Kim Joon Chul, Chung Byung Soo, Choi Jong Bo, Lee Ji Youl, Lee Kyu-Sung, Park Won Hee, Choo Myung-Soo
Department of Urology, College of Medicine, The Catholic University of Korea, Seoul, South Korea.
Int Urogynecol J Pelvic Floor Dysfunct. 2007 Nov;18(11):1331-5. doi: 10.1007/s00192-007-0327-7. Epub 2007 Feb 28.
This prospective, open label, multicenter, and observational study was performed to determine the efficacy, safety, and the impact of this procedure on the current quality of life (QOL). One hundred three women underwent the intravaginal slingplasty (IVS) procedure. The postoperative evaluation consisted of clinical examination, Incontinence Quality of Life (I-QOL) questionnaire, 3-day consecutive frequency volume chart, free flowmetry, and measurement of post void residual. At 12 months, 83 patients have completed follow-up and are included in this analysis. Patient assessment of continence revealed 89.2% (74/83) cure rate. During follow-up period, one patient (1.2%) has presented with vaginal erosion of the sling material. The I-QOL showed significant improvement in total and three subscale scores at 12 months of follow-up period. This study demonstrated that the IVS procedure provides a safe and effective means for the treatment of female stress incontinence and improvement of QOL.
本前瞻性、开放标签、多中心观察性研究旨在确定该手术的疗效、安全性及其对当前生活质量(QOL)的影响。103名女性接受了阴道吊带成形术(IVS)。术后评估包括临床检查、尿失禁生活质量(I-QOL)问卷、连续3天的频率容量图、自由尿流率测定以及排尿后残余尿量测量。在12个月时,83例患者完成随访并纳入本分析。患者对尿失禁的评估显示治愈率为89.2%(74/83)。在随访期间,1例患者(1.2%)出现吊带材料阴道侵蚀。I-QOL显示在随访12个月时,总分及三个子量表得分均有显著改善。本研究表明,IVS手术为治疗女性压力性尿失禁和改善生活质量提供了一种安全有效的方法。