Comparison of the treatment effectiviness of surgical procedures used in urinary incontinence treatment

Yıl 2008, Cilt: 39 Sayı: 3, 101 - 110, 01.04.2008

Özgür Dundar Cem Kınık Murat Muhcu Ferhat Ateş Ali Rüştü Ergür Ercüment Müngen Mehmet Vedat Atay

Öz

Comparison of the treatment effectiviness of surgical procedures used in urinary incontinence treatment Objective: To compare the treatment effectiviness of surgical procedures used in urinary incontinence treatment in patients who admitted with a complaint of urinary leakage and diagnosed as urinary stres incontinence. Material and Methods : 27 cases who admitted to our outpatient clinic with urinary incontinence symptoms are included to the study. They are divided into Burch and TVT operation groups according to clinical conditions. In each group the results of succesful and unsuccesful cases are compared between each other and also between the results of other anti-stres incontinence operations in the literature. Results: After a follow-up of 12 months success rate is recorded as 90.9% in TVT operation group and 87.5% in Burch operation group. Our clinic's success rate in TVT and Burch operations are found higher when compared with those of the literature. There is no statistically significant differance between TVT and Burch operations success rates. Conclusion: TVT operations are considered to be the first preferred method instead of performing Burch operation in urinary stres incontinence treatment because of easy performance, early return to daily activity, less hospitalisation duration, catheterisation and operation time.

Anahtar Kelimeler

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Üriner stres inkontinans tedavisinde kullanılan cerrahi tedavi yöntemlerinin tedavi etkinliğinin karşılaştırılması

Öz

Amaç: idrar kaçırma şikayetiyle başvuran ve stres üriner inkontinans tanısı konan hastalarda kullanılan cerrahi tedavi yöntemlerinde tedavi etkinliğini karşılaştırmak. Materyal ve Metod: Polikliniğimize eforla idrar kaçırma şikayetiyle başvuran ve stres üriner inkontinans tanısı konan 27 olgu klinik durumlarına göre Burch ve TVT operasyonunun seçimine göre 2 gruba ayrıldı. Gruplardaki başarılı ve başarısız vakaların sonuçları birbirleriyle ve literatürdeki diğer anti-stres inkontinans operasyonlarının sonuçları ile karşılaştırıldı. Bulgular: Oniki aylık izleme sonunda başarı oranı TVT operasyonunda %90.9 ve Burch operasyonunda %87.5 olarak saptandı. Kliniğimizde elde edilen bu başarı oranları literatürlerle karşılaştırıldığında, TVT ve Burch operasyonunda yüksek bulundu. Burch ve TVT operasyonlarının başarı oranları incelendiğinde istatistiksel olarak anlamlı farklılık bulunmadı Sonuç: Tekniğin kolay olması, morbiditenin az olması, operasyon, hastanede kalış süresi, kateterizasyon ve normal aktiviteye dönüş süresinin daha az olması nedeniyle TVT operasyonu Burch operasyonuna göre ilk tercih edilecek yöntem olarak görülmektedir.

Anahtar Kelimeler

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Kaynakça

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