Background:Nephrolithiasis (kidney stones) continues to be a major cause of morbidity and healthcare spending that visceral and subcutaneous adipose tissue may associate with kidney stone formation. This study aimed to investigate the relationship between nephrolithiasis with visceral fat scale in obese people in Western Iran for the first time.Materials and Methods:In 2017, 103 participants with BMI≥30 kg/m2 were selected for the present study. The participants were divided into two groups, 52 as case group (having the kidney stone) and 58 as healthy control group (no kidney stone or history of the kidney stone or any other disease). The levels of body composition were checked by body composition analyzer (BoCA x1) based on Bio Impedance mechanism.Results:Two groups were matched in terms of sex and BMI. There was a significant difference between two groups for the visceral fat to subcutaneous fat ratio (VSR) that accordingly, the mean VSR in the case group was higher than the control group. The difference for other variables between two groups was not significant.Conclusions:The results showed that visceral and subcutaneous fat and VSR were important risk factors for kidney stone formation (nephrolithiasis). Evaluating these fats in stone formers may facilitate a tailored metabolic evaluation and treatment plan.
The aim of this study was to determine the effectiveness of two surgical methods of Tension-free Vaginal Tape (TVT) (transversal and longitudinal incision of the vagina) on stress urinary incontinence in women referred to Imam Reza Hospital during 2012–2019. The present study was a clinical trial study which was conducted on 138 women with stress urinary incontinence. TVT surgery. Patients were randomly divided into two groups with transversal (n = 69) and longitudinal incision (n = 69) based on purposive sampling. All patients before surgery underwent cystoscopy, Marshall test and cough stress test, urinary tract mobility test and, if necessary, urodynamic test, pelvic examination and post-void residual (PVR) urine test and completed the incontinence impact questionnaire-7 (IIQ-7). Then, mesh survival at 60 months after surgery was assessed by trans-libial ultrasonography. Statistical analysis was conducted by SPSS 24 (Chi-square test, Fisher's exact test).There was no statistically significant difference between the two groups with longitudinal and transverse incisions in terms of mean age, duration of surgery and the amount of urine remaining in the bladder before and after surgery (P-Value > 0.05). The recovery rate was higher in the transverse incision group compared to the longitudinal incision group and this difference was statistically significant (P-Value = 0.023). Also, the mesh retention rate was higher in the middle position of the duct in the transverse incision group .TVT surgery with transversal incision of the vagina can be effective and safe in treating stress urinary incontinence of women.
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