Transobturator Tape Operasyonu Deneyimlerimiz ve Erken Dönem Sonuçlarımız

Yıl 2014, Cilt: 11 Sayı: 3, 231 - 236, 15.12.2014

Servet Gençdal , Emre Destegül , Serdinç Ozdoğan Orçun Ozdemir Adem Altunkol

Öz

Amaç: Transobturatuar tape (TOT) kadın stres üriner inkontinansın (SUI) tedavisinde üretral süspansiyon için tasarlanmış yapay bir banttır. Bu çalışmamızda stres üriner inkontinans için kullanılan TOT tekniğinin yaşam kalitesi üzerine etkileri, komplikasyonları ve başarı oranlarını değerlendirmeyi amaçladık. Materyal ve Metod: 2012 Mart ile 2013 Ocak tarihleri arasında TOT uygulanan 30 hastanın dosyaları retrospektif olarak analiz edildi. Demografik özellikler, yaşam kalitesi anketleri (IIQ-7, UDI-6), muayene bulguları, stres test, Q-tip test ve cerrahi kaydedildi. 

Bulgular: Ortalama hasta yaşı 44,2 ± 6,8 yıl idi. UDI-6 ve IIQ-7 hayat kalite ölçeklerinde, postoperatif 1. gün, 6. ay ve 12. aydaki skorlarda, preoperatif skorlar ile karşılaştırıldığında istatistiksel olarak anlamlı düşüşler saptandı (p<0,05). Cerrahi esnasında major komplikasyon görülmedi. Bir hastada lateral vajinal duvarda yaralanma, iki hastada üriner retansiyon ve bir hastada denovo urgency gelişti. 

Sonuç: SUI için yapılan TOT tekniğinin etkili, düşük morbiditeye sahip, kolay uygulanabilir ve güvenli bir yöntem olabileceği kanısındayız. 

Anahtar Kelimeler

Stres inkontinans, Transobturator Tape, Yaşam Kalitesi.

Our Experience And Short Term Outcomes Of Transobturator Tape

Öz

Background: Transobturator tape is an artifıcial tape designed for urethral suspension to treat female stress urinary incontinence. in this study, we aimed to assessment of preliminary success, complications and effect on quality oflife of transobturator tape (TOT) technique as a treatment of stress urinary incontinence (SUI) Methods: 30 fıles of patients who had undergone TOT between March 2012 and January 2013 were retrospectively analyzed. Demographic characteristics, quality of life questionnaires (IIQ-7, UDI-6), examination fındings, stress test, Q-tip test and surgery are recorded. 

Results: The mean patient age was 44,2 ± 6,8 years. UDI-6 and IIQ-7 in quality of life questionnaire, preoperative scores in both quality oflife scale, when postoperatif 1 day, 6 months and 12 months compared with the scores revealed a statistically signifıcant reduction (p<0,05)(Table 3). There were no major complications during surgery. üne patients had a lateral vagina! wall injury, two patients had a urinary retantion and one patients had a denovo urgency. Peri-operative complications are also listed in Table 2. Conclusions: We believe that with an efficacy, low morbidity, easy to applicable and safety, TOT technique may be performed for SUI. 

Anahtar Kelimeler

Stress İncontinence, TransobturatorTape, Quality of Life

Kaynakça

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