간장성 요실금에서 Raz 술식의 경험
Experience of Transvaginal Bladder Neck Suspension(Raz Procedure) for Female Genuine Stree Urinary Incontinence
김일봉, 이한식,
소속 상세정보
김일봉 ( )
한양대학교
이한식 ( )
한양대학교
KMID : 0358319950360020201
Abstract
Various surgical approaches have been used for the treatment of genuine stress urinary incontinence. We had treated 30 patients of GSUI (genuine stress urinary incontinence) with modified Pereyra methods, so called Raz procedure. Mean age of the
patients was 48.5 years (range; 32-79 years). The duration of the incontinence was 10.4 years in average (range, 0.5-26 years). In the degree of severity, Grade I was 3.3% (1), Grade II was 86.7%(26) and Grade III was 10% (3). Mean parity was 3.6
and
six patients (20%) had been undergone hysterectomy. The duration of follow up was 17.3 months in average. Incontinence was completely disappeared in 20 patients (66.7%) and significantly improved in 7 patients (23.3%), but three patients (10%)
were
recurred. There was no serious operative complication such as bleeding needed transfusion. But tcmporary urinary retention (8), suprapubic pain "(7), vaginintis (2) and urinary tract infection (1) were complained. Paz procedure is a reliable
technique
among various surgical tectniques with little morbidity.
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