Avtor/Urednik		But, Igor; Faganelj, Metka
Naslov		Subjektivna ocena izboljšanja po operaciji z nožničnim nenapetostnim trakom (TVT) pri zdravljenju žensk z urinsko inkontinenco - raziskava na podlagi vprašalnika
Prevedeni naslov		Subjective cure rates after TVT procedure for treatment of female urinary incontinence - a questionnaire based study
Tip		članek
Vir		Zdrav Vestn
Vol. in št.		Letnik 72, št. Suppl 2
Leto izdaje		2003
Obseg		str. II-163-6
Jezik		slo
Abstrakt		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 SUl and 52 patients with MUI. In the assessement 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 afterTVT 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 TVTprocedure. 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 weresatisfied 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 activity.
Izvleček		Izhodišča. 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 s SUI in 53 bolnic z MUI. Za oceno subjektivnega izboljšanja smo uporabili vizualno analogno lestvico in vprašalnik SAl (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 MUl. 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 mehurja.
Deskriptorji		URINARY INCONTINENCE TREATMENT OUTCOME QUESTIONNAIRES