[Stress urinary incontinence: a comparison of outcomes between open Burch colposuspension and transvaginal tape surgical procedures]

Various surgical procedures have been developed to repair stress urinary incontinence in women. This study aims to compare the efficacy of two common methods; open Burch colposuspension and transvaginal tape. In this experimental study, 283 married women with stress urinary incontinence was undergone either open Burch colposuspension [157 patients] or transvaginal tape [126 patients] surgical procedures between 1993 and 2011. Outcomes of surgical procedures were evaluated 6 and 12 months after surgery. A concurrent cystocele existed in 262 women that were repaired simultaneously during Burch colposuspension [157 patients] or transvaginal tape [105 patients] procedures. The success rates in Burch group were higher than transvaginal tape group at the 6[th] month [99.4% vs. 94.4%] and the 12[th] month [97.5% vs. 50%] [p<0.05]. Repair of concurrent cystocele was successful in all patients of the Burch group and 93.3% of patients of the transvaginal tape group. We recommend open Burch colposuspension to repair stress urinary incontinence in women, with the advantage of simultaneous repair of severe concurrent cystoceles

[ effects of N-acetyl-l-cysteine on reduction of semen viscosity]

Hyperviscous semen is an etiologic cause for male-related infertility which is related to function of oxidative systems in the cells. So, use of anti-oxidants may be useful. Hence, this study was conducted to evaluate the efficacy of N-acetyl-l-cysteine in reduction of seminal viscosity. In this experimental study, 200 patients attending to urology clinic of Amiralmomenin hospital with hyperviscouse semen were selected and treated with N-acetyl-l-cysteine, 500 mg twice a day for one month. Sperm analysis was repeated after treatment and 10 days later. After treatment, the viscosity which was initially high in all patients was normal in 124 men [62%], high in 60 patients [30%], and low in 16 subjects [8%]. Also sperm count, motility, and morphology were improved significantly after the treatment [p< 0.05]. According to 70 percent efficacy for Nacetyl-l-cysteine and lack of any drug adverse effects, this therapeutic modality may be indicated upon with patient's conditions and physician's opinion