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논문KCI 등재

여성의 복압요실금

Female Stress Urinary Incontinence

박영경
대한배뇨장애요실금학회 (Korean Continence Society)|2008.06|International Neurourology Journal|제12권 제1호|pp. 1-9

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참고문헌

초록

Abstract

Stress urinary incontinence (SUI) is a significant health problem world‐wide with considerable social and economic impact on individuals and society. The initial evaluation of urinary incontinence begins with a thorough detailed history taking, physical examination including stress test and Q-tip test, and routine laboratory studies. The pelvic examination demonstrates laxity of pelvic support, presence of any degree of prolapse. A neurologic examination should be done if neuropathy is suspected. The urodynamic study can be helpful to confirm the classic features of urinary incontinence and determine its cause. Conservative managements have been used to treat stress urinary incontinence and seem to make common sense, especially in less severe and bothersome cases. Pelvic floor muscle training appeared to be an effective treatment for adult women with stress or mixed incontinence. In pharmacologic treatment, duloxetine appears to be a promising new option for the treatment of SUI. There are literally hundreds of surgical procedures used to treat incontinence, and they are consistently being revised in going attempts to improve outcomes. Burch colposuspension and sling procedures still are the main stream but recently tension‐free vaginal tape procedure and its variants are developed and widely performed all over the world. Mid‐urethral slings showed good outcomes and are safe and brief to perform and have a relatively short learning curve. Remeex system is a relatively new surgical device introduced for the cure of SUI. Its main advantage is the possibility to adjust the sling tension if urine loss or voiding difficulties manifest after surgery. TVT‐secur procedure needs only one vaginal incision and minimal periurethral dissection for small sized mesh. Therefore, it can help make the surgery quicker and simpler. As the population of aging women increases, it is inevitable that these women’s disorders will become more prevalent. This will pose a major challenge to the health care systems.

참고문헌 (57)

