Mehmet Sühha BOSTANCI, Mustafa ALBAYRAK, Selçuk ÖZDEN

Komplike Olmayan Stres Üriner İnkontinans Tedavisinde Cerrahi Yaklaşımlar

Kadınlarda stres üriner inkontinans (SÜİ) yaygındır ve yaşam kalitesine önemli ölçüde olumsuz etkisi vardır. Yaşam tarzı değişiklikleri, fizik tedavi, planlı işeme rejimler gibi konservatif tedavi stratejileri başarısız olduğu zaman cerrahi standart yaklaşımdır. 1900 lerin başında tanımlanan ve uygulamaya başlayan invaziv cerrahi girişimlerden günümüzde uygulanmaya başlayan minimal invaziv sling operasyonlara kadar birçok yöntem denenmiştir. Midüretral sling güvenli oluşu, kolay uygulanması ve uzun dönem sonuçlarının diğer yöntemler kadar başarılı olması nedeniyle günümüzde en sık kullanılan yöntemdir. Farklı cerrahi işlemler tanımlanmış olmasına karşın, en uygun tekniği henüz mevcut görünmemektedir.

Anahtar Kelimeler:

Stres Üriner İnkontinans, Burch kolposüspansiyon, midüretral sling

Surgical Approaches To Treatment Of Non-Complicated Stress Urinary Incontinence

Female stress urinary incontinence (SUI) is common and has a significantly negative impact on quality of life. When conservative management strategies such as lifestyle changes, physical therapies, scheduled voiding regimes fail, then surgery is the standard approach. As defined and started to practice invasive surgical procedures at the beginning of 1900, minimally invasive sling operations started to be implemented until today, many methods have been tried. Midurethral sling for its safe, easy application and long-term results to be as successful as other methods, is most commonly used nowadays. Although different surgical procedures have been described, the optimal technique does not yet seem to exist.

Keywords:

