Search

Involuntary leakage of urine in women is often the result of ill-understood pathological conditions which, it seems to us, can most often be related to neurological troubles or to post-operative urethral scarring with or without weak sphincter action associated with urethral instability. They are responsible for a large fraction of the poor results that have been obtained after treatment of bladder instability or of urinary incontinence due to the transmission defect. They should be looked for carefully in every pre-treatment work-out of a patient. The treatment consists mainly in using oestrogen and in re-educating the sphincter muscles with the help of a biofeed-back technique, as well as finally giving-anticholinergic drugs. When they are associated with stress incontinence of urine due to faulty transmission they do not represent an absolute contra-indication to surgery, so long as it is understood that the outcome of the surgery will always, in these cases, be less favourable.

Two cases of pulmonary cystic adenomatoid malformation are presented. The first case presented with bilateral pulmonary cystic involvement associated with oligoamnios and feto-placental anasarca. A peculiar feature of this case was the elevated level of alphafetoprotein in the amniotic fluid. In the second case, the pulmonary involvement was limited to one lobe. There was coexistent aplasia of the diaphragm. Premature rupture of the amniotic membranes necessitated a therapeutic abortion at 21 weeks of pregnancy. In connection with these two cases, a discussion based on the data in the literature.