Therapeutic Effectiveness of In Situ Anterior Vaginal Wall Sling in Patients with Stress Urinary Incontinence / 대한비뇨기과학회지
Korean Journal of Urology
;
: 687-692, 2003.
Article
Dans Coréen
| WPRIM
| ID: wpr-174523
ABSTRACT
PURPOSE:
To determine the efficacy and safety of the in situ anterior vaginal wall sling procedure for the treatment of anatomical incontinence (AI) and intrinsic sphincter dysfunction (ISD). MATERIALS ANDMETHODS:
A total of 53 women (31 with AI and 22 with ISD), having undergone in situ anterior vaginal wall sling procedures, were reviewed. The preoperative evaluation included a detailed history taking, physical examination and urodynamic study, including Valsalva leak point pressure (VLPP) and incontinence staging, with Stamey grade. The efficacy and clinical outcome of this procedure were accessed by telephone interviews.RESULTS:
With a mean follow up of 30.8 months (24-52), 49 (92.5%) of the 53 patients were completely continent or improved. The success rate of AI and ISD patients were 93.5 and 90.9% respectively. One patient (1.9%) required a prolonged Foley catheter drainage of up to 2 weeks. Sixteen (84.2%) out of the 19 patients with preoperative urge incontinence improved postoperatively, and de novo urge incontinence developed in 1 patient (1.9%). Postoperative wound infections developed in 3 patients (5.7%).CONCLUSIONS:
The in situ anterior vaginal wall sling procedure can be an effective and safe surgical treatment option in both AI and ISD patients.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Examen physique
/
Infection de plaie opératoire
/
Incontinence urinaire
/
Incontinence urinaire d'effort
/
Urodynamique
/
Drainage
/
Entretiens comme sujet
/
Études de suivi
/
Miction impérieuse incontrôlable
/
Cathéters
Type d'étude:
Étude observationnelle
/
Étude pronostique
/
Recherche qualitative
Limites du sujet:
Femelle
/
Humains
langue:
Coréen
Texte intégral:
Korean Journal of Urology
Année:
2003
Type:
Article
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