Mehmet YÜCEL, Soner YALÇINKAYA, Uğur SARAÇOĞLU, Namık Kemal HATİPOĞLU, Cengiz ATAKANLI, Galip DEDEKARGINOĞLU, BEKİR ARAS

Stres Üriner İnkontinans Tedavisinde Transvajinal Tape (TVT) ve Fasyal Sling Yöntemlerinin Uzun Dönem Sonuçlarının Karşılaştırılması

Amaç: İdrar inontinans tedavisinde uygulanan fasyal sling ve transvaginal tape (TVT) operasyonlarının sonuçlarını karşılaştırmaktır. Gereç ve Yöntem: Çalışmaya Mayıs 2002- Temmuz 2008 tarihleri arasında inkontinansları fasyal sling ve TVT ile tedavi edilen 113 kadın hasta dahil edildi. Postoperatif ped kullanmama ve tam kuruluk hali başarı olarak kabul edildi. Ped sayısında %50 azalma kısmi başarı, ped sayısında %50’den az azalma başarısızlık olarak kabul edildi. İstatistiksel analizde student t test ve ki-kare testi kullanıldı ve SPSS®18.0 paket programı ile yapıldı. p0.05). Başarı oranları TVT grubunda %96 ve fasyal sling grubunda %77 olarak saptandı (p0.005) ve majör komplikasyon izlenmedi. Takip süresince hiçbir hastada teyp erozyonu saptanmadı. Sonuç: TVT, fasyal sling operasyonlarına göre daha kısa sürede yapılması, daha az kanamaya yol açması, hastanede kalış süresini kısaltması ve yüksek başarı oranı ile tercih sebebi olabilir

Anahtar Kelimeler:

Stres üriner inkontinans; gergisiz vajinal teyp; fasyal sling

Stres Üriner İnkontinans Tedavisinde Transvajinal Tape (TVT) ve Fasyal Sling Yöntemlerinin Uzun Dönem Sonuçlarının Karşılaştırılması

Objective: To compare the long term results of the Tension free Vaginal Tape (TVT) and fascial sling in treatment with stress urinary incontinence. Material and Methods: A total of 113 patients treated with Tension free vaginal tape (TVT) and fascial sling between May 2002 and July 2008 were included into the study. Complete dryness was accepted as success, 50% reduction in pad number was evaluated as partial success, and reduction less than 50% in number of pad was evaluated as failure. Statistical analysis was performed using SPSS®18.0 for Windows with the student t test for parametric variables, and the chi-square test for categorical variables. Statistical significance was considered at p0.05). Success ratio was detected as 96% in TVT group and 77% in fascial sling group p0.05) and major complication was not detected in both groups. Tape erosion was not detected in follow-up period. Conclusion: TVT is superior to fascial sling with less operation time, less bleeding and short hospital stay, and preferable with high success rate

Keywords:

Stress urinary incontinence; tension free vaginal tape; fascial sling,

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