Background : To determine the role of Letrozole, an aromatase inhibitor,in the treatment of endometriotic pain.   Methods: In this prospective, randomized, controlled clinical trial in minimallyinvasive surgery research center,51 women with pelvic endometriosis and endometriotic pain (dyspareunia, dysmenorrhea, pelvic pain) score of 5 or more (for at least one of these endometriotic pain), af...

Background Progressive visual loss after coil embolization of a large internal carotid ophthalmic aneurysm has been widely reported. It is generally accepted that the primary strategy for this complication should be conservative, including steroid therapy; however, it is not well known as to what approach to take when the conservative therapy is not effective. Case Presentation We report a case...

Different opinions exist about the efficacy of conservative scoliosis treatment. Because this divergence of opinion corresponds to a great variety of standards applied, it is also not surprising that the results of conservative treatment differ a lot. Scoliosis normally does not have such dramatic effects that immediate surgery would be indicated. Moreover, it is clear that functional and physi...

Background: Fertility preservation in young patients with cervical cancer is a novel point which considers these days and in Iran we have a new experiment that was successful. Materials and Methods: Evaluation of literature review and our experiences in conservative management in patients with early stage cervical cancer. The key words in this research were conservative management, young women ...

The management of irreducible rectal prolapse is controversial. Surgeons may attempt conservative management by application of sugar. When surgery becomes inevitable the choice of procedure varies. We reviewed eight cases and noted the clinical findings and the results of conservative and surgical management. In four cases sugar was applied first, and failed. Emergency surgery always gave good ...

Pregnancy in a fibroid uterus is not rare. However cervical fibroid is rare in pregnancy and has unique management challenges. We report a case of cervical fibroid in a Gravida2 Para1 patient that was found incidentally in a routine ultrasound in the second trimester. The fibroid grew in pregnancy till term, caused obstructed labour, a Cesarean section was required for the baby. Post surgery th...

The aim of this guideline is to highlight the evidence for different surgical approaches, since the best chance of surgical ‘cure’ for stress incontinence is successful primary surgery. Primary surgery should only be considered after a period of conservative treatment from a specialist therapist has been offered and rejected, or has failed. There is evidence from a Cochrane review that pelvic-f...

Painful snapping of the scapula may have an anatomical cause but is usually idiopathic. Most patients respond well to conservative measures such as physiotherapy or non-steroidal anti-inflammatory drugs. Surgery can be performed if conservative treatment is unsuccessful. Conservative measures are less likely to be successful if a clear anatomical cause can be found. Several surgical techniques ...

INTRODUCTION The role of surgery for acute patellar dislocation without osteochondral fracture is controversial. The aim of this study was to report the short-term results of management of patellar dislocation in our institute. METHODS Patients who were seen in our institution with patella dislocation from January 2011 to April 2014 were managed according to a standardised management algorith...

OBJECTIVES To review the causes and management of penile fracture and to compare between surgical and conservative management as well as immediate and delayed interventions in terms of overall and specific complications. METHODS A search of all reported literature was conducted for all articles reporting on the management and outcomes of penile fractures. Full texts of relevant articles were ...