전립선 수술 후 발생한 복압성요실금에서 인공 요도괄약근 수술의 효과 및 안전성
Efficacy and Safety of Artificial Urinary Sphincter for Stress Urinary Incontinence after Prostate Surgery
양진백, 이영숙, 한덕현, 이규성,
소속 상세정보
양진백 ( Yang Jin-Bak )
성균관대학교 의과대학 비뇨기과학교실
이영숙 ( Lee Young-Suk )
성균관대학교 의과대학 비뇨기과학교실
한덕현 ( Han Deok-Hyun )
성균관대학교 의과대학 비뇨기과학교실
이규성 ( Lee Kyu-Sung )
성균관대학교 의과대학 비뇨기과학교실
KMID : 0358320090500090854
Abstract
Purpose: To evaluate the efficacy and safety of artificial urinary sphincter (AUS) for the treatment of stress urinary incontinence (UI) after prostate surgery.
Materials and Methods: We performed a retrospective chart review of 19 patients who underwent AUS implantation from July 2003 to November 2008. Efficacy was evaluated in terms of the postoperative changes in daily pad use, incontinence visual analogue scale (I-VAS), International Continence Society male-Short Form questionnaire (ICS-male SF), Incontinence Quality of Life questionnaire (I-QoL), and patients’ satisfaction postoperatively. No pad use was defined as cure, and use of 1 pad or fewer per day as improvement. Cure and improvement were regarded as success. Complications and durability of the AUS were evaluated.
Results: The median age of the patients was 70.0 years (range, 47-76 years). With a median follow-up period of 11.8 months (range, 6.2-48.1 months), the success rate was 68.4% (13/19; cure in 12 and improvement in 1). I-VAS, subscale scores of ICS-male SF (incontinence and QoL), and total and subscale scores of I-QoL (psychosocial impact, social embarrassment, avoidance, and limiting behaviors) were significantly improved. Fifteen (78.9%) patients reported being satisfied. Six (31.5%) patients required revision: volume adjustment for 2, second cuff implantation for 2, pump reposition for 1, and pump reposition, volume adjustment, and second cuff implantation for 1. One of the patients who had a second cuff implantation had the sphincter explanted for infection.
Conclusions: Despite the high rate of revision, the satisfaction rate was high and the quality of life was significantly improved after AUS implantation for urinary incontinence after prostate surgery.
키워드
Artificial urinary sphincter;Urinary incontinence
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