tucker, J. M. Jones, C. W. E. Redman and J. Gray
Is Chlamydia trachomatis associated with dyskaryotic cytology? Results of a prospective
population-based study 535

B. A. Reid, K. F. Gangar, Vera Rogers, Elizabeth Thomas and R. W. Beard
Long-term results of bilateral oophorectomy for the treatment of chronic pelvic pain: relief
of pain and special hormone replacement therapy requirements 538

A. A. Hoosen, H. Abdul, J. Moodley and A. W. Sturm
Sexually transmitted infections in ambulatory patients with pelvic inflammatory disease 544

A. K. Gupta, A. Vatsayan, S. K. Ahluwalia, R. K. Sood, S. R. Mazta and R. Sharma
Age at menarche, menstrual knowledge and practices in the apple belt of Shimla hills 548

A. Badawy, A. Ash, F. Nagele, H. Mohamed, H. O'Connor and A. Magos
Ultrasonography, hysteroscopy or both? 551

L. Frigerio, Isabella Sassi, Francesca Mangili, Andrea Mariani, Anna Agnello, Laura
Galli, Giorgia Mangili, Emanuela Rabaiotti and A. Ferrari
Prognostic effect of DNA content depends on the amount of the residual disease in ovarian
tumours 556

Gynaecological case reports
K. Ayers and J. Ibrahim
Meig's syndrome, elevated CA 125 and ectopic oestrogen production 560

S. Tharmaratnam, R. Aurell, G. Cochrane and June Swinhoe
Heterotopic pregnancy: spontaneous intrauterine twin pregnancy and co-existent ectopic
pregnancy 562

A. M. Zaitoun, M. W. Booker and M. J. Coppen
Isolated arteritis of the uterine cervix 563

S. Ong, M. Geary and P. Lenehan
Ataxia as a presentation of ovarian carcinoma 564

May Wahab and D. Hay
Thrombocytosis secondary to chronic ovarian abscess 565

J. W. Barrington, G. Edwards, S. Williams and S. J. Emery
Abdominal fibromatosis (abdominal desmoid) presenting as rectus sheath haematoma in
pregnancy 566

Anabelle Burnham
Cervical stenosis following large loop excision of the transformation zone-an unusual
presentation in pregnancy 567

A. Coker, A. H. Lawal, S. Jalloh and C. B-Lynch
Teratoma of the uterus 568

H. W. Fawzi, J. K. Robertshaw and J. M. Monaghan
Immunosuppression and carcinoma of the vulva 570

B. D. George and J. F. Abercrombie
Endometrial stromal sarcoma of the rectum 571

M. Geary and Myra Fitzpatrick
Unexpected myomectomy during manual removal of the placenta 572

Book reviews 573

Index 577

Conference diary 589

Volume 16 Number 5 September 1996

CONTENTS

OBSTETRICS
F. E. Okonofua and O. R. Abejide
Prevalence of malaria parasitaemia in pregnancy in Nigerian women 311

A. Sowunmi, A. E. J. Abohweyere, J. A. Akindele, A. O. Ilesanmi, C. O. Falade and
A. M. J. Oduola
Comparison of the incision and aspiration methods for the diagnosis of placental malaria
infection 316

H. M. Salihu, R. Boos and W. Schmidt
Second and third trimester placental sampling: the benefits outweigh the pitfalls 321

B. Andersen, Maria Gyhagen and T. F. Nielsen
Warm bath during labour. Effects on labour duration and maternal and fetal infectious
morbidity 326

H. S. Cronj, Roosmarie H. Bam, Aileen R. Muir, M. G. Schoon and I. Niemand
The prevalence of postpartum hypertension in black women 331

S. Shah and I. S. John
Caesarean section for the second twin: is there an increasing trend? 335

A. Finan, A. Menon, C. Barry-Kinsella, T. Clarke, P. McKenna and T. Matthews
A review of the use of antenatal steroids at the Rotunda Hospital 339

