22 KB92 KB21 KB192920262003But, IgorFaganelj But, Metkaletnik:72str. II-163-II-166številka:supl. 2COBISSID:1310271ISSN:1318-0347URN:URN:NBN:SI:doc-D4ELX9KPslSlovensko zdravniško društvoZdravniški vestnikIzid zdravljenjaKirurški postopki, operativnikirurško zdravljenjeSurgical procedures, operativetherapyTreatment outcomeUrinary incontinenceUrinska inkontinencaurologijazdravljenjeSubjektivna ocena izboljšanja po operaciji z nožničnim nenapetostnim trakom (TVT) pri zdravljenju žensk z urinsko inkontinenco| a questionnaire based study| raziskava na podlagi vprašalnika| Subjective cure rates after TVT procedure for treatment of female urinary incontinence|Background. The aim of this study was to assess the subjective cure rate after the tension-free vaginal tape (TVT) procedure in patients with stress (SUI) and mixed (MUI) urinary incontinence. Methods. This is a questionnaire based study done in 43 patients with SUI and 52 patients with MUI. In the assessment of the subjective cure rate the visual analogue scale and the symptom assessment index (SAI) were used. Data were analyzed using nonparametric statistics. Results. The subjective cure rate assessed 19.6 months after TVT amounted to 89.3%. Urinary incontinence after TVT procedure was noted in 26 patients (27.4%) and the majority of these women (73.1%) were diagnosed with MUI. In patients with SUI and postoperative stable bladder a higher success rate was observed (96.7%). In 18.6% patients with SUI, de novo overactive bladder symptoms occurred. These patients estimated a significantly (p = 0.027) lower cure rate (81.9%) after TVT procedure. In patients with MUI, the cure rate after TVT amounted to 85.6%. The subjective cure rate was lower (79.4%) in case of persistent overactive bladder symptoms. However, it was significantly higher (97.5%) in case of a postoperatively stable bladder (p = 0.016).. In the group of MUI patients, the symptoms of overactive bladder disease resolved spontaneously in 17 patients (32.7%) postoperatively. The patients were satisfied with TVT and 92.6% would recommend this procedure to others. Conclusions. The TVT procedure is a very effective method of treatment for stress as well as mixed urinary incontinence. The success rate of the procedure is high, however, it is influenced by bladder activityIzhodišča. Namen raziskave je oceniti subjektivno izboljšanje po operaciji z nožničnim nenapetostnim trakom (TVT) pri bolnicah s stresno (SUI) in mešano (MUI) urinsko inkontinenco. Metode. Gre za raziskavo, ki temelji na vprašalniku in v katero smo vključili 43 bolnic z MUI. Za oceno subjektivnega izboljšanja smo uporabili vizualno analogno lestvico in vprašalnik SAI (Symptom Assessment Index). Podatke smo obdelali s pomočjo neparametrične statistike. Rezultati. Subjektivna ocena izboljšanja, ocenjena 19,6 meseca po operaciji TVT, je znašala 89,3%. Po operaciji je nad uhajanjem vode tožilo 26 bolnic (27,4%) in pri večini teh (73,1%) je šlo za MUI. Uspeh operacije je bil večji pri bolnicah s SUI in s stabilnim mehurjem po posegu (96,7%). Po posegu smo pri 18,6% bolnicah s SUI ugotovili ponovno čezmerno dejavnost mehurja (PAM). Te so značilno slabše ocenile uspeh operacije (81,9%). Pri bolnicah z MUI je bil uspeh operacije ocenjen s 85,6%. Ta rezultat je bil slabši (79,4%) v primeru vztrajanja simptomov PAM po operaciji. Uspeh operacije pa je bil značilno boljši (97,5%) v primeru stabilnega mehurja (p = 0,016). Pri skupini bolnic z MUI so simptomi PAM po operaciji spontano izzveneli pri 17 bolnicah (32,7%). Bolnice so bile s TVT zadovoljne in 92,6% bi jih ta poseg priporočilo tudi drugim. Zaključki. Operacija TVT je zelo učinkovita metoda zdravljenja stresne in mešane urinske inkontinence. Uspeh operacije je visok, odvisen pa je od dejavnosti mehurjaTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaSlovensko zdravniško društvo