본문 바로가기
KERD
논문KCI 등재

The Relationship between Maximal Urethral Closure Pressure and Functional Urethral Length in Anterior Vaginal Wall Prolapse Patients According to Stage and Age

박주현|조정미|김세광|박기현|권한성|신종승|배상욱
연세대학교의과대학 (Yonsei University College of Medicine)|2005.06|Yonsei Medical Journal|제46권 제3호|pp. 408-413

1

조회

0

다운로드

0

인용

0

참고문헌

주제분류의학일반

초록

Abstract

MUCP (Maximal urethral closure pressure) is known to be increased in patients with vaginal wall prolapse due to the mechanical obstruction of the urethra. However, urethral function following reduction has not yet been completely elucidated. Predicting postoperative urethral function may provide patients with important, additional information prior to surgery. Thus, this study was performed to evaluate the relationship between MUCP and functional urethral length (FUL) according to stage and age in anterior vaginal wall prolapse patients. 139 patients diagnosed with anterior vaginal wall prolapse at Yonsei University Medical College (YUMC) from March 1999 to May 2003 who had underwent urethral pressure profilometry following reduction were included in this study. The stage of pelvic organ prolapse (POP) was determined according to the dependent portion of the anterior vaginal wall (Aa, Ba). (By International Continence Society's POP Quantification system) Patients were divided into one of four age groups: patients in their 40s (n=13), 50s (n=53), 60s (n=54), and 70 and over (n=16). No difference in MUCP was found between the age groups. The FUL of patients in their 40s was shorter than that of patient's in their 50s and 60s. Patients were also divided into stages: stage II (n=35), stage III (n=76), and stage IV (n=25). No significant difference in MUCP was found according to stage and FUL. However, a significant difference was noted between stage III and IV as stage IV was longer. Anterior vaginal wall prolapse is known to affect urethral function due to prolapse itself, but according to our study, prolapse itself did not alter urethral function. This suggests that, regardless of age and stage, prolapse corrective surgery does not affect the urethral function.

참고문헌 (21)

  1. "Surgical correction of defects in pelvic support. In: Thompson JD, Rock JA editor: The Linde's operative gynecology 8th ed.", pp.963~ (1997), Lippincott- Raven Publisher
  2. "The demographics of pelvic floor disorders current observations^future projections", 184, pp.1496~501 (2001)
  3. "Voiding difficulty in the female prevalence", pp.144~7
  4. "The effect of uterovaginal prolapse on urethrovesical pressure dynamics", pp.901~5
  5. "The mechanism of urinary incontinence in women with sever uterovaginal prolapse Results of barrier studies", pp.291~5
  6. "Prevalence of abnormal urodynamic test results in continent women with severe genitourinary prolapse", pp.539~42
  7. "The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction", 175, pp.10~7 (1996)
  8. "The standardization of terminology of lower urinary tract function", pp.5~18
  9. "Incontinence, Prolapse, and disorders of the Pelvic Floor. In Jonathan SB, editor. Novak's Gynecology. 13th ed.", pp.685~93 (2002), Lippincott Williams & Wilkins
  10. "Perineal nerve damage in genuine stress urinary incontinence", bude(ch df), pp.422~6
  11. "A histological and immunohistochemical study of neuropeptide containing somatic nerves in the levator ani muscle of women with genitourinary prolapse", 78, pp.2~5 (1999)
  12. "The effect of pelvic organ prolapse on lower urinary tract function", 44, pp.94~8 (2003)
  13. "Evaluation of female lower urinary tract symptoms overview and update", 13, pp.521~7 (2001)
  14. "Female Pelvic Organ Prolapse and Voiding Function", 13, pp.284~8 (2002)
  15. "The Mechanism of Urinary Continence in Women With Severe Uterovaginal Prolapse Results of Barrier Studies", pp.291~5
  16. "The Relationships of Urethral and Pelvic Floor Muscles and the Urethral Pressure Measurements in Women with Stress Urinary Incontinence", 37, pp.149~55 (2000)
  17. "The effect of uterovaginal prolapse on urethrovesical pressure dynamics", pp.901~5
  18. "Computer- Assisted Virtual Urethral Pressure Profile in the Assessment of Female Genuine Stress Incontinence", 99, pp.69~74 (2002)
  19. "The Effect of Posterior Wall Support Defects on Urodynamic Indices in Stress Urinary Incontinence", 91, pp.710~4 (1998)
  20. "The Mechanism of Urinary Continence in Women With Severe Uterovaginal Prolapse Results of Barrier Studies", pp.291~5
  21. "Predicting the need for anti-incontinence surgery in continent women undergoing repair of severe urogenital prolapse", 163, pp.531~4 (2000)

관련 논문AI추천

Clinical Factors Associated with Low Valsalva Leak Point Pressure Among Women with Stress Urinary Incontinence강택원, 권동득, 김선옥, 김영중, 박광성, 유동훈, 정승일, 황의창, 황인상대한배뇨장애요실금학회 · International Neurourology Journal2011 · 제15권 제4호방광용량 및 유순도와 복압성요실금 지표들과의 상관관계김종구, 이건철, 조인래대한배뇨장애요실금학회 · International Neurourology Journal2005 · 제9권 제2호A Study of Clinical Predictors Associated With Intrinsic Sphincter Deficiency in Women With Stress Urinary Incontinence김성대, 김영주, 박경기, 허정식대한배뇨장애요실금학회 · International Neurourology Journal2017 · 제21권 제2호Urethral Closure Pressure at Stress: A Predictive Measure for the Diagnosis and Severity of Urinary Incontinence in WomenAnne-Cécile Pizzoferrato, Arnaud Fauconnier, Georges Bader, Philippe Dompeyre, Xavier Fritel대한배뇨장애요실금학회 · International Neurourology Journal2017 · 제21권 제2호Tension-free Vaginal Tape 수술에서 테이프 장력의 변화가 수술 결과와 배뇨기능에 미치는 영향고동수, 김세영, 김진범, 양동환, 오재록, 이상곤, 이성호대한배뇨장애요실금학회 · International Neurourology Journal2007 · 제11권 제2호여성 복압성요실금 치료에서 Tension-free Vaginal Tape 술식의 성공률과 만족도에 관련된 인자 분석: 5년 추적 결과김완석, 김지윤, 김진범, 두진경, 박진성, 이규성, 정병주, 정희창, 주명수대한배뇨장애요실금학회 · International Neurourology Journal2006 · 제10권 제1호

이 간행물의 다른 논문 (14건)

Efficacy of Oral Etidronate for Skeletal Disease in JapanTsuyoshi Takeda, Yoshihiro Sato, Jun Iwamotopp. 313-320Interest group influence over drug pricing policy reform in South Korea김한중, 정우진pp. 321-330Development of a Structural Model Explaining Medication Compliance of Persons with Schizophrenia민성길, 서미아pp. 331-340Limited Effect of CpG ODN in Preventing Type 1 Diabetes in NOD Mice조현철, 정춘희, 김미진, 심명숙, 신영구, 이병준, 박은섭, 김문규, 김수기pp. 341-346Effectiveness of Real-time Quantitative PCR Compare to Repeat (REP-)PCR for the Diagnosis of Charcot-Marie-Tooth Type 1A and Hereditary Neuropathy with Liability to Pressure Palsies최종락, 임종백, 선우일남, 이은경, 이창훈, 이운형pp. 347-352
원문 보기