  1. Abrams P., "The standardisation of terminology in lower urinary tract function: Report from the standardisation sub‐committee of the International Continence Society", Urology, 61, pp.37~49 (2003)
  2. 오승준, "한국인 여성의 요실금 유병률과 요실금이 삶에 미치는 영향: 인구비례 표본추출법에 의한 조사", International Neurourology Journal, 7(2), pp.73~80 (2003), 대한배뇨장애및요실금학회
  3. Hunskaar S., "Epidemiology of urinary (UI) and faecal (FI) incontinence and pelvic organ prolapse (POP);Incontinence (Edition 2005) 3rd International Consultation on Incontinence", pp.255~312 (2005), Health Publications
  4. Subak LL., "Weight loss: A novel and effective treatment for urinary incontinence", J Urol, 174, pp.190~195 (2005)
  5. Rortveit G., "Vaginal delivery parameters and urinary incontinence: The Norwegian EPINCONT study", Obstet Gynecol, 189, pp.1268~1274
  6. Moehrer B., "Oestrogens for urinary incontinence in women", Cochrane Database Syst Rev, 2(CD001405) (2003)
  7. DeLancey JO., "Structural support of the urethra as it relates to stress urinary incontinence: The hammock hypothesis", Am J Obstet Gynecol, 170, pp.1713~1720 (1994)
  8. DeLancey JO., "The pathophysiology of stress urinary incontinence in women and its implications for surgical treatment", World J Urol, 15, pp.268~274 (1997)
  9. Petros PP., "An integral theory of female urinary incontinence. Experimental and clinical considerations", Acta Obstet Gynecol Scand, 153, pp.7~31 (1990)
  10. Walters MD., "Q‐tip test: A study of continent and incontinent women", Obstet Gynecol, 70, pp.208~211 (1987)
  11. Tubaro A., "Imaging and other investigations;Incontinence (Edition 2005) 3rd International Consultation on Incontinence", pp.707~797 (2005), Health Publications
  12. Blaivas JG., "Atlas of urodynamics. Baltimore" (1996), Williams & Wilkins
  13. Goode PS., "Behavioral and drug therapy for urinary in continence", Urology, 63, pp.58~64 (2004)
  14. Caldwell KP., "The electrical control of sphincter incompetence", Lancet, 2, pp.174~175 (1963)
  15. Yamanishi T., "Effect of functional magnetic stimulation for urinary incontinence", J Urol, 163, pp.456~459 (2000)
  16. Alhasso A., "Adrenergic drugs for urinary incontinence in adults", Cochrane Database Syst Rev, 2(CD001842) (2003)
  17. Hendrix SL., "Effects of estrogen with and without progestin on urinary incontinence", JAMA, 293, pp.935~948 (2005)
  18. Norton PA., "Duloxetine versus placebo in the treatment of stress urinary incontinence", Am J Obstet Gynecol, 187, pp.40~48 (2002)
  19. Leach GE., "Female stress incontinence clinical guidelines panel summary report on surgical management of female stress incontinence", J Urol, 158, pp.875~880 (1997)
  20. Petros P., "An integral theory and its method for the diagnosis and management of female urinary incontinence", Scand J Urol Nephrol, 153, pp.1~93 (1993)
  21. Ulmsten U., "An ambulatory surgical procedure under local anesthesia for treatment of female stess urinary incontinence", Int Urogynecol J, 7, pp.81~86 (1996)
  22. Ulmsten U., "A 3-year follow‐up of tension‐free vaginal tape for surgical treatment of female stress urinary incontinence", Br J obstet Gynecol, 106, pp.345~350
  23. Delorme E., "Transobturator urethral suspension: mini‐invasive procedure in the treatment of stress urinary incontinence in women", Prog Urol, 11, pp.1306~1313 (2001)
  24. Delorme E., "Transobturator urethral suspension: mini‐invasive procedure in the treatment of stress urinary incontinence in women", Prog Urol, 11, pp.1306~1313 (2001)
  25. Jarvis GJ., "Stress incontinence;Urodynamics: Principles, Practice and Application", pp.299~326 (1994), Churchill livingstone
  26. 강정표, "Mesh와 Taker를 이용한 복막외 복강경하 Burch술식과 개복하 Burch술식의 비교", 대한비뇨회지, 42, pp.141~145 (2002)
  27. Alcalay M., "Burch colposuspension: A 10- to 20-year follow-up", Br J Obstet Gynecol, 102, pp.740~745 (1995)
  28. Drouin J., "Burch colposuspension", long‐term results and review of published
  29. Goebel R., "Zur operativen beseitgung der angeborenen incontinentia vesicae", Dtsch Gynakol Urol, 2, pp.187~191 (1910)
  30. Price PB, "Incontinence of urine and feces", Arch Surg, 26, pp.1043~1046 (1993)
  31. Sarver R., "Pubovaginal slings: past, present and future", Int Urogynecol J, 8, pp.358~368 (1997)
  32. Walters MD., "surgical management of stress urinary incontinence", Clin Obstet Gynecol, 47, pp.93~ (2004), 103
