여성 복압성요실금 환자에서 치골질식 근막 슬링 수술의 5년 추적결과
Five Year Follow-up Results of the Pubovaginal Fascial Sling Surgery in the Female Stress Urinary Incontinence
소성민, 설종구, 나용길,
소속 상세정보
소성민 ( So Seong-Min )
충남대학교 의과대학 비뇨기과학교실
설종구 ( Sul Chong-Koo )
충남대학교 의과대학 비뇨기과학교실
나용길 ( Na Yong-Gil )
충남대학교 의과대학 비뇨기과학교실
KMID : 0358320070480020183
Abstract
Purpose: The long term results of pubovaginal fascial sling surgery were evaluated in female stress urinary incontinence(SUI), and were compared with concomitant surgery in pelvic organ prolapse.
Materials & Methods: A total of 47 SUI patients were treated with pubovaginal fascial sling surgery between 1997 and 2000. A satisfaction evaluation and success grading of the operation were studied. A postoperative evaluation was performed via a survey questionnaire, uroflowmetry and post-void residuals.
Results: Forty-five patients(95.7%) showed successful results at the 2- & 5-year follow-ups, but 2 patients(4.3%) failed. There were no significant differences in success rates according to Valsalva leak point pressure(VLPP) and the pelvic organ prolapse surgery. Thirty-one patients(66.0%) were satisfied with their result, while 16(34.0%) were unsatisfied at the 2-year follow up. Those unsatisfied with the result included 8 with a urethral obstruction, 6 with urge incontinence and 2 with persistent SUI. Two patients with prolonged urinary retention had undergone urethrolysis. Postoperative de novo and persistent urge incontinence occurred in 2 and 4 patients, respectively. Two patients with persistent SUI were cured using the midurethral sling. Finally, forty-one patients(87.2%) were satisfied with the results, while 6(12.8%) were unsatisfied at the 5-year follow-up.
Conclusion: The 5-year follow-up results of the pubovaginal fascial sling surgery showed a high success rate and relatively good results with respect to satisfaction with the procedure. If a urethral obstruction and urge incontinence are treated carefully, sling surgery can be considered as an efficient method for any type of urinary incontinence. (Korean J Urol 2007; 48:183-188)
키워드
Urinary incontinence; stress; Treatment
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