여성의 긴장성 요실금의 치료로서 Burch수술, Pubovaginal Sling Operation, Tension-free Vaginal Tape의 수술성적 비교

Abstract

Objective : The object of this study was to eompare the cure rate and confirm the clinical efficacy of three most frequent surgical procedures for stress urinary incontinence (Burch colposuspension, pubovaginal sling operation, tension-free vaginal tape). Materials and Methods : We collected datas from the records of ninety-one patients who were diagnosed as stress urinary incontinence from Jan. 1999 to May 2001. Burch colposuspension was performed by department of gynecology, Severance hospital in thirty-three patients, pubovaginal sling operation was performed by department of urology in twenty-eight patients, and tension-free vaginal tape was performed by department of urology in thirty-one patients. We investigated the characteristics of patients, preoperative urodynamic study results, cure rates and complication rates for the result, and compared them by χ^(2)-test.

Results : There were statistically no significant differences between the cure rate of each operation after 3,6 month of operation but after 12 months of follow up, the cure rate of pubovaginal sling operation was significantly higher than that Burch operation and tension-free vaginal tape. Conclusion : The cure rate of pubovaginal sling operation was significantly higher after 12 months of follow up after surgery. There was no significant difference between cure rates of Burch operation and tension- free vaginal tape. We propose randomized prospective study with larger population in the future. Key Words : Stress urinary incontinence, Burch colposuspension, Pubovaginal sling operation, Tension-free vaginal tape.