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긴장성 요실금 수술시 실패 위험인자로서의 음성 Q-tip의 중요성

Other Titles
 Significance of the Negative Q-tip Test as a Risk Factor for Failed Incontinence Surgery 
 배상욱  ;  연정은  ;  정병하  ;  양승철  ;  이무상  ;  박기현 
 Korean Journal of Obstetrics and Gynecology (대한산부인과학회잡지), Vol.42(6) : 1314-1317, 1999 
Journal Title
 Korean Journal of Obstetrics and Gynecology (대한산부인과학회잡지) 
Issue Date
Negative Q-tip ; Stress urinary incontinence ; Failed incontinence surgery
Objective: To determine whether the surgical procedures that lift and support the urethrovesical junction to its high position are effective in treating women with stress urinary incontinence and a negative Q-tip test. Methods: Thirty two women with a clinical and urodynamic diagnosis of stress urinary incontinence who had a negative Q-tip test[<30°Q-tip angle change on straining] were enrolled in this study. Among 32 patients, 21 patients had Burch operation and 11 patients had anterior repair. We obtained failure rate of Burch operation and anterior repair in patients with a negative Q-tip test and compared it with patients with a positive Q-tip test. Results: Ten of twenty one patients undergoing Burch operation[48%] and five of eleven patients undergoing anterior repair[45%] failed the operation, for overall failure rate of 47%. This rate was three and half times higher than that among with stress urinary incontinence and a positive Q-tip test who underwent the same procedures[P<0.05]. Conclusion: Women with stress urinary incontinence and no anatomic defect in the support of the urethrovesical junction should not undergo a traditional anti-incontinence surgeries because of their high failure rate.
Full Text
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers
Yonsei Authors
Bai, Sang Wook(배상욱) ORCID logo https://orcid.org/0000-0001-7724-7552
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