Kadınlarda transobturator vajinal teyp uygulaması: Kliniğimize ait ilk veriler

Stres üriner inkontinans tedavisinde transobturator teyp uygulaması ile ilgili deneyimlerimizi ve kısa dönem sonuçlarımızı paylaşmayı amaçladık. Karabük Devlet Hastanesi’ne Şubat 2008-Haziran 2009 tarihleri arasında stres üriner inkontinans nedeniyle başvuran ve transobturator teyp uygulanan 21 olgu retrospektif olarak değerlendirildi. Transobturator teyp uygulaması, dışarıdan içeriye olacak şekilde I-Stop kiti ile uygulandı. Olguların demografik özellikleri, muayene bulguları, öksürük stres testi, ameliyat verileri, post operatif komplikasyonlar ve yaşam kalite anket sonuçları kaydedildi. Ortalama yaşı 51,4±7,7 yıl olan 21 hasta değerlendirildi. Ortalama ameliyat süresi 19,8±4,3 dakika, hastanede kalma süresi 1,38±0,95 gün olarak saptandı. Olguların 6’sında (%28,5) komplikasyon görüldü. Majör kompli-kasyon olarak 1 olguda (%4,76) mesane perforasyonu görüldü. 3 olguda (%14,2) bacak/kasık ağrısı, 1 olguda (%4,76) idrar yolu enfeksiyonu, 1 olguda (%4,76) da de novo urgency gelişti. Ortalama takip süresi 8,5±5,7 ay idi. Objektif kür oranı %90,5 olarak bulundu. Kontroller sonunda, yaşam kalite değerlendirmesinde ameliyat öncesine göre istatistiksel olarak anlamlı düzelme saptandı (p

Transobturator vaginal tape procedure in women: First data of our clinic

In this study we aimed to share our experience about transobturator tape procedure in the treatment of stress incontinence and its short term results. Twenty one patients referred to Karabuk District Hospital between February 2008 and June 2009 with the complaint of urinary incontinence who underwent transobturator tape procedure were investigated retrospectively. Transobturator tape procedure was performed by using I-Stop kit from &#8216;outside-in&#8217; approach. Demographic features, physical examination findings, cough stress test, intra-operative data, postoperative complications and the results of quality of life inventory were investigated. Mean age of the patients was 51.4±7.7 years. Mean duration of the surgery was 19.8±4.3 minutes and mean duration of hospitalization was 1.38±0.95 days. Out of 21 patients 6 (28,5%) had complications. Major complication was rupture of the urinary bladder in 1 patient (4.76%). Three patients (14.2%) had radicular/ groin pain, 1 patient (4.76%) had urinary infection and 1 patient (4.76%) developed de novo urgency posteoperatively. Mean duration of follow up of these patients was 8.5±5.7 months. Among 21 patients rate of objective cure was 90.5%. At the end of the followup period, there was a statistically significant improvement in the quality of life scores compared to the preoperative scores (p<0,0001). Transobturator tape procedure is a succesfull and reliable surgical procedure with low complication rate and helps to increase the quality of life.

Kaynakça

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