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RADİKAL JİNEKOLOJİK CERRAHİNİN ÜRİNER İNKONTİNANS’ A ETKİSİ

Yıl 2014, Cilt: 17 Sayı: 4, 0 - 0, 01.10.2014

Öz

Amaç: Çalışmanın amacı jinekolojik kanser tedavisinin üriner inkontinans semptomlarına olan etkisinin araştırılmasıdır.
Metot: Çalışma endometrium ve over kanseri tanısıyla lenf nodu diseksiyonu geçirmiş 76 hastayı kapsamaktadır. Tedavi öncesi
dönemde ürojinekolojik muayene , “ Kadınlarda Üriner İnkontinans Skoru”, Incontinence Impact Questionnaire-7 (IIQ7), Urogenital
Distress Inventory-6 (UDI6) anket formları doldurulmuş ve tedavi sonrası 6. Haftada tekrarlanmıştır.
Sonuçlar: Katılımcıların ortalama yaşları 57,7±10,5 ve ortalama pariteleri 2,6±1,2 dır. Toplam 44 (%57) hastada muayene ve
“Kadınlarda Üriner İnkontinans Skoru” testiyle stres inkontinans, urge inkontinans veya miks inkontinans saptandı. Tedavi öncesinde
stres üriner inkontinans, urge inkontinans ve miks inkontinans oranları sırasıyla %52,3, %9 ve %38,7’dir. Yirmi dört (%31) hasta
over kanseri tanısıyla ve 52 (%69) hasta endometrium kanseri tanısıyla opere edilmiştir. Operasyonlar sırasında üriner sistem zedelenmesi
olmamıştır. Operasyon sonrası 6. haftada üriner inkontinans oranı %71’dir ve fark istatistiksel olarak anlamlıdır (p<,05).
Operasyon öncesi ve sonrası IIQ7 ve UDI6 skorları arasında istatistiksel olarak anlamlı artış vardı (p<,05). Anket formları kendi
içlerinde değerlendirildiğinde IIQ7 test sonuçlarında fiziksel aktivite ve seyahat skorlarında anlamlı farklılıklar saptandı.
Sonuç: Radikal jinekolojik operasyonların üriner inkontinans semptomları üzerinde ciddi olumsuz etkileri vardır. Üriner
semptomların hayat kalitesinde olumsuz etkileri vardır. Önleyici yaklaşımlar jinekolojik cerrahi sonrası tüm hastalara önerilmelidir.

