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여성 복압성요실금 환자에서 tension-free vaginal tape (TVT)와 transobturator vaginal tape inside-out (TVT-O) 수술법의 1년 추적 결과 비교: 전향적 연구

A prospective trial comparing tension-free vaginal tape and transobturator vaginal tape inside-out for the surgical treatment of female stress urinary incontinence: one-year follow up

염승희|김진범|송승훈|이규성|주명수|두진경|최양수|박서용
대한배뇨장애요실금학회 (Korean Continence Society)|2005.12|International Neurourology Journal|제9권 제2호|pp. 108-114

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Abstract

Purpose: To compare prospectively and randomly tension-free vaginal tape (TVT) with transobturator vaginal tape inside-out (TVT-O) for the surgical treatment of female stress urinary incontinence (SUI). Materials and Methods: One hundred twenty women with SUI were alternately assigned to either the TVT group (n=60) or TVT-O group (n=60). The preoperative evaluation included urodynamic study and a Korean version of the incontinence quality of life questionnaire (I-QoL). At 1-year after operation, surgical outcome, patient I-QoL parameters, long-term complications and uroflowmetry were evaluated in 2 groups. Results: Preoperative patient characteristics including I-QoL and urodynamic study were comparable in the two groups. The rates of cure (86.8% for TVT vs. 86.8% for TVT-O), improvement (6.6% for TVT vs. 8.2% for TVT-O), and failure (6.6% for TVT vs. 5.0% for TVT-O) were similar for the two groups. The I-QoL parameters one year after surgery were improved significantly in both groups (p＜0.001) and there was no difference between the two groups (p＞0.05). The rates of the patient satisfaction with the procedure were 93.4% in the TVT group versus 95.0% in the TVT-O group (p＞0.05). Mean operation time (11.5±1.4 min versus 15.2±1.8 min, p＜0.05) was significantly shorter in the TVT-O than TVT. There were no long-term complications, such as vaginal erosion and prolonged voiding difficulty, in either group. Conclusion: TVT-O appears to be equally effective as TVT for the surgical treatment of stress urinary incontinence in women at a 1-year follow-up. (J. Korean Continence Society 2005;9:108-114)

참고문헌 (22)

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관련 논문AI추천

복압성 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 제2호복압성 요실금의 수술방법인 TOT와 TVT-O의 무작위 전향적 비교 연구김명기, 박영경, 임주현대한배뇨장애요실금학회 · International Neurourology Journal2005 · 제9권 제2호여성 복압성요실금 환자에서 TVT-O 술식의 초기 경험박승철, 오상진, 정희종대한배뇨장애요실금학회 · International Neurourology Journal2006 · 제10권 제1호여성 복압성요실금 환자에서 TVT와 TVT-O 수술 후 삶의 질의 변화강택원, 권동득, 김선옥, 김준석, 류수방, 박광성, 윤철웅, 정승일, 주재상, 최향식대한배뇨장애요실금학회 · International Neurourology Journal2008 · 제12권 제1호여성 복압성 요실금 환자에서 Tension-free Vaginal Tape 술식의 6년 추적 결과윤창준, 정희창대한배뇨장애요실금학회 · International Neurourology Journal2006 · 제10권 제1호

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