H. Rıza AYDIN, Hasan TURGUT, MURAT BAĞCIOĞLU

Stress üriner inkontinans olan bayan hastalarda dıştan içe yöntemiyle transobturator teyp tekniği

Amaç: Stres üriner inkontinans tedavisinde kullanılan transobturator teyp TOT uygulaması ile ilgili deneyimlerimizi ve kısa dönem sonuçlarımızı paylaşmayı amaçladık.Gereç ve Yöntemler: Kliniğimize Temmuz 2011-Eylül 2013 tarihleri arasında stres üriner inkontinans SÜİ nedeniyle başvuran ve TOT uygulanan 58 hasta retrospektif olarak değerlendirildi. TOT, dışarıdan içeriye olacak şekilde I-Stop kiti ile uygulandı. Olguların demografik özellikleri, muayene bulguları, öksürük stres testi, ameliyat verileri, postoperatif komplikasyonlar ve yaşam kalite anket sonuçları kaydedildi.Bulgular: Ortalama yaşları 37-70 yıl arasında değişen toplam 58 hasta çalışmaya alındı. Ortalama ameliyat süresi 30,3±7,4 dakika, hastanede kalma süresi 2,06±1gün olarak saptandı. Olguların 8’inde %13,7 komplikasyon görüldü. Majör komplikasyon olarak 1 olguda %1,7 mesane perforasyonu görüldü. 2 olguda %3,4 bacak/kasık ağrısı, 2 olguda %3,4 idrar yolu enfeksiyonu, 3 olguda %5,1 da denovo urgency gelişti. Ortalama takip süresi 6,2±3,4 ay idi. Objektif kür oranı %86,2 olarak bulundu. Kontroller sonunda, yaşam kalite değerlendirmesinde ameliyat öncesine göre istatistiksel olarak anlamlı düzelme saptandı p

Anahtar Kelimeler:

stres inkontinans, transobturatortape, stres teyp

Transobturator tape “outside-in” technique in surgical treatment of female stress urinary incontinence

Objective: We aimed to share our experience and short-term outcomes related to transobturator tape TOT application in treatment of stress urinary incontinence.Materials and Methods: In this study, 58 patients who applied to our clinic between July 2011-September 2013 due to stress urinary incontinence SUI and who underwent operation for TOT were evaluated retrospectively. TOT were placed outside-in with I-STOP kit. Demographical properties, examination findings, cough stress test results, operation data, postoperative complications and life quality survey scores were recorded in each case.Results: Totally 58 patients were included in the study. Their age varied between 37-70 years. Mean operation time was 30.3±7.4 minutes, mean hospital stay was 2.06±1 days. Eight 13.7% patients had complications. As a major complication, 1 patient 1.7% had bladder perforation. Two 3.4% patients developed leg/groin pain, 2 3.4% patients developed urinary tract infection and 3 5.1% patients developed de novo urgency. Mean follow-up time was 6.2±3.4 months. Objective cure rate was calculated as 86.2%. At the end of controls, according to evaluations of life quality assessment survey results, statistically significant improvement was found compared to preoperative period p

Keywords:

stress urinary incontinence, transobturator tape, stress test,

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