N. M. Rafla and Naomi L. Whitelaw
The effect of maternal exercise on fetal aortic blood flow 342

G. R. Teale
Fetal scalp blood sampling: a technique for use in early labour 347

S. D. Coulter-Smith, M. Holohan and M. R. N. Darling
Previous caesarean section: a risk factor for major obstetric haemorrhage? 349

J. M. Stronge, Kathryn McQuillan, M. Robson and H. Johnson
Factors affecting mode of delivery in labour following a single previous birth by caesarean
section 353

N. S. Qureshi, G. Schofield, S. Papaioannou, G. H. Ramsden and S. Fear
Parentcraft classes: do they affect outcome in childbirth? 358

Obstetric short communication
A. Sowunmi, A. O. Ilesanmi, A. M. J. Oduola, G. O. Omitowoju and O. A. Ojengbede
Efficacy of mefloquine in uncomplicated chloroquine-resistant falciparum malaria during pregnancy 362

Obstetric case reports
Geeta Nargund and W. Cheng
Monozygotic twins and in vitro fertilisation 364

E. A. Bradley and D. Hamilton-Fairley
Unruptured twin tubal pregnancy 365

P. N. Baker, B. Issa, P. Takarczuk, Valeria Adams and I. R. Johnson
Exclusion of morbid placental adherence using echo-planar magnetic resonance imaging 366

Lynn F. Fitzgerald, C. Tomaras, T. S. F. Chow and A. B. Valadka
Subdural haematoma caused by pregnancy induced hypertension 367

A. Amin and R. A. Harlow
Uterine rupture due to unrecognised uterine scarring resection and repair during caesarean
section 368

GYNAECOLOGY
H. G. Saravelos, T.-C. Li, K.-Y. Chan and I. D. Cooke
An analysis of factors affecting post-operative adhesion development after adhesiolysis 370

H. A. Schitz
Asymptomatic bacteriuria and urinary tract infections after gynaecological laporotomy 376

A. A. Hoosen, A. Ntsaluba, J. Moodley, C. Moodley and A. W. Sturm
Asymptomatic lower genital tract infections in women undergoing hysterosalpingography 381

P. A. Csng, J. Skuland and R. B. Bie
Cervical infection with human papillomaviruses and cervical dysplasia in Norwegian
women 384

H. Fletcher, S. Mitchell, E. Thomas, D. Simeon and H. Wynter
Midazolam versus diazepam as premedication for gynaecologic laparoscopy done under
local anaesthesia 390

L.-C. Horn and K. Bilek
Evaluation of benign glandular inclusions in retriperitoneal lymph nodes of the female
genital tract 395

B. Ahmed, H. W. Fawzi and Mandy Abushama
Advanced abdominal pregnancy in the developing countries 400

F. T. Akagbosu
Audit of abdominal hysterectomies at University of Benin Teaching Hospital 1981-1987 406

A. P. E. Schmoutziguer, R. J. van Kooij, E. R. te Velde, T. B. P. Geurts, R. de Leeuw and F.
Rombout
Retrospective analysis of subcutaneous administration of urinary gonadotrophins in in vitro fertilisation 409

A. Al-Mulhim and S. S. Al-Najashi
Ectopic pregnancy: a study of 165 consecutive surgically treated cases 414

Gynaecological short communications
D. N. Bobzom and C. M. Chama
Outcome of continuing pregnancies in women admitted to hospital with threatened abortion 420

A. Al-Mulhim and S.S. Al-Najashi
Epidemiological aspects of hydatidiform mole in a teaching hospital in Eastern Saudi Arabia 421

A. D. Houghton and P. R. Taylor
Iatrogenic life-threatening massive pelvic haemorrhage-report of four cases and guidelines
for management 422

Gynaecological case reports
K. A. B. Asaad and D. H. Horwell
Ruptured procidentia, vaginal prolapse of small bowel and complete prolapse of urinary
bladder with multiple bladder calculi 424