Kaynakça

  • 1. T.C. Sağlık Bakanlığı. Türkiye’de Bölgelere ve Cinsiyete Göre Kanser Olguları, 2002 yılı verileri, www.saglik.gov.tr 2. T.C. Sağlık Bakanlığı. Türkiye Kanser İstatislikleri. M. Gültekin, G. Boztaş. Ocak 2014.
  • 3. Carter J, Penson R, Barakat R, Wenzel L. Contemporary quality of life issues affecting gynecologic cancer survivors. HematolOncolClin North Am. 2012 Feb;26(1):169-94.
  • 4. Abrams P, Cardozo L, Fall M, Griffiths D, RosierP,Ulmsten U. The standardization of terminology of lowe rurinary tract function: report from the standardization sub-committee of the International Continence Society. NeurourolUrodyn 2002; 21: 167 -178.
  • 5. Kinchen KS, Burgio K, Diokno AC, Fultz NH, Bump R, Obenchain R. Factors associated with women’s decisions to seek treatment for urinary in continence. J Womens Health 2003; 12: 687-698
  • 6. Hagglund D, Walker-Engstrom M-L, Larsson G, Leppert J. Reasons why women with long-term urinary incontinence do not seek Professional help: a cross-sectional populationbased cohort study. IntUrogynecol J 2003; 14: 296-304.
  • 7. Herzog RA, Fultz NH, Normolle DP, et al. Methods used to manage of urinary incontinence in the elderly. Journal of theAmericanGeriatricsociety 37: 339-347, 1989.
  • 8. Cam Ç, Sakalli M, Ay P,Cam M, Karateke A. Validation of the Short Forms of the Incontinence Impact Questionnaire (IIQ-7) and the UrogenitalDistress Inventory (UDI6) in a Turkish Population. NeurourologyandUrodynamics26:129-133 (2007)
  • 9. Wyman JF, Harkins SW, Choi SC, Taylor JR, Fantl JA. Psychosocia limpact of urinary incontinence in women. ObstetGynecol. 1987 Sep; 70(3 Pt 1): 378- 81.
  • 10. Uebersax, J.S.,Wyman, J. F., Shumaker, S. A., McClish, D. K., Fantl, J. A., & the Continence Program for Women Research Group. (1995). Short forms to assess life quality and symptom distress for urinary incontinence in women: The incontinence impact questionnaire and the urogenital distress inventory. NeurourologyandUrodynamics, 14, 131-139.
  • 11. Gaudenz R. [A questionnaire with a new urge-scoreand stresss core for the evaluation of female urinary incontinence (author’stransl)] Geburt shilfe Frauenheilkd. 1979 Sep; 39(9): 784- 92. German
  • 12. Ishiko O, Sumi T, Hirai K, Ogita S. Classification of female urinary incontinence by the scored incontinence questionnaire. Int J GynaecolObstet. 2000 Jun; 69(3): 255- 60.
  • 13. Maral I, Özkardeş H, PeskircioğluL,Bumin MA. Prevalence of stres urinary incontinence in both sexes at or after age 15 years: a cross-sectional study. J Urol 2001; 165:408-412
  • 14. Filiz TM, Uludağ C, Çınar N, Gorpelioğlu S, Topsever P. Risk factors for urinary incontinence in Turkish women. SaudiMed J 2006; 27(11):1688- 1692.
  • 15. Buchsbaum GM, Chin M, Glantz C, Guzick D. Prevalence of urinary incontinence and associated risk factors in a cohort of nuns. ObstetGynecol 2002; 100:226-9
  • 16. Simeonova Z, Milsom I, Kullendorff AM, Molander U, Bengtsson C. The prevalence of urinary incontinence and its influence on the quality of life in women from an urban Swedish population. Acta Obstet GynecolScand 1999; 78:546-51.
  • 17. Johnson 2nd TM, Kincade JE, Bernard SL, Busby-Whitehead J, Hertz-Picciotto I, DeFriese GH. The association of urinary incontinence with poor self-rated health. JAmGeriatrSoc 1998;46(6):693–9.
  • 18. Sensoy N, Dogan N, Ozek B, Karaaslan L. Urinary incontinence in women: prevalence rates, risk factors and impact on quality of life. Pak J Med Sci. 2013 May;29(3):818-22.
  • 19. Lasserre, A., Pelat, C., Guéroult, V., Hanslik, T., ChartierKastler, E., Blanchon, T., ... & Bloch, J. (2009). Urinary incontinence in French women: prevalence, risk factors, and impact on quality of life. European urology, 56(1), 177-183.
  • 20. Erekson EA, Sung VW, DiSilvestro PA, Myers DL. Urinary symptoms and impact on quality of life in women after treatment for endometrial cancer. IntUrogynecol J PelvicFloorDysfunct 2009;20(2):159–63.
  • 21. Herwig R, Bruns F, Strasser H, et al. Late urologic effects after adjuvant irradiation in stage I endometrial carcinoma. Urology. 2004 Feb;63(2):354-8.
  • 22. Nout RA, Putter H, Jü rgenliemk-Schulz IM, et al. Quality of life after pelvic radiotherapy or vaginal brachytherapy for endometrial cancer: first results of the randomized PORTEC-2 trial. J Clin Oncol. 2009 Jul 20;27(21):3547-56.
  • 23. Nout RA, van de Poll-Franse LV, Lybeert ML, et al. Longterm outcome and quality of life of patients with endometrial carcinoma treated with or without pelvic radiotherapy in the post operative radiation therapy in endometrial carcinoma 1 (PORTEC-1) trial. J Clin Oncol. 2011 May 1;29(13):1692-700.
  • 24. Rutledge T, Rogers R, Lee SJ, Muller CY. A pilot randomized control trial to evaluate pelvic floor muscle training for urinary incontinence among gynecologic cancer survivors. Gynecologic Oncology 132 (2014) 154–158.

