Ahmet KARAKEÇİ, Necip PİRİNÇÇİ, Fatih FIRDOLAŞ

Stres Üriner İnkontinans Tedavisinde Tek İnsizyon Midüretral Sling Yönteminin Klinik Etkinliği

Amaç: Bu çalışmada amacımız stres üriner inkontinans nedeni ile tek insizyon midüretral sling operasyonu uyguladığımız hastalarda ameliyat sonrası cerrahi sonuçları, komplikasyonları ve hasta memnuniyetini değerlendirmektir. Gereç ve Yöntem: 2012-2016 yılları arasında tek insizyon midüretral sling cerrahisi uygulanan 25 hastanın verileri retrospektif olarak incelenedi. Hastalar demografik veriler, işlem sonuçları, memnuniyet oranları, intraoperatif ve erken postoperatif (idrar retansiyonu, vajinal erozyon, disparoni, enfeksiyon) komplikasyonlar açısından değerlendirildi. Bulgular: Ortalama operasyon süresi 12.1 dakika olarak bulunudu. Stres üriner inkontinanslı hastaların %96’sı tamamen veya büyük oranda düzelir- ken, hastalarımızın %92’si bu işlemden memnun kaldıklarını bildirdi. Operasyon sonrası, 4 hastada kasık ağrısı tespit edilirken 1 hastada işeme güç- lüğü tespit edildi. Sonuç: Kısa dönem sonuçları itibari tek insizyon midüretral sling yönteminin, stres üriner inkontinansın cerrahi tedavisinde yüksek başarı ve düşük komplikasyon oranları tercih edilebilir bir yöntem olduğunu düşünmekteyiz.

The Clinical Efficacy of Single Incision of Midurethral Slings in Treatment of Stress Urinary Incontinence

Objective: In this study we aim to investigate the postoperative surgical outcomes, complications and patient satisfaction with the single incision of midurethral sling procedure in patients with stress urinary incontinence. Material and Method: Data of 25 patients who received single incision of midurethral sling surgery between 2012 and 2016 were evaluated retros- pectively. Patients were evaluated for demographic data, procedure results, satisfaction rates as well as intraoperative and early postoperative (urinary retention, vaginal erosion, dyspareunia, infection, abnormal discharge) complications. Results: The mean operation time was recorded as 12.1 minutes. While 96% of patients with stress urinary incontinence improved completely or cured, 92% of our patients reported that they were satisfied with this procedure. Postoperatively, 4 patients had groin pain and one patient had diffi- culty in voiding. Conclusion: As short-term results, we think that single incision midurethral sling method is a preferable method in the surgical treatment of stress urinary incontinence with high success rates and low complication rat

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