Five-year Outcomes of the Transection of Synthetic Suburethral Sling Tape for Treating Obstructive Voiding Symptoms After Transobturator Sling Surgery

Title
Five-year Outcomes of the Transection of Synthetic Suburethral Sling Tape for Treating Obstructive Voiding Symptoms After Transobturator Sling Surgery
Author(s)
송필현유은상[유은상]
Keywords
STRESS URINARY-INCONTINENCE; FREE VAGINAL TAPE; IATROGENIC URETHRAL OBSTRUCTION; URETHROLYSIS; DYSFUNCTION; INCISION; LYSIS
Issue Date
201209
Publisher
ELSEVIER SCIENCE INC
Citation
UROLOGY, v.80, no.3, pp.551 - 555
Abstract
OBJECTIVE To evaluate the outcomes of sling transection in treating obstructive voiding symptoms after transobturator sling surgery and the recurrence rates of stress urinary incontinence after 5-year follow-up. MATERIAL AND METHODS Between January 2004 and March 2006, we retrospectively reviewed 461 patients who underwent the transobturator sling procedure. Of 461 patients, 28 patients (6.1%) underwent transection of suburethral sling tape under local anesthesia and followed up for at least 5 years after sling transection. We analyzed the overall success rates and recurrence rates of stress urinary incontinence using uroflowmetry with post-void residual measurement, 5 cm visual analogue scale for assessment of postoperative goal achievement, obstructive domain of International Prostate Symptom Score (IPSS) and quality of life (QoL). RESULTS Mean maximal urinary flow and post-void residual were 21.8 +/- 4.1 mL/s and 38.8 +/- 3.4 mL at 5-year follow-up after sling transection. The mean 5 cm visual analogue scale, O-IPSS and IPSS QoL scores were 4.3 +/- 1.4, 2.8 +/- 2.9, and 2.3 +/- 1.9, respectively, at 5-year follow-up. The objective and subjective success rates were 100% and 68%. Six patients (24%) redeveloped stress urinary incontinence. CONCLUSION According to our long-term (>= 5 years) follow-up results, the transection of suburethral sling tape is a simple and effective method to treat obstructive symptoms after the transobturator sling procedure. UROLOGY 80: 551-555, 2012. (c) 2012 Elsevier Inc.
URI
http://hdl.handle.net/YU.REPOSITORY/27354http://dx.doi.org/10.1016/j.urology.2012.04.052
ISSN
0090-4295
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의과대학 > 비뇨기과학교실 > Articles
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