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여성 복압성요실금 환자에서 TVT와 TVT-O 수술 후 삶의 질의 변화

The Quality of Life after Tension-Free Vaginal Tape and Transobturator Vaginal Tape Inside-Out for the Surgical Treatment of Female Stress Urinary Incontinence

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Abstract

Purpose: The change of quality of life following a tension-free vaginal tape (TVT) and transobturator vaginal tape (TVT-O) procedure was investigated in patients with stress urinary incontinence. Materials and Methods: We included 86 women with stress urinary incontinence who underwent the TVT or TVT-O procedure and followed up for at least 1 year. Preoperatively, the patients were evaluated with history taking, physical examination, urodynamics to determine abdominal leak point pressure (ALPP) and pre- and postoperative quality of life was evaluated by incontinence quality of life questionnaire (I-QoL). The success after operation was defined as the absence of any subjective complaint of leakage. Results: The rate of cure of TVT and TVT-O procedure were 84%, 92% and the rate of improvement of them were 16%, 8%, respectively. Preoperative patient characteristics including uroflowmetric parameters and ALPP were comparable in the two groups. The I-QoL parameters one year after surgery were statistically significant increase in I-QoL scores in each groups. There were no serious or long-term complications related to both procedures. Conclusions: These data suggest that the TVT and TVT-O procedure are effective for treating female stress incontinence and also in the aspect of improving quality. (J Korean Continence Soc 2008;12:58-63)

참고문헌 (26)

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관련 논문AI추천

여성 복압성요실금 환자에서 tension-free vaginal tape (TVT)와 transobturator vaginal tape inside-out (TVT-O) 수술법의 1년 추적 결과 비교: 전향적 연구김진범, 두진경, 박서용, 송승훈, 염승희, 이규성, 주명수, 최양수대한배뇨장애요실금학회 · International Neurourology Journal2005 · 제9권 제2호복압성 요실금 환자에서의 Tension-free Vaginal Tape수술과 Transobturator Vaginal Tape Inside-out 수술의비교 연구노준, 문찬, 김철성, 문형윤, 임동훈대한배뇨장애요실금학회 · International Neurourology Journal2007 · 제11권 제1호여성 복압성요실금 치료에서 inside-out tension-free transobturator suburethral tape (TVT-O) 술식의 초기경험: 2년 추적결과김영주, 송효정, 허정식대한배뇨장애요실금학회 · International Neurourology Journal2007 · 제11권 제2호여성 복압성요실금 환자에서 TVT-O 술식의 초기 경험박승철, 오상진, 정희종대한배뇨장애요실금학회 · International Neurourology Journal2006 · 제10권 제1호복압성 요실금의 수술방법인 TOT와 TVT-O의 무작위 전향적 비교 연구김명기, 박영경, 임주현대한배뇨장애요실금학회 · International Neurourology Journal2005 · 제9권 제2호여성 복압성 요실금 환자에서 Tension-free Vaginal Tape 술식의 6년 추적 결과윤창준, 정희창대한배뇨장애요실금학회 · International Neurourology Journal2006 · 제10권 제1호

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