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논문KCI 등재

복압성 요실금을 가진 한국 여성에서 체질량 지수에 따른 중부요도 슬링수술의 결과

Outcome of mid-urethral sling procedures in Korean women with stress urinary incontinence according to body-mass index

신재욱|백재승|양지현|김수웅|오진규|구자현
대한배뇨장애요실금학회 (Korean Continence Society)|2005.06|International Neurourology Journal|제9권 제1호|pp. 28-33

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Abstract

Purpose: The aim of this study is to determine whether the outcome of the mid-urethral sling procedures may be influenced by the body-mass index in Korean women with stress urinary incontinence (SUI). Materials and Methods: A total of 285 women 28 to 80 years old with a minimum follow-up of 6 months were included in the study. Patients were stratified as follows: normal weight, 18.5∼23 kg/m2; overweight, 23∼ 27.5 kg/m2; obesity, 27.5 kg/m2 or higher. Results: There was no significant complication. Bladder perforations were noted in 11 cases (4.9%, 3.8% and 2.2% in the normal weight, overweight and obesity group, p=0.449). There was no significant difference between the three groups for cure rate (p=0.173). The rates of postoperative urinary retention were 9.9%, 10.1% and 15.6% in the normal weight, overweight and obesity group (p=0.396). No significant difference was found between the three groups in the persistence of urgency (p=0.312). Seventy-nine patients (27.7%) had symptoms suggestive of voiding disorder, postoperatively. The incidence of these symptoms was not significant difference in the three groups (p=0.106). Conclusion: Our results demonstrate the feasibility and safety of the mid-urethral sling procedures for obese Korean women with SUI. Additional studies, including prospective randomized trials with longer follow-up, are needed to verify these findings. (J. Korean Continence Society 2005;9:28-33)

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