Stres inkontinans cerrahisinde kliniğimizde uygulanan minimal modifiye Çolakoğlu iğne süspansiyon yönteminin kısa dönem sonuçları

Yıl 2009, Cilt: 16 Sayı: 4, 5 - 9, 30.12.2009

Okan Özkaya

Öz

Bu çalışmadaki amaç, Çolakoğlu ve ark. tarafından tanımlanmış iğne süspansiyon yönteminde minimal modifikasyonlar yapılarak opere edilmiş, stres inkontinans hastalarının kısa dönem sonuçlarını değerlendirmektir. Ocak 2007-Kasım 2008 arasında, Çolakoğlu ve ark. tarafından tanımlanan ve tarafımızdan minimal modifiye edilen iğne süspansiyonu yöntemi ile opere edilen 12 hasta retrospektif olarak çalışmaya alındı. Çalışmaya alınan 12 hastanın yaş ortalamaları 59.1 ± 10.8 yıl, gravida'ları 6.4 ± 3.2, parite'leri 5.5 ± 3.2 idi. Cerrahi sonrasında 1 (%8) hastada idrar yapmada zorluk, fazla rezidü idrar nedeniyle sütürleri açıldı. Postoperatif 4. ve 8.hafta kontrolde 11 (%92) hastanın hiçbirinde inkontinans saptanmadı. Bu cerrahi teknik, ucuz ve basit olması, kısa dönemde son derece başarılı sonuçlarının olması açısından iyi bir yöntem gibi görünmektedir.

Anahtar Kelimeler: Stres inkontinans, iğne süspansiyon, kısa dönem sonuç.

Abstract

The short-time results of minimal modified çolakoğlu needle suspension method which is applied in stress incontinence surgery in our clinic

The aim of the study to evaluate the short-time results of stress incontinence patients who had operated needle suspension method which is minimal modified, defined by Çolakoğlu et al. Between, January 2007–November 2008, 12 patients have taken in study who had operated needle suspension method which is minimal modified by us and defined by Çolakoğlu et al. The average age of 12 patients are 59.1 ± 10.8 years, gravity's are 6.4 ± 3.2 and parity's are 5.5 ± 3.2 In postoperative period 1 patient's sutures (%8) was taken because of difficulty in mixion and residue urine. Postoperative 4. and 8. week's controls any patients had urinary incontinence. This surgical technique seems to be a good method, because it is cheap, easy, and has successful results in short time.

Key words: Stress incontinence, needle suspension, short time result.

Anahtar Kelimeler

Stres inkontinans, iðne süspansiyon, kýsa dönem sonuç

Kaynakça

• Hannestad YS, Rortveit G, Sandvik H, Hunskaar S; Norwegian EPINCONT study. Epidemiology of Incontinence in the County of Nord-Trİndelag. A community-based epidemiological survey of female urinary incontinence: the Norwegian EPINCONT study. Epidemiology of Incontinence in the County of Nord-Trİndelag. J Clin Epidemiol 2000;53:1150-7.
• Nygaard IE, Heit M. Stress urinary incontinence. Obstet Gynecol. 2004;104:607-20.
• Harding CK, Thorpe AC. Surgical treatment for stress urinary incontinence. Int J Urol 2008;15:27- 34.
• McKertich K. Urinary incontinence-assessment in women: stress, urge or both? Aust Fam Physician 2008;37:112-7.
• Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al; Standardisation Sub-committee of the International Continence Society. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn 2002;21:167-78.
• Schulz JA, Drutz HP. The surgical management of recurrent stress urinary incontinence. Curr Opin Obstet Gynecol 1999;11:489-94.
• Colakoðlu M, Capar M, Kiliç M, Colakoðlu U, Kaya H, Acar A. A new needle suspension procedure for genuine stress incontinence and anterior vaginal wall prolapse. Int Urogynecol J Pelvic Floor Dysfunct 1996;7:64-7.
• Viktrup L, Lose G, Rolff M, Barfoed K. The symptom of stress incontinence caused by pregnancy or delivery in primiparas. Obstet Gynecol 1992;79:945-9.
• Peschers UM, Schaer GN, DeLancey JO, Schuessler B. Levator ani function before and after childbirth. Br J Obstet Gynaecol 1997;104:1004-8.
• DeLancey JO, Kearney R, Chou Q, Speights S, Binno S. The appearance of levator ani muscle abnormalities in magnetic resonance images after vaginal delivery. Obstet Gynecol 2003;101:46- 53.
• Bergman A, Elia G. Three surgical procedures for genuine stress incontinence: five-year follow- up of a prospective randomized study. Am J Obstet Gynecol 1995;173:66-71.
• Albo ME, Richter HE, Brubaker L, Norton P, Kraus SR, Zimmern PE,et al.; Urinary
• Incontinence Treatment Network. Burch colposuspension versus fascial sling to reduce urinary stress incontinence. N Engl J Med 2007;356:2143-55.
• Bidmead J, Cardozo L. Four decades of needle bladder neck suspension. Br J Urol 1998;82:171- 3.
• Esinler Ý, Öktem M, Yavuz E, Kuþcu E, Zeyneloðlu HB. Transobtüratör tape (TOT): Bir yýllýk takip sonuçlarý. Jinekoloji ve Obstetrik Dergisi 2006;20:83-7.
• Kýlýçarslan H, Vuruþkan H, Doðan HS. Kadýnlarda tüm stres üriner inkontinans tedavisinde otolog rektus fasyasý kullanýlarak yapýlan pubovajinal sling. Uludað Ün Týp Fak Dergisi 2007; 33:11-4.
• Subak LL, Brubaker L, Chai TC, Creasman JM, Diokno AC, Goode PS, et al.; Urinary Incontinence Treatment Network. High costs of urinary incontinence among women electing surgery to treat stres incontinence. Obstet Gynecol 2008;111:899-907.
• Kuczyk MA, Klein S, Grünewald V, Machtens S, Denil J, Höfner K, et al. A questionnaire-based outcome analysis of the Stamey bladder neck suspension procedure for the treatment of urinary stress incontinence: the Hannover experience. Br J Urol 1998;82:174-80.