여성 복압성요실금 환자에서 IRIS-TOT를 이용한 수술의 초기 경험
IRIS-Transobturator Tape Procedure for the Treatment of Women with Stress Urinary Incontinence
박준백, 박연원, 이진형,
소속 상세정보
박준백 ( Park Jun-Back )
국립경찰병원 비뇨기과
박연원 ( Park Yeon-Won )
국립경찰병원 비뇨기과
이진형 ( Lee Jin-Hyung )
국립경찰병원 비뇨기과
KMID : 0358320060470010026
Abstract
Purpose: We wanted to evaluate the clinical efficacy, safety and satisfaction of patients with IRIS-transobturator tape(TOT) operation for the women suffering with stress urinary incontinence.
Materials and Methods: 53 women with stress urinary incontinence who underwent the TOT procedure between February 2004 and June 2005 were included in this study. Preoperatively, the patients were evaluated with history taking, a physical examination, a voiding diary, a one-hour pad test, uroflowmetry and the post voided residual urine. The procedure was carried out using a previously established method under local anesthesia for 37 patients and under spinal anesthesia for 16 patients. The post-operative symptoms and patient satisfaction were assessed by questionnaire.
Results: The patients’ mean age was 49.6 years(average age: 35-73 years). The mean follow-up was 10.9 months(average follow-up: 3-20 months). The mean operation time was 30.2 minutes(average time: 20-50 minutes). The mean duration of the post operative indwelling catheter was 1 hour for local anesthesia and 18 hours(range: 14-20 hours) for spinal anesthesia. Of the 53 patients, 49(92.4%) of the patients were cured and 4(7.6%) were significantly improved. The postoperative complications were urinary retention in 4 patients, and tape exposure by vaginal erosion in 1 patient. De novo urgency occurred in 1 patient and de novo urge incontinence occurred in 1 patient.
Conclusions: Despite the short term follow-up period, the IRIS-TOT procedure is simple, effective and less invasive for the treatment of stress urinary incontinence in terms of the high success rate and the low complication rates. (Korean J Urol 2006;47:26-30)
키워드
Urinary incontinence;stress;Iris
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