objective: this study compared the tension-free vaginal tape (tvt) and transobturator tape (tot) procedures for surgical treatment of stress urinary incontinence in women. materials and methods: this prospective non randomized clinical trial was conducted in vali-e-asr hospital from march 2001 to march 2005. a total of 71 patients with clinical and urodynamic diagnosis of stress urinary inconti...

Surgery on any part of the body results in a wide spectrum of alterations in normal body homeostasis. The gastrointestinal tract is extremely sensitive to surgical stress, even at remote locations. It is now evident that the G.I. tract also plays an important role in development of postoperative complications, such as the systemic immune response syndrome and multiple organ failure syndrome. Th...

Urinary incontinence (UI) is defined by the International Continence Society as an “involuntary loss of urine which is objectively a demonstrable, social, and hygienic problem. Stress incontinence which constitutes nearly the half of all urinary incontinence cases, mainly depends on surgical treatment. There is not an optimal surgical procedure for treatement stress urinary incontinance. Treatm...

factors vary depending of the exposure to risk (ie, length of ventilation).8 Our opinion on antimicrobial prophylaxis for VAP has been clearly stated in a recent editorial,9 and a randomized clinical trial to assess the effect of single-dose antibiotic administration as prophylaxis for VAP is highly recommended. Unfortunately, such evidence is lacking. Dr. Schultz suggests not using antimicrobi...

factors vary depending of the exposure to risk (ie, length of ventilation).8 Our opinion on antimicrobial prophylaxis for VAP has been clearly stated in a recent editorial,9 and a randomized clinical trial to assess the effect of single-dose antibiotic administration as prophylaxis for VAP is highly recommended. Unfortunately, such evidence is lacking. Dr. Schultz suggests not using antimicrobi...

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...

Blood fibrinolytic activity and plasma cortisol levels were investigated during surgical procedures in twenty-three patients who underwent laparotomy. From 30 minutes to 1^ hours of surgical stress, enhancement of fibrinolysis was significantly correlated with increase of plasma cortisol levels. There were no exceptions to this pattern. The changes in fibrinolytic activity and plasma cortisol l...

INTRODUCTION This review evaluates the most recent knowledge regarding surgical management of stress urinary incontinence. MATERIALS AND METHODS A comprehensive MEDLINE search was performed, limited to those articles published from 1995 to 2005. In total, 470 articles were reviewed-the most relevant of which were considered, and additional ones were selected by reviewing these studies' biblio...

this study aimed to determine the prevalence of anxiety among prostate cancer patients, and to ascertain the association between stress status, socio-demographic, medical and surgical illness, current urinary problem and cancer status with general health-related quality of life (hrqol) among these patients.a hospital based, cross sectional study was conducted at surgical clinic, university mala...