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KMID : 0877720080120010058
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Journal of Korean Continence Society
2008 Volume.12 No. 1 p.58 ~ p.63
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The Quality of Life after Tension-Free Vaginal Tape and Transobturator Vaginal Tape Inside-Out for the Surgical Treatment of Female Stress Urinary Incontinence
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Kim Sun-Ouck
Choi Hyang-Sik
Kim Jun-Seok
Joo Jae-Sang
Youn Chul-Woong
Jung Seung-Il
Kang Taek-Won
Kwon Dong-Deuk
Park Kwang-Sung
Ryu Soo-Bang
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Abstract
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Purpose: The change of quality of life following a tension-free vaginal tape (TVT) and transobturator vaginal tape (TVT-O) procedure was investigated in patients with stress urinary incontinence.
Material and Methods : We included 86 women with stress urinary incontinence who underwent the TVT or TVT-O procedure and followed up for at least 1 year. Preoperatively, the patients were evaluated with history taking, physical examination, urodynamics to determine abdominal leak point pressure (ALPP) and pre- and postoperative quality of life was evaluated by incontinence quality of life questionnaire (I-QoL). The success after operation was defined as the absence of any subjective complaint of leakage.
Results: The rate of cure of TVT and TVT-O procedure were 84%, 92% and the rate of improvement of them were 16%, 8%, respectively. Preoperative patient characteristics including uroflowmetric parameters and ALPP were comparable in the two groups. The I-QoL parameters one year after surgery were statistically significant increase in I-QoL scores in each groups. There were no serious or long-term complications related to both procedures.
Conclusion: These data suggest that the TVT and TVT-O procedure are effective for treating female stress incontinence and also in the aspect of improving quality.
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KEYWORD
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Urinary stress incontinence, Surgical mesh, Quality of life
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