여성 복압성요실금 환자에서 TVT-O 술식의 초기 경험 = Early Experience with Transobturator Vaginal Tape Inside-out (TVT-O) Procedure for the Treatment of Female Stress Urinary Incontinence

다국어 초록 (Multilingual Abstract)

Purpose: Tension free vaginal tape, which has become the common therapy for female stress urinary
incontinence, has a complication associated with a blind passage. Transobturator vaginal tape inside-out (TVT-O)
is a technique for the passage of the tape through the obturator foramens from inside to outside. We intend
to evaluate the efficacy and safety of the TVT-O.
Materials and Methods: From September 2004 to December 2004, 35 patients underwent TVT-O under spinal
anesthesia. Among them, 30 patients have been followed-up more than 12 months. The preoperative assessment
included past history, physical examination, voiding diary, 1-hour pad test, urinalysis, voiding cystourethrography
(VCUG), urodynamic study. Post-operatively a 16 Fr urethral Foley catheter was left for 24 hours. The procedural
outcome, subjective satisfaction and complications were assessed retrospectively.
Results: The mean operative time was 15 minutes (range 12∼20). Average hospital stay was 3.5 days (range
2∼14). No intraoperative or postoperative complications were noted. One patient had immediate voiding difficulty,
which was resolved after 2 weeks of clean intermittent catheterization. Three out of 10 patients (30%) with urge
incontinence improved after the operation. The mean followed-up period was 13 months. Of 30 patients, 29 patients
(96.6%) were cured and 1 patient (3.3%) improved. Subjective cure was present in 29 patients (96.6%).
Conclusion: TVT-O is a simple, safe and effective surgical treatment for female stress urinary incontinence.
However, a longer follow-up will be necessary to determine its long-term effect. (J. Korean Continence Society
2006;10:33-37)
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Key Words: Urinary stress incontinence, Surgery

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