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
- 2021.6
- 수록면
- 111 - 118 (8page)
- DOI
- 10.5213/inj.2040278.139
이용수
초록· 키워드
오류제보하기
Currently, the midurethral sling (MUS) is widely used as a standard treatment in patients with stress urinary incontinence (SUI). Several studies have reported the failure rate of MUS to be approximately 5%?20%. In general, sling failure can be defined as persistent SUI after surgery or a temporary improvement in incontinence followed by recurrence. Failure is also often considered to include cases requiring secondary surgery due to mesh exposure, postoperative voiding difficulty, de novo urgency/ urge incontinence, and severe postoperative pain. Because of the lack of large-scale, high-quality research on this topic, no clear guidelines exist for second-line management. To date, transurethral bulking agent injections, tape shortening, repeat MUS, pubovaginal sling (PVS) using autologous fascia, and Burch colposuspension are available options for second-line surgery.
Repeat MUS is the most widely used second-line surgical method at present. Bulking agent injections have lower durability and efficacy than other treatments. Tape shortening demonstrates a relatively low success rate, but comparable outcomes if the period from first treatment to relapse is short. In patients with intrinsic sphincter deficiency, PVS and retropubic (RP) MUS can be considered first as second-line management because of their higher success rate than other treatments. When revision or reoperation is required due to prior mesh-related complications, PVS or colposuspension, which is performed without a synthetic mesh, is appropriate for second-line surgery. For patients with detrusor underactivity, a readjustable sling can be a better option because of the high risk of postoperative voiding dysfunction in PVS or RP slings.
목차
등록된 정보가 없습니다.
참고문헌 (70)
참고문헌 신청
Wu JM / 2014 / Lifetime risk of stress urinary incontinence or pelvic organ prolapse surgery / Obstet Gynecol 123:1201~1206
최진봉 / 2018 / Efficacy and Safety of Incontinence Surgery According to the Surgeon’s Specialty and Performance of a Preoperative Urodynamic Study / International Neurourology Journal 22(4):305~312
김아람 / 2020 / Current Overview of Surgical Options for Female Stress Urinary Incontinence / International Neurourology Journal 24(3):222~230
Leach GE / 1997 / Female Stress Urinary Incontinence Clinical Guidelines Panel summary report on surgical management of female stress urinary incontinence / J Urol 158(3 Pt 1):875~880
Ford AA / 2017 / Mid-urethral sling operations for stress urinary incontinence in women / Cochrane Database Syst Rev 7
최진봉 / 2018 / Efficacy and Safety of Incontinence Surgery According to the Surgeon’s Specialty and Performance of a Preoperative Urodynamic Study / International Neurourology Journal 22(4):305~312
김아람 / 2020 / Current Overview of Surgical Options for Female Stress Urinary Incontinence / International Neurourology Journal 24(3):222~230
Leach GE / 1997 / Female Stress Urinary Incontinence Clinical Guidelines Panel summary report on surgical management of female stress urinary incontinence / J Urol 158(3 Pt 1):875~880
Ford AA / 2017 / Mid-urethral sling operations for stress urinary incontinence in women / Cochrane Database Syst Rev 7
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