지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2012.1
- 수록면
- 47 - 50 (4page)
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Purpose: To assess the long-term outcomes of tension-free vaginal tape (TVT) for stress urinary incontinence (SUI) with intrinsic sphincter deficiency (ISD) and to identify influencing factors for failure in these cases.
Methods: A total of 136 women who underwent TVT procedures with minimum follow-up duration of 3 years were included in the study. Patients were divided into two groups (non-ISD and ISD groups) based on preoperative urodynamic studies. Patient outcomes were assessed from retrospective chart review and telephone research. Cure was defined as the subjective resolution of SUI in any circumstances. Improvement was defined as the subjective improvement of SUI without complete resolution. Failure was defined as the subjective lack of improvement of SUI. Patients in ISD group were subdivided into two subgroups (cure and non-cure groups) and were compared to identify influencing factors for TVT procedure failure.
Results: Eighty-nine patients were in non-ISD group, and 47 in ISD group. The mean follow-up durations were 50.3±9.2 and 49.7±9.7 months, respectively. Subjective cure rate was 75.3% for non-ISD group, and 76.7% for ISD group (P>0.05). Improvement rate was 6.7% for non-ISD group, and 2.1% for ISD group (P>0.05). Satisfaction scores was 3.8±1.2 points in the non-ISD group, and 3.5±1.2 points in ISD group (P>0.05). In ISD subgroups, VLPP was 41.9±12.0 cmH2O for non-cure group, and 50.5±8.6 cmH2O for cure group, and was the only factor that showed significant statistical difference between the two subgroups (P=0.011).
Conclusions: With our long-term results, TVT is an effective treatment even in women with ISD. However, ISD patients with low VLPP should be counseled carefully about TVT outcome.
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참고문헌 (10)
참고문헌 신청
Abrams P / 2002 / The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society /
Doo CK / 2006 / Five-year outcomes of the tension-free vaginal tape procedure for treatment of female stress urinary incontinence / Eur Urol 50 : 333 ~ 338
Gordon D / 2001 / Combined genitourinary prolapse repair and prophylactic tension-free vaginal tape in women with severe prolapse and occult stress urinary incontinence: prel
Kuuva N / 2006 / Long-term results of the tension-free vaginal tape operation in an unselected group of 129 stress incontinent women / Acta Obstet Gynecol Scand 85 : 482 ~ 48
Liapis A / 2004 / Tension-free vaginal tape (TVT) in women with low urethral closure pressure / Eur J Obstet Gynecol Reprod Biol 116 : 67 ~ 70
Doo CK / 2006 / Five-year outcomes of the tension-free vaginal tape procedure for treatment of female stress urinary incontinence / Eur Urol 50 : 333 ~ 338
Gordon D / 2001 / Combined genitourinary prolapse repair and prophylactic tension-free vaginal tape in women with severe prolapse and occult stress urinary incontinence: prel
Kuuva N / 2006 / Long-term results of the tension-free vaginal tape operation in an unselected group of 129 stress incontinent women / Acta Obstet Gynecol Scand 85 : 482 ~ 48
Liapis A / 2004 / Tension-free vaginal tape (TVT) in women with low urethral closure pressure / Eur J Obstet Gynecol Reprod Biol 116 : 67 ~ 70
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