A. Hextall, F. G. Barker and C. S. W. Wright
Multicystic peritoneal mesothelioma presenting at vaginal hysterectomy 425

P. Hogston
Carcinoma of the cervix after sub-total hysterectomy 426

Correspondence 428

Annual Scientific Meeting of the British Society for Colposcopy and Cervical Pathology,
Stoke on Trent, 18-20 April 1996 429

Book Reviews 443

Conference diary 444

Volume 16 Number 4 July 1996

CONTENTS

OBSTETRICS
Sue S. T. Lo, S. A. Ferguson, C. P. Lee and I. K. P. Cheng
Pregnancy in patients requiring peritoneal dialysis 207

A. Sowunmi, A. O. Ilesanmi, J. A. Akindele, A. E. J. Abohweyere, A. O. Fawole,
C. O. Falade and A. M. J. Oduola
Placental falciparum infection and outcome of pregnancy in Nigerian mothers from an endemic
area 211

L. M. Irvine, C. Otigbah, A. Crawford and M. E. Setchell
Grand multiparity-an obstetric problem in Great Britain in the 90s? 217

P. F. W. Chien, P. Neven, K. S. Khan, P. Agustsson, N. B. Patel and S. Ogston
The validity and reliability of real-time ultrasound estimation of bladder volume in
postnatal women 224

H. Kieler, O. Axelsson, D. Hellberg, S. Nilsson and U. Waldenstrm
Serial measurements of symphysis-fundus height in women with ultrasonically dated
pregnancies 228

A. Al-Mulhim and S. Al Najashi
Perinatal mortality in Saudi Arabia: a six year study 230

N. Acheson, W. G. Taylor, E. Hiadzi, D. Pilling, K. P. Hanretty and M. J. Whittle
Advanced abdominal pregnancy: difficulties in diagnosis 235

A. Idrisa and B. A. Omotara
Planned homebirths in Maiduguri, Nigeria 239

Obstetric short communication
S. Chhabra and Anju Hora
Reproductive insufficiency in women with iodine deficiency 242

Obstetric case reports
Delia M. Paternoster, P. Simioni and A. Girolami
Complications of protein C deficiency in pregnancy 244

S. A. Akinsola, C. R. Nwosu and H. G. Annan
Two consecutive successful pregnancies after augmentation cystoplasty 245

S. Raman, Y. Jaafar and V. Sivanesaratna,
Hepatoma in pregnancy 246

N. Navaneetham and G. P. Downey
Fetal and maternal death following small and large bowel volvulus in labour 247

M. Geary and J. Stronge
A successful outcome in a case of recurrent abruptio placentae 248

J. O. Arayomi, H. M. Smith and J. Richardson
Prolonged interval deliveries in twin pregnancy: management and overview 248

H. L. Konar and W. Reid
Bell's palsy in pregnancy and puerperium 250

G. G. Greiss, F. A. Best, M. R. Steel and P. K. Chatterjee
Partial hydatidiform mole presenting as severe mid-trimester pre-eclampsia 250

Lovina Machado, E. O. Kehinde and H. O. Leven
Hydronephrosis of pregnancy leading to urinoma formation 251

D. Nunns, A. Ahluwalia and S. Rimmer
Fetal congenital heart block: a transient finding 253

R. A. Greatorex and S. Varadarajan
Ischaemic colitis following pre-eclampsia and caesarean section in a young woman 254

R. Mark
Inappropriate selection of patients for low risk obstetric units 255

GYNAECOLOGY
S. Jackson and M. Read
Early hospital discharge following abdominal hysterectomy 256

S. F. Daly, Lisa Harte, Elizabeth O'Beirne, Hannah McGee and M. J. Turner
Does miscarriage affect the father? 260

M. S. Georgy and N. L. Aziz
Vaginoplasty using amnion graft: new surgical technique using the laparoscopic transillumination
light 262

L. Vitaioli, E. Baldoni, S. R. Indraccolo, D. Antuzzi and R. Ricci
Evaluation of sialic acid and a-neuraminidase activity in normal and pathological endometrium 265

