Gökmen Sukgen, Adem Altunkol, Gültekin Köse, Ertuğrul Can Tüfekçi

Stres üriner inkontinans tedavisinde transobturator tape ile gerilimsiz vajinal tapenin karşılaştırılması

Amaç: Stres üriner inkontinans tedavisinde gerilimsiz vajinal tape ve transobturator tape uygulamasının etkinliği, güvenliği ve her iki yöntemin hayat kalitesini karşılaştırmayı amaçladık.Gereç ve Yöntem: Nisan 2006 ile Nisan 2008 tarihleri arasında stres üriner inkontinans nedeniyle transobturator tape uygulanan 45 hasta ile gerilimsiz vaginal tape uygulanmış 33 hastanın verileri karşılaştırıldı. Demografik özellikleri, başarı oranı, kısa dönemdeki komplikasyonlar ve operasyonun semptomlar ve yaşam kalitesi üzerine etkileri değerlendirildi.Bulgular: Total 78 hastanın ortalama yaşı 48.77±4.78 (34-79) olarak hesaplandı. Transobturator tape yapılan hastaların ortalama operasyon süresi sırasıyla 12.89±4.09 dakika idi. Gerilimsiz vaginal tape yapılan hastaların ortalama operasyon süresi 30.21±2.89 dakika idi. Ortalama operasyon süresi gerilimsiz vaginal tape yapılan gurpta istatistiksel olarak daha yüksekti. Urogenital distress inventory-6 anketinin analizinde her iki grubun kendi içinde postoperatif dönemde anlamlı derecede düzelme olduğu tespit edildi.Sonuç: Her iki prosedür güvenli ve etkili metodlardır. Aynı zamanda hayat kaliteleri üzerine istatistiksel olarak anlamlı derecede düzelmeler yaptığını tespit ettik. Yine de stres üriner inkontinansın tedavi modalitelerinin etkinliğini değerlendirmek için randomize kontrollü ve daha uzun takip süreleri olan çalışmalara ihtiyaç vardır.

Anahtar Kelimeler:

Üriner İnkontinans, Stres, Transobturator Tape

Comparison of transobturator tape and tension-free vaginal tape procedure for the treatment of stress urinary incontinence

Purpose: we aimed to compare the safety, efficacy and effect on life of quality of the transobturator tape to tension-free vaginal tape (TVT) in the treatment of patients with stress urinary incontinence.Material and Methods: The medical data of 45 patients who had undergone transobturator tape and 33 patients who had undergone tension-free vaginal tape between April 2006 and April 2008 were compared. The demographic characteristics, success rate, complications in the short term and the effects of the operation on the symptoms and quality of life were evaluated.Results: A total of 78 women with an average age of 48.77±4.78 (34-79) had been enrolled in this study. The average duration of transobturator tape operation was 12.89±4.09 minutes. The average duration of tension-free vaginal tape operation was 30.21±2.89 minutes. The average duration of operation was significantly longer in tension-free vaginal tape group. The analysis of responses to urogenital dstress inventory-6 questionnaire revealed that both surgical techniques provided significant improvement in quality of life for patients with stres urinary incontinence. Conclusion: Both procedures are safe and effective methods. At the same time, we found statistically significant improvements on quality of life. However, there is a need to evaluate the efficacy of treatment modalities for stress-induced urinary incontinence with randomized controlled and longer follow-up periods.

Keywords:

Urinary incontinence, stress, transobturator tape,

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