Summary
The role of hyaluronic acid (HA) as a ‘physiologic selector’ is also well recognized in vitro: it has been demonstrated that spermatozoa that bind to immobilized HA in vitro are those having completed their plasma membrane remodelling, and cytoplasmic and meiotic maturation. Sperm selection using HA has been expected to increase the implantation rate in intracytoplasmic sperm injection (ICSI) cycles. This work was designed to evaluate an alternative product for slowing sperm motility that contains HA and measures its outcomes: fertilization rate, embryo quality, and implantation and pregnancy rates. The present study found a positive drift in embryo quality that was statistically significant in the study group (SpermSlow™-ICSI) with teratozoospermia compared with PVP-ICSI in the same group. There were differences in the pregnancy rate (statistically insignificant in normozoospermia, asthenozoospermia, oligozoospermia, and teratozoospermia) in the SpermSlow-ICSI group compared with PVP-ICSI. The HA-ICSI technique in assisted reproduction technology (ART) is an important way to improve fertilization rate, embryo quality, and pregnancy rate.
Aim:To evaluate the role of trans obturator tape (TOT) insertion in the treatment of women with mixed urinary incontinence using subjective and objective measures. Patient and Methods: Included 25 female patients with mixed urinary incontinence with failure of response to medical treatment and other forms of conservative methods underwent trans obturator tape insertion (TOT) and followed until six months postoperative. Results: TOT was successful in treatment of stress urinary incontinence, but 60% successful in treatment of urge incontinence 6 months post-operative.
Conclusion:TOT is an effective operation for the treatment of stress urinary incontinence; however, large studies with long term follow-up are needed to confirm that finding.
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