A. M. Van Leeuwen, W. J. L. M. Pieters, H. Hollema and M. P. M. Burger
Atypical mitotic figures and mitotic index in microinvasive carcinomas and in non-neoplastic
changes of the uterine cervix 269

T. J. Draycott, M. Read, Heather Dryden, A. J. Rose and P. A. Laite
The introduction of a serum -hCG threshold for suspected ectopic pregnancy, in a
district general hospital, is safe and cost effective 277

A. O. Ilesanmi and E. O. Ighomererho
Fertility following ectopic pregnancy in an African population 281

G. Greiss, S. J. Duthie and F. L. Wilcox
Expensive pitfalls in ectopic pregnancy 285

Gynaecological short communications
S. R. Tosson
General practitioners preference to a dictated or structured discharge summary following
gynaecological surgery 288

J. F. Attaputta, S. Menon and V. Boyce
Management of cervical pregnancy 290

P. C. Gunasekera and F. R. B. Jayaweera
Appendicectomy at secondary surgical procedures for epithelial ovarian carcinoma-is it
worthwhile? 292

K. Papathanasiou, C. Papageorgiou, T. Kalachanis, F. Tzevelekis and S. Mantalenakis
Fifteen years of laparoscopic experience in gynaecology 294

Gynaecological case reports
A. I. Aziz and J. McGrath
Uterus bicornis unicollis: rare presentation 296

C. E. Jensen, B. Wonke and S. M. Tuck
Gynaecomastia during successful augmentation of spermatogenesis with gonadotrophin
therapy in a man with beta thalassaemia major 296

Diana C. Dunlop, D. J. Cahill and L. Hirschowitz
An unusual cause of menorrhagia: intravascular leiomyomatosis 298

S. Heinonen, M. Ryynnen, P. Kirkinen, J. Puolakka and S. Saarikoski
Elevated maternal serum alpha fetoprotein concentration as a sign of rudimentary horn
pregnancy and subsequent uterine rupture at early second trimester 299

A. Yacoub, R. Davies and E. Neale
Ovarian pregnancy following in vitro fertilisation and embryo transfer for bilateral tubal
blockage 300

Correspondence 301

Book reviews 302

Conference diary 304

Volume 16 Number 3 May 1996

CONTENTS

OBSTETRICS
A. Cutner and L. D. Cardozo
The association between pregnancy and abnormal detrusor activity 143

P. F. W. Chien, K. S. Khan, P. Agustsson and N. B. Patel
The determinants of residual bladder volume following spontaneous vaginal delivery 146

P. F. Hughes and C. Dyack
Why does 'failure' follow 'success'? Factors surrounding caesarean section in
grandmultipara 151

H. M. Fletcher, G. Wharfe, D. Simeon, S. Mitchell and D. Brown
Induction of labour with intravaginal misoprostol versus dinoprostone in intrauterine
death: a retrospective study 155

D. N. Bobzom and J. A. Unuigbe
Stillbirths and perinatal mortality at the University of Benin Teaching Hospital, Nigeria 159

N. Aker, Elizabeth B. James, A. M. Johnston and G. Pasvol
Leptospirosis in pregnancy: an unusual and relatively unrecognised cause of intrauterine
death in man 163

J. S. Smoleniec and D. K. James
Oligohydramnios in the second trimester: to investigate, terminate or procrastinate? A need
for improved management 166

Obstetric short communication
F. B. Lockhat and E. G. Daw
Prostaglandins in the induction of labour with twin pregnancy 170

Obstetric case reports
M. J. M. Luckas, K. Fishwick and J. Hawe
Ogilvie's syndrome in the obstetric patient 172

K. P. Hickey and C. Barry-Kinsella
Spontaneous rupture of the spleen in pregnancy 174

M. M. Biljan, K. Cushing, I. W. McDicken and A. S. Garden
Spontaneous uterine rupture in the first trimester of pregnancy 174

M. A. Okon and I. Y. Hussein
Total parenteral nutrition in caustic laryngeal stricture and successful pregnancy outcome 175

