여성 복압성 요실금에서 술식에 따른 치료 성적 및 합병증 비교

Abstract

Purpose: We compared the treatment results and complications between retropubic route of IVS (intravaginal sling) & SPARC (suprapubic arc) and transobturator route of TOT (transobturator tape) & TVT-O (tension-free vaginal tape-obturator). Materials and Methods: Targeting group was limited to 104 patients who were diagnosed with female stress urinary incontinence from January 2004 to July 2005. The preoperative evaluation included careful history taking, physical examination, stress and pad test. The postoperative evaluation included a questionnaire, stress test and complications. Results: The numbers of the patients with IVS, SPARC, TOT and TVT-O were 16, 18, 53, 17, respectively. The success rates (cured+improved) were 93.8 (75+18.8)%, 94.4 (83.3+11.1)%, 98.2 (92.5+5.7)%, 100 (88.2+11.8)%, respectively (p>0.05). There was no serious complication. Although urinary tract infection, supurapubic pain, inguinal pain were reported, all the complications got better with conservative therapy. Transobturator route groups took a bit shorter than retropubic route groups as the operation of IVS, SPARC, TOT, TVT-O took 31.8 minutes, 30 minutes, 20 minutes and 21.2 minutes, respectively (p<0.05). Conclusions: There were no differences in complications and the results of treatment among IVS, SPARC, TOT and TVT-O. Consequently, if all the operation methods are regarded as the proper ones, transobturator route would be preferred to retropubic route, due to shorter operation time and unnecessary for cystoscopy. (J. Korean Continence Society 2007;11:165-170) Key Words: Urinary stress incontinence, Treatment outcome, Suburethral slings