여성 복압성요실금 환자에서 Tension-Free Vaginal Tape 술식의 단기 추적 결과

초록

PURPOSE: To evaluate the clinical efficacy, safety and satisfaction of patients of a tension free vaginal tape (TVT) operation for the women with stress urinary incontinence to be used as an ambulatory and minimally invasive operation. MATERIALS AND METHODS: A nonrandomized, prospective study was underwent in 73 patients with urodynamically proven stress urinary incontinence. Preoperatively, patients were evaluated with history taking, physical examination, one hour pad test, full urodynamic testing. Monitoring of anesthesia control (MAC) and local anesthesia were used in 65 patients, while general anesthesia were used in 8. At postoperative 3 months, questionnaire including voiding symptom and subjective satisfaction for the procedure were filled up by the patients. RESULTS: Of the 73 patients, 73.9% were completely dried and 20.5% were significantly improved. The higher the Stamey symptom grade was, the lower complete cure rate was achieved (p<0.01) and complete cure rate had a tendency to low in the patients with ISD. Sixty-six (90.4%) patients were satisfied with the TVT procedure. Also, sixty- seven (91.8%) patients would like to recommend TVT procedure to others. No defective healing and tape rejection was occurred. No patients had intra or postoperative bladder perforation or bleeding necessitating blood transfusion. CONCLUSIONS: Despite the short term follow-up period, with the shorter hospital stay and operation time with fewer complications, TVT procedure seems to be a minimally invasive, safe and effective procedure for the correction of stress urinary incontinence.

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