THE EFFECT OF RADİCAL GYNECOLOGİC SURGERY ON URİNARY İNCONTİNENCE

Yıl 2014, Cilt: 17 Sayı: 4, 0 - 0, 01.10.2014

Öz

Objectives: The aim of the study was evaluate the effect of gynecologic cancer treatment on urinary incontinence symptoms.
Methods: This study includes 76 patients who underwent lymhnode disection surgery for endometrial cancer and ovarian cancer.
At preoperative period urogynecologic examination and “Urinary incontinence score for females” test were performed. Preoperative
IIQ-7 (Incontinence Impact Questionnaire-7), UDI-6 (Urogenital Distress Inventory-6) and were performed before treatment
and at the 6th week after surgery for all patients.
Results: The mean age and parity of patients were 57,7 ±10,5 and 2,6 ± 1,2. Total of 44 patients (57%) who were diagnosed stress or urge incontinence by examination or “Urinary incontinence score for females” test. The percentage of stress urinary incontinence and urge incontinence were 52, 3% and 9%. The percentage of mixed incontinence was 38,7%. Twenty four (31%) of 76 procedures were performed for ovarian cancer and 52 (69%) procedures were performed for endometrial cancer. There was no urinary track injury during procedures. The percentage of urinary incontinence at 6th week after surgery was 71% and difference was significant (p<.05).The difference between preoperative IIQ- 7 and UDI-6 score and postoperative IIQ- 7 and UDİ- 6 scores were significantly different (p<.05). When compare the items of IIQ- 7 test, physical activity and travel items were significantly difference.
Conclusions: Radical gynecologic surgery has serious adverse effect on urinary incontinence symptoms. Urinary symptoms could
impair quality of life after surgery. Preventive approaches should suggest patient early after operation.