Stress urinary incontinence, Burch colposuspension, Midurethral sling,

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Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, Monga A, Petri E, Rizk DE, Sand PK, Schaer GN An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction.Neurourol Urodyn. 2010;29(1):4-20.
Botlero R, Urquhart DM, Davis SR, Bell RJ. Prevalence and incidence of urinary incontinence in women: review of the literature and investigation of methodological issues. Int J Urol. 2008; 15:230-4.
DeLancey JO. Structural support of the urethra as it relates to stress urinary incontinence: the hammock hypothesis. Am J Obstet Gynecol. 1994;170: 1713-20.
Petros PE, Ulmsten UI. An integral theory and its method for the diagnosis and management of female urinary incontinence. Scand J Urol Nephrol Suppl. 1993;153: 1-93.
Kelly HA.Incontinence of urine in women.Urol Cutan Rev 1913; 17: 291-3.
Glazener CM, Cooper K. Anterior vaginal repair for urinary incontinence in women. Cochrane Database Syst Rev 2001:CD001755.
Bergman A, Ballard CA, Koonings PP. Comparison of three different surgicalprocedures for genuine stress incontinence: prospective randomized study. Am J Obstet Gynecol. 1989; 160:1102-6.
Marshall VF, Marchetti AA, Krantz KE. The correction of stress incontinence by simple vesicourethral suspension. Surg Gynecol Obstet. 1949 ;88:509- 18.
McDuffie RW Jr, Litin RB, Blundon KE. Urethrovesical suspension (Marshall- Marchetti-Krantz). Experience with 204 cases. Am J Surg. 1981;141:297-8.
Burch JC. Urethrovaginal fixation to Cooper’s ligament for correction of stress incontinence, cystocele, and prolapse. Am J Obstet Gynecol. 1961;81:281-90.
Tanagho EA. Colpocystourethropexy: the way we do it. J Urol. 1976 ;116:751-3.
Lapitan MC, Cody JD, Grant A. Open retropubic colposuspension for urinary incontinence in women. Cochrane Database Syst Rev 2009 Oct 7;(4):CD002912.
Vancaillie TG, Schuessler W. Laparoscopic bladder neck suspension. J Laparoendosc Surg. 1991;1:169-73.
Dean N, Ellis G, Wilson D, et al. Laparoscopic colposuspension for urinary incontinence in women. Cochrane Database Syst Rev 2006 Jul 19;(3):CD002239.
O’Reilly K,Kobashi K.Vaginal sling surgery:overview,history and sling material. In: Vasavada S,Appell R,Sand P,Raz S,editors.Female urology,urogynaecology and voiding dysfunction.Taylor&Francis Group LCC;2005.
Goebel R.Zur operativen beseitigung der angebornen incontinentia vesicae. Zeitschr Gynacol 1910;2:187-91.
Price P.Plastic operations for incontinence of urine and feces.Arch Surg 1933;26: 1043-8.
Aldridge AH.Transplantation of fascia for the relief of urinary incontinence. Am J Obstet Gynecol 1942;44: 398-411.
Rehman H, Bezerra CCB, Bruschini H, et al. Traditional suburethral sling operations for urinary incontinence in women. Cochrane Database Syst Rev 2011 Jan 19;(1):CD001754
Goldberg RP, Tchetgen MB, Sand PK, Koduri S, Rackley R, Appell R, Culligan PJ. Incidence of pubic osteomyelitis after bladder neck suspension using bone anchors. Urology. 2004 ; 63:704-8
Ulmsten U, Petros P. Intravaginalslingplasty (IVS): an ambulatory surgical procedure for treatment of female urinary incontinence. Scand J UrolNephrol. 1995; 29:75-82.
Serati M, Ghezzi F, Cattoni E, Braga A, Siesto G, Torella M, Cromi A, Vitobello D, Salvatore S. Tension-free vaginal tape for the treatment of urodynamics tress incontinence: efficacy and adverse effects at 10-year follow-up. EurUrol. 2012 ;61:939-46
Nilsson CG, Palva K, Rezapour M, Falconer C. Eleven years prospective follow-up of the tension-free vaginal tape procedure for treatment of stres surinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2008 ; 19:1043-7.
Adile B, Granese R, Lo Bue A, et al. A prospective randomized study comparing laparoscopic Burch versus TVT. Short and long term follow-up. Proceedings of the International Continence Society, 33rd Annual Meeting, Florence, Italy, 5th-9th October 2003. Neurourol Urodyn 2003;22(5):357- 548, abstract 550.
Bai SW, Sohn WH, Chung DJ, et al. Comparison of the efficacy of Burch colposuspension,pubovaginal sling, and tension-free vaginal tape for stress urinary incontinence. Int J Gynaecol Obstet 2005 Dec;91(3):246-51.
Drahoradova PI, Masata JI, Martan AI, et al. Comparative development of quality of life between TVT and Burch colposuspension. Joint Meeting of the International Continence Society and the International UroGynecological Association, 34rd Annual Meeting, Paris, France, 25th-27th August 2004. Neurourol Urodyn 2004;23(5/6):387-616, abstract no. 278.
Foote AJ, Maughan V, Carne C. Laparoscopic colposuspension versus vaginal suburethral slingplasty: a randomised prospective trial. Aust N Z J Obstet Gynaecol 2006 Dec;46(6):517-20.
Jelovsek JE, Barber MD, Karram MM, et al. Randomised trial of laparoscopic Burch colposuspension versus tension-free vaginal tape: long-term follow up. BJOG 2008 Jan;115(2):219-25; discussion 225.
Tellez Martinez-Fonres M, Fernandez Perez C, Fouz Lopez C, et al. A three year follow-up of a prospective open randomized trial to compare tension- free vaginal tape with Burch colposuspension for treatment of female stress urinary incontinence. Actas Urol Esp 2009 Nov;33(10):1088-96.
