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골반장기탈출증을 동반한 복압성 요실금에서 tension-free vaginal tape (TVT)과 transobturator tape (TOT)의 치료 성적 비교

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dc.contributor.author김세광-
dc.contributor.author남가현-
dc.contributor.author배상욱-
dc.contributor.author양효인-
dc.contributor.author전명재-
dc.date.accessioned2015-04-24T16:26:18Z-
dc.date.available2015-04-24T16:26:18Z-
dc.date.issued2009-
dc.identifier.issn2233-5188-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/103512-
dc.description.abstractObjective: To compare tension-free vaginal tape (TVT) and transobturator tape (TOT) for surgical treatment of stress urinary incontinence (SUI) associated with pelvic organ prolapse (POP). Methods: Two hundred seventy eight consecutive patients affected by SUI associated with POP more than stage II were included in this retrospective study. Cure rate and postoperative complications such as hemoglobin difference between preoperative and postoperative period, vaginal hematoma, bladder and bowel injury, vaginal mesh erosion, urinary retention, de novo urgency, urinary tract infection were compared. Student`s t-test and chi square test were used for statistical analysis. A P-value below 0.05 was considered statistically significant. Results: The number of patients underwent TVT was 145 and TOT was 133. All patients were followed up for more than 12 months. The general characteristics of patients showed no significant difference between the two groups. There was no difference between two groups in cure rate. However, hemoglobin difference (TVT, 2.91±0.93 g/dL; TOT, 1.53±0.77 g/dL; P=0.04) was higher in TVT group than TOT group and urinary retention within 1 month (TVT, 35.17%; TOT, 21.05; P=0.02), and urinary tract infection (TVT, 11.72%; TOT, 3.75%; P=0.02) more frequently appeared in TVT group than TOT group. Other postoperative complications such as vaginal hematoma (TVT, 6.89%; TOT, 6.76%; P=0.86), bowel injury (TVT, 0%; TOT, 1.5%; P=0.64), vaginal mesh erosion (TVT, 7.58%; TOT, 4.51%; P=0.47), urinary retention after 1 month (TVT, 2.76%; TOT, 3.00%; P=0.35), de novo urgency (TVT 7.58%, TOT: 6.01%, P=0.48) were not different between two groups. Conclusion: Both procedures appear to be equally effective in the surgical treatment of SUI associated with POP. However, TOT seems to be a more safe procedure in postoperative complications-
dc.description.statementOfResponsibilityopen-
dc.format.extent83~90-
dc.relation.isPartOfKorean Journal of Obstetrics and Gynecology (대한산부인과학회지)-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.title골반장기탈출증을 동반한 복압성 요실금에서 tension-free vaginal tape (TVT)과 transobturator tape (TOT)의 치료 성적 비교-
dc.title.alternativeComparison between tension-free vaginal tape (TVT) and transobturator tape (TOT) with concomitant surgery for pelvic organ prolapse-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Obstetrics & Gynecology (산부인과학)-
dc.contributor.googleauthor양효인-
dc.contributor.googleauthor정현주-
dc.contributor.googleauthor전명재-
dc.contributor.googleauthor남가현-
dc.contributor.googleauthor최지훈-
dc.contributor.googleauthor김세광-
dc.contributor.googleauthor배상욱-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00601-
dc.contributor.localIdA01238-
dc.contributor.localIdA01793-
dc.contributor.localIdA02329-
dc.contributor.localIdA03510-
dc.relation.journalcodeJ02076-
dc.subject.keywordTension-free vaginal tape-
dc.subject.keywordTransobturator tape-
dc.subject.keywordStress urinary incontinence-
dc.subject.keywordPelvic organ prolapse-
dc.contributor.alternativeNameKim, Sei Kwang-
dc.contributor.alternativeNameNam, Ka Hyun-
dc.contributor.alternativeNameBai, Sang Wook-
dc.contributor.alternativeNameYang, Hyo In-
dc.contributor.alternativeNameJeon, Myung Jae-
dc.contributor.affiliatedAuthorKim, Sei Kwang-
dc.contributor.affiliatedAuthorNam, Ka Hyun-
dc.contributor.affiliatedAuthorBai, Sang Wook-
dc.contributor.affiliatedAuthorYang, Hyo In-
dc.contributor.affiliatedAuthorJeon, Myung Jae-
dc.citation.volume52-
dc.citation.number1-
dc.citation.startPage83-
dc.citation.endPage90-
dc.identifier.bibliographicCitationKorean Journal of Obstetrics and Gynecology (대한산부인과학회지), Vol.52(1) : 83-90, 2009-
dc.identifier.rimsid36055-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers

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