TY  - JOUR
T1  - PELVİK ORGAN PROLAPSUSU OLAN HASTALARIN KONUMA ÖZGÜN PROLAPSUS REDÜKSİYONU YAPILARAK ÜRODİNAMİ SONUÇLARININ KARŞILAŞTIRILMASI
TT  - Comparision of Urodynamic Results of Patients Who Had Reduced Pelvic Organ Prolapse  According to Position
AU  - Dönmez, Emin Erhan
AU  - Selçuk, Selçuk
AU  - Süt, Hasan
AU  - Arınkan, Sevcan Arzu
AU  - Cam, Cetin
PY  - 2018
DA  - June
DO  - 10.16948/zktipb.415708
JF  - Zeynep Kamil Tıp Bülteni
PB  - Zeynep Kamil Kadın ve Çocuk Hastalıkları EAH
WT  - DergiPark
SN  - 1300-7971
SP  - 184
EP  - 187
VL  - 49
IS  - 2
LA  - tr
AB  - Amaç: Evre2 ve üzerinde prolapsusu olan hastaların prolabe olan kompartmanın lokalredüksiyonu ile okült inkontinans oranını saptamak.Bireyler veYöntem: Eylül 2014 ve Şubat 2015 tarihleri arasında pelvik organ prolapsusutanısı konan 65 hasta çalışmaya alındı. .Hastalara ürodinami yapıldı ve aynızamanda hayat kalitesi sorgu formlarından UDI-6, IIQ-7, PISQ-12 ve PQoL anketleri doldurtuldu. Anket sonuçlarıprolapsus hastaları arasında değerlendirildiBulgular: Hastaların %55.4 ‘ü( n: 36) evre 2, %29.2’si (n : 19)evre 3 ve %15.4 ‘ü (n: 10) evre 4 prolapsusu vardı.Prolapsusu olan hastaların 4tanesinde ( % 6.2) aşikar üriner inkontinans saptandı. İnkontinansı olmayanhastalarda ise spekulum ve ring forceps ile yapılan lokal redüksiyon sonrasıokült inkontinans oranı %18.5, peser ile redüksiyon sonrası ise okültinkontinans oranı % 24.6 olarak saptandı.Ürodinamik parametrelerden ise her ikigrup Pdet Qmax, Qmax, Qave, Qmax(liverpol), Qave ( liverpol),PVR açısından değerlendirildi, İstatistksel olarakher iki grup arasında anlamlı bir fark saptanmadı.( p>0.05). Prolapsuslokalizasyonu açısından da her iki grup arasında istatistiksel olarak anlamlıfark saptanmadı. Hayat kalitesi değerlendirme formları yapılmış olan diğerçalışmalar ile tutarlılık göstermesine rağmen her iki grup arasındaİstatistiksel olarak anlamlı bir fark saptanmadı.Sonuç:Üriner inkontinans ilepelvik organ prolapsusu sıklıkla bir arada bulunabilir. Ciddi prolapsusu olanhastalarda okült inkontinans bulunabilir. Bu nedenle pelvik organ prolapsusunedeni ile cerrahi tedavi planlanan hastaların preoperatif dönemde ürodinamikolarak ayrıntılı şekilde değerlendirilmesi gerekmektedir.
KW  - Pelvik organ Prolapsusu
KW  - peser
N2  - Objectives: Detection of occult incontinence proportioninpatients who have pelvic organ prolapse quantitation system[POP-Q] stage II to IV with reducting of prolapse compartment.Methods: 2015.A total of 65 cases who had stage II toIV pelvic organ prolapse, patients with stage I prolapse were excluded. Occultincontinence rates was detected and urodynamic parameters were compared. Before the urodynamic study patients were answered thequestionnaire about quality of life such as UDI-6, IIQ-7, PISQ-12 vePQoL.Results: %55.4 ( n:36) of the patients had stage II, %29.2 (n:19) of them hade stage III and %15.4 ( n: 10) of them had stage IV pelvicorgan prolapsus. Four of women who had prolapse (%6.2) were also having evidant urinary incontinece.% 18.5 of patients had occult incontinence afterreduction with speculum,and % 24.6 of patients had also occult urinaryincontinence after passary reductionamong the patients who hadn’t incontinece. But between this two group,there was not anystatistically significant difference in term of urodynamicparameters such as grup Pdet Qmax, Qmax,Qave, Qmax (liverpol), Qave ( liverpol),PVR ( p>0.05).And also between twogroups there was not any statistically significant difference in terms of prolapselocalization. Results of this questionnaire were similar with previousstudy,but there were not any statistically significant difference betweenreduction with speculum and pessary.Conclusion: Pelvic organ prolapse (POP) andurinary incontinence (UI) are common conditions.But patients who had seriousprolapse have occult incontinence also. So Urodynamic testingis helpful when the diagnosis of urinary occult incontinence is unclea. Beforeprolapse surgery treatment patients should be evaluated in detail.
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UR  - https://doi.org/10.16948/zktipb.415708
L1  - https://dergipark.org.tr/tr/download/article-file/458515
ER  -