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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 373 - 379 (7page)
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Purpose: To evaluate de novo and resolved urgency and urgency urinary incontinence (UUI) after midurethral sling operations in patients with stress urinary incontinence (SUI) and mixed urinary incontinence (MUI). Materials and Methods: Patients who underwent midurethral sling operations because of SUI and MUI between January 2012 and December 2016 were reviewed. Patients were divided into three groups (pure SUI, SUI with urgency, and MUI). Patients with MUI were subcategorized as SUI predominant, equivalent, and UUI predominant. Postoperative de novo, persistent or disappearance of urgency or UUI were compared. Results: A total of 334 patients were included: 76 with pure SUI, 78 with SUI with urgency, and 180 with MUI. In the MUI group, 138 patients were SUI predominant, 12 patients were equivalent, and 30 patients were UUI predominant. De novo urgency developed in 5 patients (6.6%) in the pure SUI group. In the SUI with urgency group, 51 patients (65.4%) became urgency-free, and 3 (3.8%) developed de novo UUI. UUI resolved in 135 patients (75.0%): 110 (79.7%) in the SUI-predominant group, 9 (75.0%) in the equivalent group, and 16 (53.3%) in the UUI-predominant group. The patients' preoperative perception of predominant UUI was the predictive factor for persistent UUI in the multivariate analysis (hazard ratio, 5.722; p=0.001). Conclusions: De novo urgency and UUI developed in a relatively small number of patients after a midurethral sling operation. The resolution rate of UUI was significantly low in patients who had previous pelvic surgery or who preoperatively perceived UUI as a more bothersome symptom.
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참고문헌 (16)
참고문헌 신청
Luber KM / 2004 / The definition, prevalence, and risk factors for stress urinary incontinence / Rev Urol 6(Suppl 3):S3~S9
Agarwal MM / 2008 / Safety and efficacy of transobturator tension-free midurethral sling for surgical management of stress urinary incontinence in women / Int Urogynecol J Pelvic Floor Dysfunct 19:893~894
Brubaker L / 2011 / Mixed incontinence : comparing definitions in nonsurgical patients / Neurourol Urodyn 30:47~51
Tang DH / 2014 / Impact of urinary incontinence on health-related quality of life, daily activities, and healthcare resource utilization in patients with neurogenic detrusor overactivity / BMC Neurol 14:74
Jain P / 2011 / Effectiveness of midurethral slings in mixed urinary incontinence : a systematic review and meta-analysis / Int Urogynecol J 22:923~932
Agarwal MM / 2008 / Safety and efficacy of transobturator tension-free midurethral sling for surgical management of stress urinary incontinence in women / Int Urogynecol J Pelvic Floor Dysfunct 19:893~894
Brubaker L / 2011 / Mixed incontinence : comparing definitions in nonsurgical patients / Neurourol Urodyn 30:47~51
Tang DH / 2014 / Impact of urinary incontinence on health-related quality of life, daily activities, and healthcare resource utilization in patients with neurogenic detrusor overactivity / BMC Neurol 14:74
Jain P / 2011 / Effectiveness of midurethral slings in mixed urinary incontinence : a systematic review and meta-analysis / Int Urogynecol J 22:923~932
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