Clinical Outcome of the Tension-free Vaginal Tape Procedure for Treating Women with Urinary Incontinence (the 2-year Follow Up): Comparison between Stress Urinary Incontinence and Mixed Urinary Incontinence / 대한비뇨기과학회지

PURPOSE: We evaluated and compared the outcomes between stress urinary incontinence(SUI) and mixed urinary incontinence(MUI) for those patients who had undergone a tension-free vaginal tape(TVT) procedure. MATERIALS AND METHODS: Patients were categorized into the SUI(43 patients) and MUI(28 patients) groups. The preoperative evaluations included a comprehensive medical history, physical examination and urodynamic study that included determining the Valsalva leak point pressure(VLPP). Further, we asked about lower urianry tract symptoms (LUTSs) with using a female bladder questionnaire. After treatment, the same questionnaires were repeated. The objective and subjective success rate were evaluated during the postoperative period. RESULTS: For the operation outcome results, in SUI group there were 37 cases of cure(86.0%) and 4 cases of improvement(9.3%), and in MUI group there were 21 cases of cure(75.0%) and 4 cases of improvement(14.3%) (p>0.05). The operation satisfaction rate of patients was 88.4% in the SUI group and 82.2% in the MUI group(p>0.05). The objective success rate and satisfaction rate of the SUI patients did not significantly differ from the women with MUI. Also, these results show that the TVT procedure improves some LUTSs in both groups of patients. CONCLUSIONS: We consider the TVT procedure to be an effective treatment not only for SUI, but also for MUI.

The Early Experience of Sling Procedure Used Remnant Anterior Vaginal Wall Tissue with Grade III Cystocele / 대한비뇨기과학회지

PURPOSE: In patient with grade III cystocele, to determine whether the anterior vaginal wall tissue, remnant at the anterior colporrhaphy, is an appropriate sling material, we retrospectively reviewed the outcomes of sling operations that used remnant anterior vaginal wall tissue. MATERIALS AND METHODS: An anterior colporrhaphy and sling operation using remnant vaginal wall tissue was undertaken in 21 patients. The preoperative evaluation included the patients' history, a physical examination, urinalysis, an urodynamic test, a voiding cystourethrogram and incontinence staging with Stamey grade. The surgical outcomes and stress- related leakage, emptying ability, anatomy, protection, inhibition (SEAPI) were assessed. RESULTS: The mean follow-up period, operation time and hospital stay were 18 months (12-36), 45.4 minutes and 8.6 days, respectively. 18 patients (85.7%) were cured and 3 (14.3%) improved. The total subjective SEAPI score of 8.48 decreased postoperatively to 1.78. The pre- and post-operative complications were unremarkable. CONCLUSIONS: The remnant anterior vaginal wall sling was helpful in minimizing the postoperative complications and cost effectiveness. Although long-term follow-up data might be required, this technique could be a good alternative method to replace conventional fascial or synthetic pubovaginal slings with grade III cystocele.

Mixed Hemangioma of the Epididymis / 대한비뇨기과학회지

A hemangioma is a benign tumor arising in the vessels, but an intrascrotal hemangioma is rare, and a hemangioma of the epididymis is extremely rare. Ultrasound and MRI (magnetic resonance imaging) are mainly used for the diagnosis of an intrascrotal hemangioma, with surgical excision being the appropriate treatment. We report on the case of a 24 year- old-man with a mixed hemangioma of the epididymis.