GYNAECOLOGY
J. F. Stratton, H. Gordon and H. Lambert
Ten years of ovarian cancer. Progress or disappointment? 177

Susan J. Houghton, M. I. Shafi, R. Chenoy, S. Kehoe and D. M. Luesley
The outcome of replacing an intrauterine contraceptive device at the time of large loop
excision of the transformation zone 183

B. Kaplan, M. Royburt, H. Levavi, J. H. Faktor, A. Neri and M. Werchow
Cytopathological and bacteriological findings in women using intrauterine contraceptive devices 188

Gynaecological short communication
R. E. C. Teo, M. M. Ramsey and F. J. Darne
Massive uterine enlargement in a postmenopausal woman receiving tamoxifen and
medroxyprogesterone acetate 194

S. O'Coigligh, J. Clayton, R. M. Williams and R. Menai-Williams
Osseous metaplasia of the endometrium: two case reports 195

J. W. Barrington, C. Loh, J. Cartledge and T. P. Stephenson
Acute on chronic renal failure associated with complete vaginal vault prolapse after hysterectomy 196

F. A. Sanusi, S. O. Oganwu, P. S. Varughese and M. D. Simanowitz
Primary mucous secreting papillary adenocarcinoma of the vagina 197

Correspondence 199

Conference diary 200

Volume 16 Number 2 March 1996

CONTENTS

OBSTETRICS
E. W. Kluge
Female genital mutilation, cultural values and ethics 71

Lucy H. Kean and D. T. Y. Liu
Antenatal care as a screening tool for the detection of small for gestational age babies in
the low risk population 77

C. A. Iffland and H. Gordon
Failed forceps and ventouse: an audit of registrars in training 83

Obstetric short communication
J. Ravindran and A. Mathews
Maternal mortality in Malaysia 1991-1992: the paradox of increased rates 86

Obstetric case reports
A. R. Priddy, C. Williamson, A. Worsley and P. Sharp
Spontaneous conception and vaginal delivery in a woman with salt-losing congenital
adrenal hyperplasia 89

M. G. Okeahialam, K. Varde and O. Harries
Internal iliac artery ligation 91

P. R. Stone, B. Delahunt, D. W. MacFarlane and J. Smalldridge
Pregnancy-associated arterio-venous malformations of the uterus 91

Susan K. Clark and Sara Paterson-Brown
Spontaneous bilateral tubal pregnancy 93

J. P. Twigg, G. K. Awadzi and F. N. McLeod
Spontaneous bilateral ectopic pregnancy 94

Lalitha Iyer, E. S. Dimitry, P. W. Reginald and I. S. Liyanage
Heterotopic pregnancy with a twin ectopic gestation 94

GYNAECOLOGY
P. K. Sarkar and P. R. M. Steele
Routine colposcopy prior to treatment of cervical ectopy: is it worthwhile? 96

M. J. Turner, F. Gardeil, S. Daly, C. Barry-Walsh, W. Prendiville and J. Clinch
Large loop excision of the transformation zone: a histological audit 98

J. A. Giles and S. O'Connell
Medical termination of pregnancy in a district general hospital 100

G. W. Hughes, Fran Doel, J. M. Morsman and Jennifer Westgate
A prospective random allocation study of day case versus inpatient cold knife cone
biopsy 104

Q. Davies, I. M. Symonds, A. C. Perkins, R. W. Kerslake, M. L. Wastie, B. S.
Worthington and E. M. Symonds
Magnetic resonance imaging, OC125 immunoscintigraphy and serum CA125 levels in the
management of patients with suspected primary or recurrent ovarian carcinoma 108

Michelle Judd, Jane Hull, N. Siddle, G. Crawford and A. Wade
A comparison of the use of two regimens of conjugated oestrogen with norgestrel in
hormone replacement therapy 117

Gynaecological case reports
K. Hickey and M. Coughlan
Haematometra and haematocervix secondary to hormone replacement therapy 124

