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Masoodi Z.,Burn and Reconstructive Surgery | Ahmad I.,Burn and Reconstructive Surgery | Khurram F.,Burn and Reconstructive Surgery
Asian Pacific Journal of Reproduction | Year: 2012

Objective: To ascertain changes in fertility in post Fournier's gangrene patients on account of changed scrotal environment. Methods: Sixty post Fournier's patients were as cases and 50 non Fournier's individuals aptlyserved as controls. All subjects were followed up for 1 year. Aspects of fertility were investigated by means of a seminogram at 6 months and analysis for volume, viscosity, sperm concentration, motility and morphology according to WHO guidelines was done. Ability of the couples to conceive children in 1 year was also noted. The control group was investigated similarly and values were compared for significance. Results: The seminogram results were found out to be highly significant as there was marked difference in values (. chi-square value 6.28, P-value< 0.012) whereas there was no significant association between attaining pregnancy at 1 year in two groups. Conclusions: A readily palpable difference in the seminogram values observed in Fournier's patients is the most significant finding of this study. Also highlighted was that despite such seminogram changes the overall ability of the couple to achieve pregnancy remains unaltered. © 2012 Hainan Medical College.

PubMed | Burn and Reconstructive Surgery
Type: Journal Article | Journal: Burns : journal of the International Society for Burn Injuries | Year: 2013

Burns occurring in conjunction with pregnancy can be a potentially life threatening scenario as it may lead to a rapid depletion of the already diminished maternal reserves. The management protocol in a pregnant burn female has to be tailored, taking into consideration the additional factor of fetal well being and the fetal susceptibility to various agents. For such alterations to be incorporated, it is imperative on part of the treating doctor to correctly ascertain the pregnant/non-pregnant status of an adult burn female. Though most cases of pregnancy can be straightforwardly diagnosed on basis of history/examination but it is not a totally reliant method. Ours is a prospective study which reveals the inadequacy of history/examination as the only method of diagnosing pregnancy in adult burnt female group. We also found routine urinary hCG usage as a viable method of picking up these hidden cases of pregnancy and thus avert the potential catastrophe of not altering the management in accordance with pregnancy and subsequent endangering of maternal and fetal life. An ancillary observation of our study was the need of the attending doctor to be well versed in his obstetrical knowledge and skills and if not so, then an effort be taken on part of the institution to undertake a reorientation program which will help the attending resident/doctor to brush up his obstetrical attainments.

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