Kaynakça

  • 1. T.C. Sağlık Bakanlığı. Türkiye’de Bölgelere ve Cinsiyete Göre Kanser Olguları, 2002 yılı verileri, www.saglik.gov.tr 2. T.C. Sağlık Bakanlığı. Türkiye Kanser İstatislikleri. M. Gültekin, G. Boztaş. Ocak 2014.
  • 3. Carter J, Penson R, Barakat R, Wenzel L. Contemporary quality of life issues affecting gynecologic cancer survivors. HematolOncolClin North Am. 2012 Feb;26(1):169-94.
  • 4. Abrams P, Cardozo L, Fall M, Griffiths D, RosierP,Ulmsten U. The standardization of terminology of lowe rurinary tract function: report from the standardization sub-committee of the International Continence Society. NeurourolUrodyn 2002; 21: 167 -178.
  • 5. Kinchen KS, Burgio K, Diokno AC, Fultz NH, Bump R, Obenchain R. Factors associated with women’s decisions to seek treatment for urinary in continence. J Womens Health 2003; 12: 687-698
  • 6. Hagglund D, Walker-Engstrom M-L, Larsson G, Leppert J. Reasons why women with long-term urinary incontinence do not seek Professional help: a cross-sectional populationbased cohort study. IntUrogynecol J 2003; 14: 296-304.
  • 7. Herzog RA, Fultz NH, Normolle DP, et al. Methods used to manage of urinary incontinence in the elderly. Journal of theAmericanGeriatricsociety 37: 339-347, 1989.
  • 8. Cam Ç, Sakalli M, Ay P,Cam M, Karateke A. Validation of the Short Forms of the Incontinence Impact Questionnaire (IIQ-7) and the UrogenitalDistress Inventory (UDI6) in a Turkish Population. NeurourologyandUrodynamics26:129-133 (2007)
  • 9. Wyman JF, Harkins SW, Choi SC, Taylor JR, Fantl JA. Psychosocia limpact of urinary incontinence in women. ObstetGynecol. 1987 Sep; 70(3 Pt 1): 378- 81.
  • 10. Uebersax, J.S.,Wyman, J. F., Shumaker, S. A., McClish, D. K., Fantl, J. A., & the Continence Program for Women Research Group. (1995). Short forms to assess life quality and symptom distress for urinary incontinence in women: The incontinence impact questionnaire and the urogenital distress inventory. NeurourologyandUrodynamics, 14, 131-139.
  • 11. Gaudenz R. [A questionnaire with a new urge-scoreand stresss core for the evaluation of female urinary incontinence (author’stransl)] Geburt shilfe Frauenheilkd. 1979 Sep; 39(9): 784- 92. German
  • 12. Ishiko O, Sumi T, Hirai K, Ogita S. Classification of female urinary incontinence by the scored incontinence questionnaire. Int J GynaecolObstet. 2000 Jun; 69(3): 255- 60.
  • 13. Maral I, Özkardeş H, PeskircioğluL,Bumin MA. Prevalence of stres urinary incontinence in both sexes at or after age 15 years: a cross-sectional study. J Urol 2001; 165:408-412
  • 14. Filiz TM, Uludağ C, Çınar N, Gorpelioğlu S, Topsever P. Risk factors for urinary incontinence in Turkish women. SaudiMed J 2006; 27(11):1688- 1692.
  • 15. Buchsbaum GM, Chin M, Glantz C, Guzick D. Prevalence of urinary incontinence and associated risk factors in a cohort of nuns. ObstetGynecol 2002; 100:226-9
  • 16. Simeonova Z, Milsom I, Kullendorff AM, Molander U, Bengtsson C. The prevalence of urinary incontinence and its influence on the quality of life in women from an urban Swedish population. Acta Obstet GynecolScand 1999; 78:546-51.
  • 17. Johnson 2nd TM, Kincade JE, Bernard SL, Busby-Whitehead J, Hertz-Picciotto I, DeFriese GH. The association of urinary incontinence with poor self-rated health. JAmGeriatrSoc 1998;46(6):693–9.
  • 18. Sensoy N, Dogan N, Ozek B, Karaaslan L. Urinary incontinence in women: prevalence rates, risk factors and impact on quality of life. Pak J Med Sci. 2013 May;29(3):818-22.
  • 19. Lasserre, A., Pelat, C., Guéroult, V., Hanslik, T., ChartierKastler, E., Blanchon, T., ... & Bloch, J. (2009). Urinary incontinence in French women: prevalence, risk factors, and impact on quality of life. European urology, 56(1), 177-183.
  • 20. Erekson EA, Sung VW, DiSilvestro PA, Myers DL. Urinary symptoms and impact on quality of life in women after treatment for endometrial cancer. IntUrogynecol J PelvicFloorDysfunct 2009;20(2):159–63.
  • 21. Herwig R, Bruns F, Strasser H, et al. Late urologic effects after adjuvant irradiation in stage I endometrial carcinoma. Urology. 2004 Feb;63(2):354-8.
  • 22. Nout RA, Putter H, Jü rgenliemk-Schulz IM, et al. Quality of life after pelvic radiotherapy or vaginal brachytherapy for endometrial cancer: first results of the randomized PORTEC-2 trial. J Clin Oncol. 2009 Jul 20;27(21):3547-56.
  • 23. Nout RA, van de Poll-Franse LV, Lybeert ML, et al. Longterm outcome and quality of life of patients with endometrial carcinoma treated with or without pelvic radiotherapy in the post operative radiation therapy in endometrial carcinoma 1 (PORTEC-1) trial. J Clin Oncol. 2011 May 1;29(13):1692-700.
  • 24. Rutledge T, Rogers R, Lee SJ, Muller CY. A pilot randomized control trial to evaluate pelvic floor muscle training for urinary incontinence among gynecologic cancer survivors. Gynecologic Oncology 132 (2014) 154–158.
Toplam 23 adet kaynakça vardır.

