여성 복압성요실금 환자에서 IRIS 술식의 5년 추적 결과: TVT 술식과의 비교 = Five-Year Outcomes of the IRIS Procedure for the Treatment of Female Stress Urinary Incontinence: Comparison with the TVT Procedure

다국어 초록 (Multilingual Abstract)

Purpose: We evaluated the long-term efficacy and safety of the innovative replacement of incontinence surgery (IRIS) procedure and compared these with the tension-free vaginal tape (TVT) procedure for the treatment of female stress urinary incontinence.
Materials and Methods: We included 111 consecutively treated women who underwent IRIS (n=51) or TVT (n=60) between January 2002 and December 2003 and followed them up for at least 5 years postoperatively. We analyzed the 5-year success rate and postoperative complications of the IRIS procedure and compared these with the results of the TVT procedure.
Results: The 5-year success rate was 92.2% for the IRIS procedure and 93.3% for the TVT procedure, and the satisfaction rates were 90.2% and 85.0%, respectively. Intraoperative complications for the IRIS group included 4 cases of bladder perforation, and there were 5 cases of bladder perforation in the TVT group. The postoperative complications for the IRIS group included 3 patients with de novo urgency, 2 patients with mesh exposure, and 1 patient with temporary urinary retention. Four patients in the TVT group developed de novo urgency, 2 patients had mesh exposure, and 2 patients showed temporary urinary retention.
Conclusions: Our results suggest that IRIS may be an effective and safe procedure compared with the TVT procedure for more than 5 years.

참고문헌 (Reference)

1 김노수, "여성 복압성요실금에 대한 Tension-free Vaginal Tape(TVT) 술식의 장기추적 결과" 대한비뇨기과학회 47 (47): 729-733, 2006

2 윤창준, "여성 복압성 요실금 환자에서 IRIS 술식의 2년 추적 결과" 대한배뇨장애요실금학회 10 (10): 44-48, 2006

3 Chang-Jun Yoon, "Three-year Outcomes of the Innovative Replacement of Incontinence Surgery Procedure for Treatment of Female Stress Urinary Incontinence: Comparison with Tension-free Vaginal Tape Procedure" 대한의학회 22 (22): 497-501, 2007

4 Abrams P, "The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society" 61 : 37-49, 2003

5 Kim UH, "The prevalence of overactive bladder syndrome and urinary incontinence in young and middle aged women" 7 : 9-14, 2003

6 Tsivian A, "Tension-free vaginal tape procedure for the treatment of female stress urinary incontinence: long-term results" 172 : 998-1000, 2004

7 Moran PA, "Tension-free vaginal tape for primary genuine stress urinary incontinence: a two-centre follow-up study" 86 : 39-42, 2000

8 Nilsson CG, "Seven-year follow-up of the tension-free vaginal tape procedure for treatment of urinary incontinence" 104 : 1259-1262, 2004

9 Segal JL, "Prevalence of persistent and de novo overactive bladder symptoms after the tension-free vaginal tape" 104 : 1263-1269, 2004

10 Sweat SD, "Polypropylene mesh tape for stress urinary incontinence: complications of urethral erosion and outlet obstruction" 168 : 144-146, 2002

11 Kobashi KC, "Management of vaginal erosion of polypropylene mesh slings" 169 : 2242-2243, 2003

12 Nilsson CG, "Long-term results of the tension-free tape (TVT) procedure for surgical treatment of female stress urinary incontinence" 12 (12): S5-S8, 2001

13 Liapis A, "Long-term efficacy of tension- free vaginal tape in the management of stress urinary incontinence in women: efficacy at 5- and 7-year follow-up" 19 : 1509-1512, 2008

14 Doo CK, "Five-year outcomes of the tension-free vaginal tape procedure for treatment of female stress urinary incontinence" 50 : 333-338, 2006

15 Zaragoza MR, "Expanded indications for the pubovaginal sling: treatment of type 2 or 3 stress incontinence" 156 : 1620-1622, 1996

16 Dwyer PL, "Evolution of biological and synthetic grafts in reconstructive pelvic surgery" 17 (17): S10-S15, 2006

17 Glavind K, "Erosion, defective healing and extrusion after tension-free urethropexy for the treatment of stress urinary incontinence" 15 : 179-182, 2004

18 Choi SK, "Early clinical outcome and complications of tension free vaginal tape procedure in stress incontinent women" 42 : 589-593, 2001

19 Abouassaly R, "Complications of tension-free vaginal tape surgery: a multi-institutional review" 94 : 110-113, 2004

20 Fischer A, "Comparison of retropubic and outside-in transobturator sling systems for the cure of female genuine stress urinary incontinence" 48 : 799-804, 2005

21 Falconer C, "Clinical outcome and changes in connective tissue metabolism after intravaginal slingplasty in stress incontinent women" 7 : 133-137, 1996

22 Karlovsky ME, "Biomaterials for pelvic floor reconstruction" 66 : 469-475, 2005

23 Chen HY, "Analysis of risk factors associated with vaginal erosion after synthetic sling procedures for stress urinary incontinence" 19 : 117-121, 2008

24 Petros PE, "An integral theory and its method for the diagnosis and management of female urinary incontinence" 153 : 1-93, 1993

25 Ulmsten U, "An ambulatory surgical procedure under local anesthesia for treatement of female urinary incontinence" 7 : 81-85, 1996

26 Kuuva N, "A nationwide analysis of complications associated with the tension-free vaginal tape (TVT) procedure" 81 : 72-77, 2002

27 Ulmsten U, "A multicenter study of tension-free vaginal tape (TVT) for surgical treatment of stress urinary incontinence" 9 : 210-213, 1998