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학술저널
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대한배뇨장애요실금학회 International Neurourology Journal International Neurourology Journal 제22권 제4호
발행연도
2018.1
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305 - 312 (8page)

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Purpose: The aim of this study was to analyze the efficacy and to estimate the complication rate of incontinence surgery according to the surgeon’s specialty and whether a preoperative urodynamic study (UDS) was performed, using a nationally representative dataset. Methods: We enrolled 356,155 women over 20 years old who had undergone surgery for stress urinary incontinence between 2006 and 2015. Patients were followed for up to 3 years to analyze the reoperation and complication rates. Data were obtained from the National Health Claims Database of the National Health Insurance Service (NHIS) of Korea. Multiple Cox regression analysis was conducted to examine the efficacy and safety of incontinence surgery according to the surgeon’s specialty and whether a preoperative UDS was performed. Results: The hazard ratio (HR) for reoperation was significantly higher for procedures performed by nonurologists than for procedures performed by urologists (HR, 1.174; 95% confidence interval [CI], 1.103–1.249). Acute urinary retention, postoperative infections, procedure-associated pain, and other complications were also more common in procedures performed by nonurologists than in those performed by urologists. When stratified by whether a preoperative UDS was performed, the HR for reoperation according to the surgeon’s specialty varied by performance of a preoperative UDS. While the reoperation rate was significantly higher in procedures performed by non-urologists when a preoperative UDS was performed (HR, 1.208; 95% CI, 1.122–1.3), there was no significant difference in the HRs for reoperation according to specialty when a preoperative UDS was not performed. Conclusions: This population-based study showed that the postoperative outcomes of incontinence surgery were dependent upon the surgeon’s specialty and that the reoperation rate according to the surgeon’s specialty varied based on whether a preoperative UDS was performed.

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참고문헌 (25)

참고문헌 신청
Haylen BT / 2010 / An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction / Neurourol Urodyn 29:4~20 google schola Choi JB / 2017 / Urinary incontinence is associated with the development of peptic ulcers in adult women: Data from the KNHANES IV / Medicine (Baltimore) 96:e8266 google schola Hu TW / 2004 / Costs of urinary incontinence and overactive bladder in the United States: a comparative study / Urology 63:461~465 google schola Opara J / 2014 / The prevalence of stress urinary incontinence in women studying nursing and related quality of life / Prz Menopauzalny 13:32~35 google schola Reynolds WS / 2011 / Epidemiology of stress urinary incontinence in women / Curr Urol Rep 12:370~376 google schola

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