여성 복압성요실금 환자에서 IRIS 술식의 5년 추적 결과: TVT 술식과의 비교
Five-Year Outcomes of the IRIS Procedure for the Treatment of Female Stress Urinary Incontinence: Comparison with the TVT Procedure
송필현, 현창호, 임화수, 정희창,
소속 상세정보
송필현 ( Song Phil-Hyun )
영남대학교 의과대학 비뇨기과학교실
현창호 ( Hyun Chang-Ho )
영남대학교 의과대학 비뇨기과학교실
임화수 ( Lim Hwa-Su )
영남대학교 의과대학 비뇨기과학교실
정희창 ( Jung Hee-Chang )
영남대학교 의과대학 비뇨기과학교실
KMID : 0358320090500080767
Abstract
Purpose: We evaluated the long-term efficacy and safety of the innovative replacement of incontinence surgery (IRIS) procedure and compared these with the tension-free vaginal tape (TVT) procedure for the treatment of female stress urinary incontinence.
Materials and Methods : We included 111 consecutively treated women who underwent IRIS (n=51) or TVT (n=60) between January 2002 and December 2003 and followed them up for at least 5 years postoperatively. We analyzed the 5-year success rate and postoperative complications of the IRIS procedure and compared these with the results of the TVT procedure.
Results: The 5-year success rate was 92.2% for the IRIS procedure and 93.3% for the TVT procedure, and the satisfaction rates were 90.2% and 85.0%, respectively. Intraoperative complications for the IRIS group included 4 cases of bladder perforation, and there were 5 cases of bladder perforation in the TVT group. The postoperative complications for the IRIS group included 3 patients with de novo urgency, 2 patients with mesh exposure, and 1 patient with temporary urinary retention. Four patients in the TVT group developed de novo urgency, 2 patients had mesh exposure, and 2 patients showed temporary urinary retention.
Conclusions: Our results suggest that IRIS may be an effective and safe procedure compared with the TVT procedure for more than 5 years. (Korean J Urol 2009;50:767-773)
키워드
Stress urinary incontinence;Urologic surgical procedures
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