Transobturator tape ile tedavi edilen kadın stres inkontinansın tedavisinin ameliyat sonuçları
Amaç: Transobturator tape prosedürünün ameliyat sonuçları belirlemek ve bu işlemin etkinliğini analiz etmek.Gereç ve Yöntem: Bu prospektif çalışmaya, stress inkontinans tanısı ile Gülhane Eğitim ve Araştırma Hastanesi’nde transobturator tape ameliyatı yapılan 47 kadın dahil edildi. Hasta gruplarının, perioperatif sonuçları (ameliyat süresi, hematokrit (HTC) düzeylerindeki değişiklikler, ameliyat sonrası komplikasyonlar, rezidüel idrar hacmi değişiklikleri, hastanede kalış süresi) açısından karşılaştırıldı.Bulgular: Transobturator tape operasyonu yapılan 47 hastadan, 46 (97.9%) ‘sının mid-üretral slingleri başarılı oldu. Bir (2.1%) hastanın stress inkontinansı operasyona rağmen devam etti. 47 hastadan ikisinin (4,2%) operasyon öncesi rezidü üriner volume 60 ml, diğerlerinin ise 50 ml’ nin altında idi. Operasyon sonrası altıncı haftada yapılan ölçümlerde ise bütün hastaların rezidü üriner volümleri 50 ml’ nin altında saptandı. Operasyon öncesi ve sonrası rezidü idrar volümlerinde istatistiksel olarak anlamlı farklılıklar izlendi. Çalışmamızda komplikasyon gözlenmedi.Sonuç: Transobturator tape; iyi sonuçları ve düşük intra-/ post- operatif komplikasyon oranları ile uygulanabilirliği kolay cerrahi yöntemdir.
Perioperative outcomes of female stress urinary incontinence treated with transobturator tape
Purpose: To identify peri-operative clinical outcomes of transobturator tape procedure and also to analyze the effectiveness of this procedure.Materials and Methods: In this prospective study, 47 women with stress urinary incontinence underwent transobturator tape procedure at Gulhane Education and Research Hospital. Patients’ groups were compared in terms of their peri-operative outcomes (duration, changes of hematocrit (HTC) levels, post-operative complications, residual urine volume changes, hospital stay).Results: Out of 47 patients underwent transobturator tape procedure, 46 (97.9%) mid-urethral slings were successful and the rest one (2.1%) had persistence of stress urinary incontinence after the procedure. In two patients out of 47, pre-operative residual urine volume was 60 ml and the others’ residual urine volume was <50 ml; post-operative residual urine volume was <50 ml in all of the patients at the sixth post-operative week. There was a significant statistically difference between pre-operative and post-operative residual urine volumes. There was no complication in our study.Conclusion: Transobturator tape seems to be a feasible surgical procedure with good relief symptoms and lower intra- / post-operative complications.
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