Your browser doesn't support javascript.
loading
Management of Voiding Dysfunction after Surgical Treatment of Female Stress Urinary Incontinence
Journal of the Korean Continence Society ; : 40-45, 2005.
Article Dans Coréen | WPRIM | ID: wpr-160948
ABSTRACT

PURPOSE:

We studied the voiding dysfunction after surgical treatment of female stress urinary incontinence and diagnosis and treatment. MATERIALS AND

METHODS:

Three hundred women with stress urinary incontinence underwent surgical procedure between January 1998 and December 2004. Ninety two patients(30.6%) experienced the postoperative voiding dysfunction. As the primary procedure for the management of postoperative voiding dysfunction alpha-blockers medication and clean intermittent catheterization(CIC) were performed. Then, hegar dilation and urethral pull-down procedure were performed as a secondary measure. For the patients who showed persistent obstructed symptoms, cutting of mesh or sling materials were performed.

RESULTS:

In 57 patients, symptoms improved by alpha-blockers medication and CIC. The others were received hegar dilation and urethral pull-down procedure, and 29 patients were improved. 6 patients were not controlled by conservative treatment, of which 3 patients underwent cutting of mesh or sling. De novo urgency was developed in 12 patients. Anticholinergics were taken, symptoms were diminished in 10 patients after 5 months of medication.

CONCLUSION:

Most voiding dysfunction after surgery may be effectively managed by conservative treatment. In cases of failure, hegar dilation and urethral pull-down procedure may be useful within postoperative first weak. Finally, cutting of mesh or sling must be considered in patient whose the secondary measure is failed.
Sujets)

Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Incontinence urinaire / Antagonistes cholinergiques / Diagnostic Type d'étude: Etude diagnostique Limites du sujet: Femelle / Humains langue: Coréen Texte intégral: Journal of the Korean Continence Society Année: 2005 Type: Article

Documents relatifs à ce sujet

MEDLINE

...
LILACS

LIS

Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Incontinence urinaire / Antagonistes cholinergiques / Diagnostic Type d'étude: Etude diagnostique Limites du sujet: Femelle / Humains langue: Coréen Texte intégral: Journal of the Korean Continence Society Année: 2005 Type: Article