지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 124 - 128 (5page)
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초록· 키워드
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Purpose: We evaluated the long-term outcome of a readjustable midurethral sling system(Remeex) in the treatment of recurrence of stress urinary incontinence (SUI) aftersurgical treatment or SUI with intrinsic sphincter deficiency (ISD).
Materials and Methods: This study included 19 patients who underwent the Remeexprocedure with a mean of 45.6 months of follow-up. The patients had responded to atelephone questionnaire. Thirteen patients had ISD, four patients had SUI recurrence,and two patients had both. The questionnaire included subjective cure and satisfactionsurveys and also recommended surgery to some patients.
Results: The mean patient age was 69.1 years (range, 50–85 years), the mean paritywas 2.79 times (range, 2–5 times), and the mean follow-up period was 45.6 months(range, 21–72 months). The long-term follow-up cure rate was 79%, the improvementrate was 21%, and the fail rate was 0%. The long-term follow-up “very satisfactory” ratewas 26.3%, the “satisfactory” rate was 73.7%, and the “usual” and “unsatisfactory” rateswere both 0%. In addition to these results, 16 patients (84.2%) would recommend theRemeex procedure to other patients with SUI recurrence or ISD. After the procedure,four patients had urinary retention, three patients had difficulty emptying, and onepatient had SUI recurrence. Furthermore, all of the patients subsequently enduredsling readjustments.
Conclusions: After long-term follow-up, the Remeex system showed good cure rates andsubjective satisfaction rates that were similar to the results found at the 1-year follow-up, and minimal complications were reported. Therefore, the Remeex system iseffective in treating patients with SUI recurrence or ISD.
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참고문헌 (27)
참고문헌 신청
Abrams P / 2002 / The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society / Neurourol Urodyn 21:167~178
Paick JS / 2004 / Tension-free vaginal tape procedure for urinary incontinence with low Valsalva leak point pressure / J Urol 172(4 Pt 1):1370~1373
Lee KS / 2008 / The long term (5-years) objective TVT success rate does not depend on predictive factors at multivariate analysis: a multicentre retrospective study / Eur Urol 53:176~182
Schierlitz L / 2012 / Three-year follow-up of tension-free vaginal tape compared with transobturator tape in women with stress urinary incontinence and intrinsic sphincter deficiency / Obstet Gynecol 119(2 Pt 1):321~327
Costantini E / 2008 / Preoperative Valsalva leak point pressure may not predict outcome of mid-urethral slings. Analysis from a randomized controlled trial of retropubic versus transobturator mid-urethral slings / Int Braz J Urol 34:73~81
Paick JS / 2004 / Tension-free vaginal tape procedure for urinary incontinence with low Valsalva leak point pressure / J Urol 172(4 Pt 1):1370~1373
Lee KS / 2008 / The long term (5-years) objective TVT success rate does not depend on predictive factors at multivariate analysis: a multicentre retrospective study / Eur Urol 53:176~182
Schierlitz L / 2012 / Three-year follow-up of tension-free vaginal tape compared with transobturator tape in women with stress urinary incontinence and intrinsic sphincter deficiency / Obstet Gynecol 119(2 Pt 1):321~327
Costantini E / 2008 / Preoperative Valsalva leak point pressure may not predict outcome of mid-urethral slings. Analysis from a randomized controlled trial of retropubic versus transobturator mid-urethral slings / Int Braz J Urol 34:73~81
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