Ayrıntılar

Diğer ID JA53AT82CU
Bölüm Araştırma Makalesi
Yazarlar

Tolgay Tuyan İlhan Bu kişi benim

Ayşe Gül Kebapçılar Bu kişi benim

Berat Berrin Gençoğlu Bu kişi benim

Türkan İlhan Bu kişi benim

Tansel Çakır Bu kişi benim

Çetin Çelik Bu kişi benim

Yayımlanma Tarihi 1 Ekim 2014
Gönderilme Tarihi 1 Ekim 2014
Yayımlandığı Sayı Yıl 2014 Cilt: 17 Sayı: 4

Kaynak Göster

APA İlhan, T. T., Kebapçılar, A. G., Gençoğlu, B. B., İlhan, T., vd. (2014). RADİKAL JİNEKOLOJİK CERRAHİNİN ÜRİNER İNKONTİNANS’ A ETKİSİ. Türk Jinekolojik Onkoloji Dergisi, 17(4).
AMA İlhan TT, Kebapçılar AG, Gençoğlu BB, İlhan T, Çakır T, Çelik Ç. RADİKAL JİNEKOLOJİK CERRAHİNİN ÜRİNER İNKONTİNANS’ A ETKİSİ. TRSGO Dergisi. Ekim 2014;17(4).
Chicago İlhan, Tolgay Tuyan, Ayşe Gül Kebapçılar, Berat Berrin Gençoğlu, Türkan İlhan, Tansel Çakır, ve Çetin Çelik. “RADİKAL JİNEKOLOJİK CERRAHİNİN ÜRİNER İNKONTİNANS’ A ETKİSİ”. Türk Jinekolojik Onkoloji Dergisi 17, sy. 4 (Ekim 2014).
EndNote İlhan TT, Kebapçılar AG, Gençoğlu BB, İlhan T, Çakır T, Çelik Ç (01 Ekim 2014) RADİKAL JİNEKOLOJİK CERRAHİNİN ÜRİNER İNKONTİNANS’ A ETKİSİ. Türk Jinekolojik Onkoloji Dergisi 17 4
IEEE T. T. İlhan, A. G. Kebapçılar, B. B. Gençoğlu, T. İlhan, T. Çakır, ve Ç. Çelik, “RADİKAL JİNEKOLOJİK CERRAHİNİN ÜRİNER İNKONTİNANS’ A ETKİSİ”, TRSGO Dergisi, c. 17, sy. 4, 2014.
ISNAD İlhan, Tolgay Tuyan vd. “RADİKAL JİNEKOLOJİK CERRAHİNİN ÜRİNER İNKONTİNANS’ A ETKİSİ”. Türk Jinekolojik Onkoloji Dergisi 17/4 (Ekim 2014).
JAMA İlhan TT, Kebapçılar AG, Gençoğlu BB, İlhan T, Çakır T, Çelik Ç. RADİKAL JİNEKOLOJİK CERRAHİNİN ÜRİNER İNKONTİNANS’ A ETKİSİ. TRSGO Dergisi. 2014;17.
MLA İlhan, Tolgay Tuyan vd. “RADİKAL JİNEKOLOJİK CERRAHİNİN ÜRİNER İNKONTİNANS’ A ETKİSİ”. Türk Jinekolojik Onkoloji Dergisi, c. 17, sy. 4, 2014.
Vancouver İlhan TT, Kebapçılar AG, Gençoğlu BB, İlhan T, Çakır T, Çelik Ç. RADİKAL JİNEKOLOJİK CERRAHİNİN ÜRİNER İNKONTİNANS’ A ETKİSİ. TRSGO Dergisi. 2014;17(4).