Stres İnkontinans tedavisinde trans obturator bant operasyonunun etkinliğinin değerlendirilmesi

Amaç: Bu çalışmada, stres inkontinans tedavisinde transobturator bant operasyonunun etkinliğini değerlendirmeyi amaçladık. Yöntemler: 1 Ocak 2017-31 Aralık 2020 tarihleri arasında İstanbul Kanuni Sultan Süleyman Eğitim ve Araştırma Hastanesi'nde stres üriner inkontinans nedeniyle TOT ameliyatı olan 454 hasta retrospektif olarak değerlendirildi. Katılımcıların temel klinik özellikleri kaydedildi. Operasyonun klinik değerlendirmesi perioperatif ve 6 ay sonra günlük ped sayısı, Q-tipi test ve idrar retansiyonu değerleri, ürogenital bozukluk envanteri-6 puanları ve inkontinans sorgulama formu ile yapıldı. Çalışmanın veri analizi SPSS versiyon 24.0 paket programı ile yapılmıştır. Normallik analizi için Kolmogorov-Smirnov testi kullanıldı. Ameliyat öncesi ve sonrası verilerin karşılaştırılmasında Wilcoxon testi kullanıldı. P değeri 0.05'in altında olduğunda istatistiksel olarak anlamlı kabul edildi. Bulgular: Çalışma yaş ortalaması 50.3±10 yıl olan 26-83 yaş arası 454 hasta üzerinde yapıldı. Genel komplikasyon oranı 15.9 idi. Ameliyattan altı ay sonra iyileşenlerin oranı %89,6 idi. Ameliyattan sonra günlük ped sayısı, Q-tip testi ve idrar retansiyonu değerleri ve anket puanları önemli ölçüde azaldı (p=0,001). Sonuçlar: Stres inkontinans tedavisinde TOT operasyonu kabul edilebilir başarı ve sonuçlarla tercih edilebilir. Anket ölçekleri, SUI için cerrahi etkinlik ile hasta memnuniyetini başarılı bir şekilde belirler.

Anahtar Kelimeler:

Stres üriner inkontinans, , transobturator bant operasyonu, ürogenital bozukluk envanteri-6, , inkontinans sorgulamasının etkisi

Evaluation of the effectiveness of transobturator tape operation in the treatment of stress incontinence

Abstract Background/Aims:: In this study, In this study, we aimed to assess the effectiveness of Transobturator Tape Operation in the treatment of Stress İncontinence Methods: We retrospectively evaluated 454 patients who had TOT operations due to stress urinary incontinence between January 1, 2017, and December 31, 2020, at the İstanbul Kanuni Traning and Research Hospital. The basic clinical characteristics of the participants were recorded. The number of daily peds, values of Q-type test and urinary retention, and scores of urogenital disorder inventory-6 and impact of incontinence inquiry form at the clinical evaluation perioperatively and 6 months after the operation. Data analysis of the study was done with the SPSS version 24.0 package program. Kolmogorov-Smirnov test was used for normality analysis. Wilcoxon test was used for the comparisons of preop and postop data. It was considered statistically significant when the P value was below 0.05 Results: The study was conducted on 454 patients aged 26-83 years with a mean age of 50.3±10 years. The overall complication rate was 15.9. The rate of those who recovered six months after the operation was 89.6%. The number of daily peds, values of Q-tip test and urinary retention, and scores of questionnaires were significantly reduced after surgery (p=0.001). Conclusions: The TOT operation can be preferred in treating stress incontinence with acceptable success and outcome. The scales of questionnaires successfully determine patient satisfaction with surgical efficacy for SUI.

Keywords:

: Stress urinary incontinence, transobturator tape operation, urogenital disorder inventory-6, the impact of incontinence inquiry,

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