U. I. O. Ezeh, M. P. Lamb, J. M. F. McClemont and M. Pearson
An unusual presentation of a placental site trophoblastic tumour 125

Sharon Oates and R. Balasubramanian
Fallopian tube prolapse: case study of three patients 126

S. Hamada, O. Naka, K. Higuchi and H. Takahashi
Case of microinvasive carcinoma of the vagina 128

Correspondence 130

Book reviews 134

Conference diary 136

Volume 16 Number 1 January 1996

CONTENTS

OBSTETRICS
K. S. Olh
Low maternal birth weight-an association with impaired glucose tolerance in pregnancy 5

G. Greiss, T. Myint, J. Duthie and N. A. Bedford
The effect of low maternal ponderal index on fetal outcome 9

A. J.-H. Adeghe, E. O. Atiba, P. J. Murphy, G. I. Scott and J. E. Felmingham
Change in haemoglobin concentration after caesarean section 13

J. Y. Obed and A. Omigbodun
Rupture of the uterus in patients with previous myomectomy and primary caesarean section
scars: a comparison 16

I. H. Abukhalil, M. D. Kilby, J. Aiken, V. Persad, D. Sinclair, R. B. Johanson and C. W.
E. Redman
Can the frequency of vaginal examinations influence the duration of labour? A prospective
randomised study 22

Teresa Kelly, M. J. Whittle, D. J. Smith and G. Ryan
Lupus anticoagulant and pregnancy 26

Obstetric case reports
K. S. Olh
Classical caesarean section through the posterior uterine wall-a complication of
complete uterine torsion 32

S. P. Ghosh and P. J. McKenna
Torsion of the gravid uterus induced by change in posture resulting in placental abruption
and fetal death 33

A. Halligan, J. Hawley, F. Gardner, A. Nan, R. de Chazal and D. J. Taylor
Severe headache with seizure in pregnancy: an unusual cause 35

D. Vinatier, N. Tordjeman-Rizzi, P. Dufour and J. F. Prolongeau
Placenta percreta revealed just after suction for missed abortion 36

N. J. Sebire and J. H. Smith
Atrial fibrillation related to treatment for preterm labour 37

E. Downes, D. Bogod and A. Tyack
Successful pregnancy following surgical repair of a woman with a univentricular heart 38

Caroline Scherf and Julie Price
Severe fetal anaemia following maternal chemotherapy for acute myeloid leukaemia 39

GYNAECOLOGY
A. I. H. Ahmed, P. J. Ryan, T. Snelling, G. M. Blake, J. Rymer and I. Fogelman
Long term compliance with hormone replacement treatment following screening for
postmenopausal osteoporosis by bone density measurements 41

D. Nunns, S. P. Higgins and D. Mandal
Genital tract infections in women attending for colposcopy 45

K. Papathanasiou, C. Papageorgiou, T. Tsalikis and S. Mantalenakis
Laparoscopic electrocoagulation followed by danazol in subfertile women with
endometriosis 48

J. W. Barrington and P. Bowen-Simpkins
A comparison between portable ultrasound and urethral catheterisation in the measurement
of female bladder volume 50

H. Tsuda, Y. Kanaoka, N. Umesaki and S. Ogita
Experiences with intraperitoneal immunotherapy utilising recombinant interleukin-2 for
ovarian cancer patients with malignant ascites 52

Gynaecological short communication
A. J. Farthing and A. J. McCartney
Use of a transvaginal tube to improve perioneal toilet for fungating cervical carcinomas treated
by radical hysterectomy 56

Gynaecological case reports
Geeta Nargund and D. Bromham
Struma ovari presenting as a persistent ovarian cyst during ovulation induction 58

P. K. Sarkar, P. R. M. Steele, C. O'Mahony and J. Williams
Granuloma inguinale simulating adenocarcinoma of cervix 59

C. A. Croucher, H. S. Rigby and P. E. Savage
Post menopausal bleeding as the presenting sign of metastic breast carcinoma 60

V. Hall
Malakoplakia of the cervix uteri 62

Correspondence 63

Book review 64