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Kadınlarda Tüm Stres Üriner İnkontinans Tedavisinde Otolog Rektus Fasyası Kullanılarak Yapılan Pubovajinal Sling

Pubovaginal Sling With Autologous Rectus Fascia For The Management of All Types of Stress Urinary Incontinence in Females

Journal Name:

  • Uludağ Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2007

Key Words:

Keywords (Original Language):

Author NameUniversity of Author
Abstract (2. Language): 
Female urinary incontinence is mostly a social or hygienic problem. Sling procedures have been used for the treatment of urinary incontinence in women since the beginning of the 20th century. The pubovaginal sling is an effective and durable operation for stress urinary incontinence. We present our experience with 58 female patients who underwent pubovaginal fascial sling operations. Fifty-eight women with urodynamic stress incontinence were enrolled consecutively for this study. Preoperative evaluation of all women included a standardized history and physical examination, stress test, 24-hour pad weighing test, urine culture, a 7-day urinary diary and urodynamic evaluation. The postoperative evaluation also included examination of the case notes with regard to operating time, intra- and postoperative complications, voiding problems and other complications. Recorded mean operation time was 35 minutes and median postoperative hospital stay was 1 day. Forty-eight patients were considered to have successfully cured or improved outcome for their incontinence with a mean follow up of 30.2 months. The outcomes of remaining 10 patients (17.3%) were considered failure after surgery. There were no major intra-operative complications. The autologous rectus fascial sling procedure appears to be effective in the management of all types of stress urinary incontinence in female with a success rate of 82.7%.
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Abstract (Original Language): 
Kadın üriner inkontinansı sıklıkla sosyal veya hijyenik bir problemdir. Sling cerrahisi, kadın üriner inkontinansının tedavisi için 20. yüzyı- lın başından beri kullanılagelmiştir. Pubovajinal sling, etkili ve kalıcılığı olan bir işlemdir. Bu yayında pubovajinal sling ameliyatı yapılan 58 hastamızdaki tecrübemiz aktarılmaktadır. Ürodinamik olarak stres üriner inkontinansı olduğu ortaya konulmuş 58 hasta çalışmaya dahil edilmiştir. Hastaların ameliyat öncesi değerlendirmelerinde hikaye, fizik muayene, stres testi, 24 saatlik ped testi, idrar kültürü, 7 günlük işeme günlüğü ve urodinamik inceleme kullanılmıştır. Ameliyat sonrası değerlendirmede ameliyat süresi, intra ve postoperatif komplikasyonlar, işeme problemleri ve diğer komplikasyonlar göz önünde bulundurulmuştur. Ortalama ameliyat süresi 35 dakika ve ortanca postoperatif yatış süresi 1 gün olarak tespit edilmiştir. Ortalama 30,2 aylık takip süresi içinde 48 hastada tam olarak kür veya iyileşme sağlanmıştır. Geriye kalan 10 hastada (%17,3) ise başarılı sonuç elde edilememiştir. Hiçbir major intraoperatif komplikasyon yaşanmamış- tır. Rektus fasyası kullanılarak yapılan sling girişimi, tüm kadın stres üriner inkontinansı tiplerinde yüksek başarı oranlarıyla komplikasyonsuz olarak uygulanabilen bir yöntemdir.
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  • 1
11-14
  • Turkish

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