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KMID : 0876920040080020033
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Kwandong Medical Journal
2004 Volume.8 No. 2 p.33 ~ p.38
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The Outcome of Operation Using Tension-free Vaginal Tape for Stress Urinary Incontinence
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Jeong Tae-Yoong
Lee Kyung-Gu
Yi Joon-Ho
Shim Hei-Young
Lee Sang-Ik
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Abstract
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We evaluated the clinical outcome and complication of a TVT(tension-free vaginal tape) procedure for the surgical treatment of stress urinary incontinence in women. Between Jan. 2001 and Apr. 2004, 29 women with stress urinary incontinence underwent TVT procedure under spinal or general anesthesia. Preoperatively, patients were evaluated with history taking, urinalysis, urine culture, physical examination, full urodynamic study with VLPP(valsalva leak point pressure). voiding cystourethrogram. Cure of incontinence after the procedure was defined as the absence of subjective complaint of leakage and absence of objective leakage on stress testing. The mean follow-up period was 11.69±7.42 months. The mean operation time was 34.5±1.25 minutes and the mean age of patients was 51.17±9.64 years. Of the 29 patients follow-up, 27 patients(93.1%) were completely cured, 1 patient(3.4%) was improved incontinence, and 1 patient(3.4%) who developed postoperatively urge incontinence was failed(3.4%). There were 1 bladder perforation and I lower abdominal discomfort occurred postoperatively. We consider the TVT procedure is a safe and simple, effective surgical procedure for the surgical treatment of female urinary incontinence. However, longer follow-up is necessary to determine long term effect.
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KEYWORD
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tvt(tension-free vagnial tape), stress urinary incontinence
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