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
- 2021.9
- 수록면
- 584 - 591 (8page)
- DOI
- https://doi.org/10.4111/icu.20200480
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초록· 키워드
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Purpose: To improve counseling in women at risk of refractory and/or de novo urgency urinary incontinence (UUI) following sling placement at time of prolapse repair, we created an outcome model to characterize changes in storage dysfunction.
Materials and Methods: We identified 139 women who underwent urodynamics followed by sling or no sling placement at the time of prolapse repair over a 6-year period. Our primary outcome was the presence of UUI following sling placement. Data were analyzed in SAS using chi-square, Fisher's exact, Student's t-test, and Kaplan-Meier methods.
Results: At baseline, the sling group had significantly higher subjective (62/81 [76.5%] vs. 18/58 [31.0%]; p<0.001), objective (62/81 [76.5%] vs. 6/58 [10.3%]; p<0.001), and occult (41/81 [50.6%] vs. 6/58 [10.3%]; p<0.001) stress urinary incontinence (SUI); and rates of subjective and objective UUI were similar to the no sling group prior to surgery. After surgery (mean follow-up 859 days) there was no difference with or without sling, in the rate of SUI (subjective, objective) and further SUI treatments (bulking agent, repeat sling). Higher rates of de novo (13/81 [16.0%] vs. 6/58 [10.3%]; p=0.454) and refractory (31/81 [38.3%] vs. 14/58 [24.1%]; p=0.048) UUI were noted in the sling group following surgery. On Kaplan-Meier analysis, a greater proportion of women in the no sling group did not report UUI at longest follow-up (hazard ratio 0.63; 95% confidence interval 0.37?1.06; p=0.081).
Conclusions: Women should be counseled on the risk of de novo and refractory UUI following sling placement at time of prolapse repair.
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참고문헌 (3)
참고문헌 신청
신정현 / 2019 / De novo or resolved urgency and urgency urinary incontinence after midurethral sling operations: How can we properly counsel our patients? / Investigative and Clinical Urology 60(5):373~379
Winters JC / 2012 / American Urological Association;Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction. Urodynamic studies in adults: AUA/SUFU guideline / J Urol. 188(6 Suppl):2464~2472
Craig V. Comiter / 2016 / The artificial urinary sphincter and male sling for postprostatectomy incontinence: Which patient should get which procedure? / Investigative and Clinical Urology 57(1):3~13
Winters JC / 2012 / American Urological Association;Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction. Urodynamic studies in adults: AUA/SUFU guideline / J Urol. 188(6 Suppl):2464~2472
Craig V. Comiter / 2016 / The artificial urinary sphincter and male sling for postprostatectomy incontinence: Which patient should get which procedure? / Investigative and Clinical Urology 57(1):3~13
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