Delorme E. Transobturatorurethralsuspension: mini-invasiveprocedure in thetreatment of stressurinaryincontinence in women. ProgUrol. 2001; 11:1306-13.
de Leval J. Novel surgical technique for the treatment of female stres urinary incontinence: transobturator vaginal tape inside-out. EurUrol. 2003 ;44:724-30
Whiteside JL, Walters MD. Anatomy of the obturator region: relations to a transobturator sling. Int Urogynecol J PelvicFloorDysfunct. 2004;15: 223-6.
Lucas MG, Bosch RJ, Burkhard FC, et al. EAU guidelines on surgical treatment of urinary incontinence. Eur Urol 2012 Dec; 62(6):1118-29.
Krauth JS, Rasoamiaramanana H, Barletta H, Barrier PY, Grisard-Anaf M, Lienhart J, Mermet J, Vautherin R, Frobert JL. Sub-urethraltapetreatment of female urinary incontinence—morbidity assessment of the trans- obturatorrouteand a newtape (I-STOP): a multi-centreexperimentinvolving 604 cases. EurUrol. 2005 ;47:102-6.
Mellier G, Benayed B, Bretones S, Pasquier J. C. Suburethral tape via the obturator route: is the TOT a simplification of the TVT? Int Urogynecol J 200415: 227–232
David-Montefiore E, Frobert JL, Grisard-Anaf M, Lienhart J, Bonnet K, Poncelet C, et al. Peri-operative complications and pain after the suburethral sling procedure for urinary stress incontinence: a French prospective randomised multicentre study comparing the retropubic and transobturator routes. Eur Urol 2006;49:133–8.
Enzelsberger H, Schalupny J, Heider R, Mayer G. TVT versus TOT – a prospective randomized study for the treatment of female stres urinary incontinence at a follow-up of 1 year. Geburtshilfe Frauenheilkd 2005;65:5(11).
Mansoor A, Vedrine N, Darcq C. Surgery of female urinary incontinence using transobturator tape (TOT): a prospective randomised comparative study with TVT. Neurourol Urodyn 2003;22:488–9
Porena M, Kocjancic E, Costantini E, Cecchetti G, Bini V, Crivellaro S, et al. Tension free vaginal tape vs transobturator tape as surgery for stress urinary incontinence: results of a multicentre randomised trial). Neurourol Urodyn 2005;24:416–8.
Ogah J, Cody JD, Rogerson L. Minimally invasive synthetic suburethral sling operations for urinary incontinence in women. Cochrane Database Syst Rev 2009 Oct 7;(4):CD006375.
Latthe PM, Singh P, Foon R, Toozs-Hobson P. Two routes of transobturator tape procedures in stress urinary incontinence: a metaanalysis with direct and indirect comparison of randomized trials. BJU Int 2010;106:68–76.
Abdel F, Ramsay I, Pringle S, Hardwick C, Tierney J, Ali HE. TOT study: a randomized prospective single blind study of two transobturator tapes in management of urodynamic stress incontinence: objective and patient reported outcomes. Int Urogynecol J 2008; 19 (Suppl. 1): S2–3
Liapis A, Bakas P, Creatsas G. Monarc vs TVT-O for the treatment of primary stress incontinence: a randomized study. Int Urogynecol J Pelvic Floor Dysfunct 2008; 19: 185–90
Stavros C, Ioannis V, Vasileios SI, Gkotsi ACh, Georgios S, Papathanasiou A, Rombis V. Comparison of TVT, TVT-O/TOT and mini slings for the treatment of female stress urinary incontinence: 30 months follow up in 531 patients. Arch Ital Urol Androl. 2012 Sep;84(3):129-36.
Petros PE, Richardson PA. Midurethral Tissue Fixation System sling -- a ‘micromethod’ for cure of stress incontinence -- preliminary report. Aust N Z J Obstet Gynaecol. 2005 ;45:372-5.
Ogah J, Cody DJ, Rogerson L. Minimally invasive synthetic suburethral sling operations for stress urinary incontinence in women: a short version Cochrane review. Neurourol Urodyn. 2011; 30: 284-91. Review
Abdel-Fattah M, Ford JA, Lim CP, Madhuvrata P. Single-incision mini-slings versus standard midurethral slings in surgical management of female stress urinary incontinence: a meta-analysis of effectiveness and complications. Eur Urol 2011;60:468–80.
Mostafa A, Lim CP, Hopper L, Madhuvrata P, Abdel-Fattah M. Singleincision mini-slings versus standard mid-urethral slings in surgical management of female stress urinary incontinence: an updated systematic review and meta- analysis of effectiveness and complications. Eur Urol. In press
Kirchin V, Page T, Keegan PE, et al. Urethral injection therapy for urinary incontinence in women. Cochrane Database Syst Rev 2012 Feb;(2):CD003881.
Daneshgari F. Surgical treatment of female stress urinary incontinence, decades learned lessons. Eur Urol 2010;58:239–41.
Novara G, Artibani W, Barber MD, et al. Updated systematic review and meta-analysis of the comparative data on colposuspensions, pubovaginal slings, and midurethral tapes in the surgical treatment of female stress urinary incontinence. Eur Urol 2010;58:218–38.
Jonsson Funk M, Siddiqui NY, Kawasaki A, Wu JM. Long-term outcomes after stress urinary incontinence surgery. Obstet Gynecol. 2012; 120:83-90
Abdel-Fattah M, Familusi A, Fielding S, Ford J, Bhattacharya S. Primary and repeat surgical treatment for female pelvic organ prolapse and incontinence in parous women in the UK: a register linkage study. BMJ Open. 2011, 14;1(2)
Fialkow M, Symons RG, Flum D. Reoperation for urinary incontinence. Am J Obstet Gynecol. 2008; 199:546.