  33. Carbon JM., "Comparative outcomes for fascial sling procedures using vaginal versus previously‐operated abdominal fascia", J Urol, 159(1251A) (1998)
  34. Carr LK., "Favorable outcome of pubovaginal slings for geriatric women with stress incontinence", J Urol, 157, pp.125~128 (1997)
  35. Chaikin DC., "Pubovaginal fascial sling for all types of stress urinary incontinence: long-term analysis", J Urol, 160, pp.1312~1316 (1998)
  36. Haab F., "Results of pubovaginal sling for the treatment of intrinsic sphincteric deficiency determined by questionnaire analysis", J Urol, 158, pp.1738~1741 (1997)
  37. Govier FE., "Pubovaginal slings using fascia lata for the treatment of intrinsic sphincter deficiency", J Urol, 157, pp.117~121 (1997)
  38. Wright EJ., "Pubovaginal sling using cadaveric allograft fascia lata for the treatment of sphincter deficiency", J Urol, (828) (1998)
  39. Iocca A., "pubovaginal slings in the treatment of recurrent female stress urinary incontinence", J Urol, 159(171A) (1998)
  40. Zaragoza MR, "Pubovaginal sling as primary treatment for type 2 stress urinary incontinence (SUI): 4-year results", J Urol, 159(1257A) (1998)
  41. 정희성, "여성 복압성요실금의 치료에서 사체공여 대퇴근막을 이용한 치골질식슬링수술과 TVT 수술의 비교", 대한비뇨기과학회지, 44(12), pp.1231~1237 (2003), 대한비뇨기과학회
  42. Dmochowski R., "Peters CA, editors, Campbell‐Walsh Urology", pp.2251~2271 (2007), Saunders
  43. Deval B., "French multicenter clinical traiil of SPARC for stress urinary incontinence", Eur Urol, 44, pp.254~259 (2003)
  44. Ulmsten U., "A multicenter study of tensionfree vaginal tape for surgical treatment of stress urinary incontinence", Int Urogynecol J Pelvic Floor Dysfunct, 9, pp.210~213 (1998)
  45. Meschia M., "Tension-free vaginal tape: analysis of outcomes and complications in 404 stress incontinent wonen", Int Urogynecol J Pelvic Floor Dysfunct, 12, pp.S24~27 (2001)
  46. Rezapour M., "Tension‐free vaginal tape (TVT) in women with recurrent stress urinary incontinence‐A long-term follow-up", Int Urogynecol J, 2, pp.S9~S11 (2001)
  47. Gordon d., "Groutz A. Tension-free vaginal tape in the elderly: is it a safe procedure?", Urology, 65, pp.479~482 (2005)
  48. 김노수, "여성 복압성요실금에 대한 Tension-free Vaginal Tape(TVT) 술식의 장기추적 결과", 대한비뇨기과학회지, 47(7), pp.729~733 (2006), 대한비뇨기과학회
  49. Abouassaly R., "Complications of tension‐ free vaginal tape surgery: a multi‐institutional review", BJU Int, 94, pp.110~113 (2004)
  50. De Leval J., "Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside‐out", Eur Urol, 44, pp.724~730 (2003)
  51. De Leval J., "Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside‐out", Eur Urol, 44, pp.724~730 (2003)
  52. deTayrac R., "vaginal tape and transobturator suburethral tape for surgical treatment of stress urinary incontinence", Am J Obstet Gynecol, 190, pp.602~608 (2004)
  53. 박준백, "여성 복압성요실금 환자에서 IRIS-TOT를 이용한 수술의 초기 경험", 대한비뇨기과학회지, 47(1), pp.26~30 (2006), 대한비뇨기과학회
  54. Minaglia S., "Bladder injury during transobturator sling", Urology, 64, pp.376~377 (2004)
  55. Martan A., "TVT SECUR System-tension- free support of the urethra in women suffering from stress urinary incontinence-technique and initial experience", Ceska Gynekol, 72, pp.42~49 (2007)
  56. Mantovani F., "ReMeEx device (External Mechanical Regulator) for incontinence: implantation and regulation procedure, complications and results at 3 years follow‐up", Arch Ital Urol Androl, 76, pp.49~50 (2004)
  57. Araco F., "Results 1 year after the Reemex system was applied for the treatment of stress urinary incontinence caused by intrinsic sphincter deficiency", Int Urogynecol J Pelvic Floor Dysfunct (2007)

관련 논문AI추천

여성 비뇨기과학의 발전: 복압성 요실금 및 골반 장기 탈출증박양일대한배뇨장애요실금학회 · International Neurourology Journal2006 · 제10권 제2호여성 복압성요실금 환자에서 수술적 치료 후 발생한 배뇨장애의 치료길건, 김용웅, 김홍식, 나용길, 설종구, 소성민, 신주현, 육승모, 임재성, 한동석대한배뇨장애요실금학회 · International Neurourology Journal2005 · 제9권 제1호성인여성의 요실금과 삶의 질공경애, 김희진, 서희선, 심경원, 이상화, 이해정, 이홍수대한가정의학회 · Korean Journal of Family Medicine2003 · 제24권 제8호방광용량 및 유순도와 복압성요실금 지표들과의 상관관계김종구, 이건철, 조인래대한배뇨장애요실금학회 · International Neurourology Journal2005 · 제9권 제2호여성 요실금최종보대한가정의학회 · Korean Journal of Family Medicine2010 · 제31권 제9호여성 복압성 요실금에서 술식에 따른 치료 성적 및 합병증 비교박철희, 장혁수, 정원호대한배뇨장애요실금학회 · International Neurourology Journal2007 · 제11권 제2호

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