여성의 복압요실금 = Female Stress Urinary Incontinence

다국어 초록 (Multilingual Abstract)

Stress urinary incontinence (SUI) is a significant health problem world‐wide with considerable
social and economic impact on individuals and society. The initial evaluation of urinary incontinence
begins with a thorough detailed history taking, physical examination including stress test
and Q-tip test, and routine laboratory studies. The pelvic examination demonstrates laxity of pelvic
support, presence of any degree of prolapse. A neurologic examination should be done if neuropathy
is suspected. The urodynamic study can be helpful to confirm the classic features of urinary
incontinence and determine its cause. Conservative managements have been used to treat stress
urinary incontinence and seem to make common sense, especially in less severe and bothersome
cases. Pelvic floor muscle training appeared to be an effective treatment for adult women with
stress or mixed incontinence. In pharmacologic treatment, duloxetine appears to be a promising
new option for the treatment of SUI. There are literally hundreds of surgical procedures used to
treat incontinence, and they are consistently being revised in going attempts to improve outcomes.
Burch colposuspension and sling procedures still are the main stream but recently tension‐free
vaginal tape procedure and its variants are developed and widely performed all over the world.
Mid‐urethral slings showed good outcomes and are safe and brief to perform and have a relatively
short learning curve. Remeex system is a relatively new surgical device introduced for the
cure of SUI. Its main advantage is the possibility to adjust the sling tension if urine loss or
voiding difficulties manifest after surgery. TVT‐secur procedure needs only one vaginal incision
and minimal periurethral dissection for small sized mesh. Therefore, it can help make the surgery
quicker and simpler.
As the population of aging women increases, it is inevitable that these women’s disorders will
become more prevalent. This will pose a major challenge to the health care systems.

참고문헌 (Reference)

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