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Results of Anterior Vaginal Wall Sling Operation for Female Stress Urinary Incontinence
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KMID : 0358319990400040481
Abstract
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·á·Î °ñ¹Ý±ÙÀ°ÈÆ·Ã, Àü±âÀÚ±ØÄ¡·á ¹× ¾à¹°Ä¡·á µîÀÌ ÀÖ°í, ¼ö¼úÀû Ä¡·á·Î ¹æ±¤°æºÎÀÇ °úÀ¯µ¿
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¼ú½Ä, collagenÁÖÀÔ¼ú, Àΰø¿äµµ°ý¾à±Ù »ðÀÔ¼ú µîÀÌ ½ÃµµµÇ°í ÀÖ´Ù. ÃÖ±Ù Àå±â ÃßÀû°Ë»ç¿¡¼
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´ÉºÎÀü°ú ÇÔ²² ¹æ±¤°æºÎÀÇ °úÀ¯µ¿¼ºÀÌ µ¿¹ÝµÈ º¹¾Ð¼º¿ä½Ç±Ý 23¸í¿¡ ´ëÇÏ¿© ¹æ±¤°æºÎ¿Í Áß°£
ºÎÀ§ ¿äµµ¸¦ µ¿½Ã¿¡ ±³Á¤Çϱâ À§ÇÑ Raz½Ä ÁúÀüº® sling ¼ú½ÄÀ» ½ÃÇà, ±× Ãʱ⠰á°ú¸¦ ºÐ¼®
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Purpose : To review the short-term result of Raz's anterior vaginal wall sling as a
treatment for intrinsic sphincter deficiency(ISD) and urethral hypermobility.
Materials and Methods : Twenty-three women who had intrinsic sphincter deficiency
and urethral hypermobility were treated by anterior vaginal sling operation which
employed an island of in situ anterior vaginal wall as a sling to support the bladder
neck and mid-urethra.
Results : After a mean follow-up of 4.7(3-6)months, urinary incontinence was
disappeared completely after the anterior vaginal sling operation. Complications included
urinary retention in 6 patients, residual urine sensation in 5 patients which improved
after intermittent catheterization. The other complication was low abdominal pain in 5
patients.
Conclusions : It is suggested that anterior vaginal sling operation was effective
treatment of ISD and urethral hypermobility wilts simple technique, low morbidity and
high cure rate.
Å°¿öµå
Anterior vaginal wall sling; Intrinsic sphincter deficiency; Urethral hypermobility;
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