지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.6
- 수록면
- 116 - 120 (5page)
이용수
초록· 키워드
오류제보하기
Purpose: Many surgeons worry about postoperative voiding problems in patients with stress urinary incontinence (SUI) and detrusor underactivity (DU). This study hypothesized that adjusting the tension after surgery would benefit patients with DU, and therefore researchers evaluated the outcomes and quality of life of women with SUI and DU who underwent the readjustable sling procedure (Remeex).
Methods: The medical records of 27 patients who were treated with the Remeex system for SUI and DU between 2007 and 2013 were retrospectively analyzed. The incontinence visual analogue scale (I-VAS), incontinence quality of life questionnaire (I-QOL) and the Sandvik incontinence severity index (ISI) were used to evaluate the efficacy of the Remeex system both prior to surgery and at the last visit after surgery. The treatment was considered successful if there was no urine leakage based on the Sandvik questionnaire.
Results: The mean follow-up period was 38.0 months (range, 1?75 months), and the treatment success rate was 81.5%. Despite no urine leakage, 7 patients wanted the Remeex system to be removed due to persistent postoperative urinary retention within a year of surgery. One patient underwent a long-term adjustment under local anesthesia 6 years after the initial surgery.
The I-VAS, ISI and all domains of the I-QOL scores improved significantly postoperatively and the maximum flow rate decreased significantly after the procedure. However, the postvoid residual did not change significantly.
Conclusions: The Remeex system provided a good cure rate and improved the quality of life of women with SUI and DU.
Therefore, the Remeex system should be considered as a treatment option for female patients with concomitant SUI and DU.
목차
등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
Botlero R / 2008 / Prevalence and incidence of urinary incontinence in women : review of the literature and investigation of methodological issues / Int J Urol 15:230~234
권춘식 / 2014 / Prevalence, Risk Factors, Quality of Life, and Health-Care Seeking Behaviors of Female Urinary Incontinence: Results From the 4th Korean National Health and Nutrition Examination Survey VI (2007–2009) / International Neurourology Journal 18(1):31~36
Ulmsten U / 1995 / Intravaginal slingplasty(IVS) : an ambulatory surgical procedure for treatment of female urinary incontinence / Scand J Urol Nephrol 29:75~82
Delorme E / 2001 / Transobturator urethral suspension : mini-invasive procedure in the treatment of stress urinary incontinence in women / Prog Urol 11:1306~1313
Schimpf MO / 2014 / Sling surgery for stress urinary incontinence in women: a systematic review and metaanalysis / Am J Obstet Gynecol 211:71.e1~71.e27
권춘식 / 2014 / Prevalence, Risk Factors, Quality of Life, and Health-Care Seeking Behaviors of Female Urinary Incontinence: Results From the 4th Korean National Health and Nutrition Examination Survey VI (2007–2009) / International Neurourology Journal 18(1):31~36
Ulmsten U / 1995 / Intravaginal slingplasty(IVS) : an ambulatory surgical procedure for treatment of female urinary incontinence / Scand J Urol Nephrol 29:75~82
Delorme E / 2001 / Transobturator urethral suspension : mini-invasive procedure in the treatment of stress urinary incontinence in women / Prog Urol 11:1306~1313
Schimpf MO / 2014 / Sling surgery for stress urinary incontinence in women: a systematic review and metaanalysis / Am J Obstet Gynecol 211:71.e1~71.e27
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