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Comparison of midurethral sling outcomes with and without concomitant prolapse repair

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dc.contributor.author김세광-
dc.contributor.author김수림-
dc.contributor.author배상욱-
dc.date.accessioned2015-01-06T16:26:51Z-
dc.date.available2015-01-06T16:26:51Z-
dc.date.issued2014-
dc.identifier.issn2287-8572-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/98122-
dc.description.abstractObjective : We compared the outcomes of the midurethral sling (MUS) with and without concomitant prolapse repair. Methods : We retrospectively reviewed the outcomes of 203 women who underwent MUS at Severance Hospital from January 2009 to April 2012 with and without concomitant prolapse repair. Patients completed the urogenital distress inventory questionnaire preoperatively and postoperatively. The outcomes were assessed by using validated questionnaires and reviewing medical records. McNemar's test, t-test, and multiple logistic regression were used for analysis. Results : We noted that women who underwent MUS alone were more likely to experience urinary frequency (12% vs. 25%, P = 0.045), urgency (6% vs. 24%, P < 0.001), and bladder emptying difficulty (2% vs. 10%, P = 0.029) compared to those who underwent concomitant repair. Women who only MUS were more likely to experience discomfort in the lower abdominal or genital region compared to those who than those who underwent concomitant repair; however, the difference was not significant (5% vs. 11%, P = 0.181). In the MUS only group, maximal cystometric capacity (MCC) was a significant parameter of preoperative and postoperative urinary frequency (P = 0.042; odds ratio, 0.994; P = 0.020; odds ratio, 0.993), whereas the Valsalva leak point pressure (VLPP) was a significant factor of postoperative bladder emptying difficulty (P = 0.047; odds ratio, 0.970). Conclusion : The outcomes did not differ between patients who underwent MUS alone and those with concomitant repair. In the MUS only group, MCC and VLPP were significant urodynamics study parameters related to urinary outcome.-
dc.description.statementOfResponsibilityopen-
dc.format.extent50~58-
dc.relation.isPartOfObstetrics & Gynecology Science-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleComparison of midurethral sling outcomes with and without concomitant prolapse repair-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Obstetrics & Gynecology (산부인과학)-
dc.contributor.googleauthorE Jung Han-
dc.contributor.googleauthorSoo Rim Kim-
dc.contributor.googleauthorSei Kwang Kim-
dc.contributor.googleauthorSang Wook Bai-
dc.identifier.doi10.5468/ogs.2014.57.1.50-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00601-
dc.contributor.localIdA00631-
dc.contributor.localIdA01793-
dc.relation.journalcodeJ02408-
dc.identifier.pmid24596818-
dc.subject.keywordMidurethral slings-
dc.subject.keywordPelvic organ prolapse-
dc.subject.keywordUrodynamics-
dc.contributor.alternativeNameKim, Sei Kwang-
dc.contributor.alternativeNameKim, Soo Rim-
dc.contributor.alternativeNameBai, Sang Wook-
dc.contributor.affiliatedAuthorKim, Sei Kwang-
dc.contributor.affiliatedAuthorKim, Soo Rim-
dc.contributor.affiliatedAuthorBai, Sang Wook-
dc.citation.volume57-
dc.citation.number1-
dc.citation.startPage50-
dc.citation.endPage58-
dc.identifier.bibliographicCitationObstetrics & Gynecology Science, Vol.57(1) : 50-58, 2014-
dc.identifier.rimsid54902-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers

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