PURPOSE To study the changes in the urethrovesical junction (UVJ) and in the proximal urethra (PU) caused by the Marshall-Marchetti-Krantz-Burch (MMK-B) combined surgery through perineal ultrasonography. METHODS An interventional, longitudinal and prospective study has been conducted. Thirty-two women with stress urinary incontinence were submitted to perineal ultrasonography before and 30 da...

In a Perspective linked to the study by Michael Valenzuela and colleagues, Druin Burch considers the context, content, and limitations of what we know about computerized cognitive enhancement. Please see later in the article for the Editors' Summary.

BACKGROUND Synthetic mid-urethral mesh slings are the most common primary surgical treatment for stress urinary incontinence (SUI) and have been designated as the standard of care by the American Urogynecologic Society. In recent years, synthetic mesh has come under increased scrutiny by the Federal Drug Administration (FDA) due to concerns over patient safety. This has led to more surgeons and...

Bladder neck suspension is now possible under laparoscopic control. The advantages of laparoscopy now apply to laparoscopic colposuspension. The technique described in this paper simplifies the laparoscopic Burch procedure by utilizing the harmonic scalpel for dissection of space of Retzius in a sharp and blunt fashion, providing for a bloodless dissection of the space, suturing of the perivagi...

OBJECTIVES To study the cure rate and 5 year results of laparoscopic burch colposuspension for stress urinary incontinence in Thai women. MATERIAL AND METHOD Twenty one Thai women with stress urinary incontinence attending the gynecology clinic at King Chulalongkorn Memorial hospital were recruited. Pre operative clinical and urodynamic evaluation were done. They underwent Laparoscopic burch ...

SEVERAL types of micromanipulator have been described (for reviews see Peterfi, 1928; Chambers and Kopac, 1937; Seifriz, 1936). The growing importance of micrurgical techniques in bacteriology, electrophysiology, embryology, plant physiology, and experimental cytology have focused attention on the problem of micromanipulator design. The question has assumed a new importance with the recent deve...

During the past 15 years there have been a number of accounts of abnormal electrocardiograms recorded from patients who have cerebrovascular disturbance. Earlier reports dealt principally with subarachnoid haemorrhage. Levine (1953) referred to cascading T waves which became replaced by RS-T segment elevation in a patient who had a ruptured aneurysm of the circle of Willis. Burch, Meyers, and A...