여성 복압성요실금 환자에서 수술적 치료 후 발생한 배뇨장애의 치료 = Management of Voiding Dysfunction Following Surgical Treatment of Female Stress Urinary Incontinence

다국어 초록 (Multilingual Abstract)

Purpose: We studied the voiding dysfunction after surgical treatment of female stress urinary incontinence
and diagnosis and treatment.
Materials and Methods: Three hundred women with stress urinary incontinence underwent surgical procedure
between January 1998 and December 2004. Ninety two patients (30.6%) experienced the postoperative voiding
dysfunction. As the primary procedure for the management of postoperative voiding dysfunction alpha-blockers
medication and clean intermittent catheterization (CIC) were performed. Then, hegar dilation and urethral pull-down
procedure were performed as a secondary measure. For the patients who showed persistent obstructed symptoms,
cutting of mesh or sling materials were performed.
Results: In 57 patients, symptoms improved by alpha-blockers medication and CIC. The others were received
hegar dilation and urethral pull-down procedure, and 29 patients were improved. 6 patients were not controlled
by conservative treatment, of which 3 patients underwent cutting of mesh or sling. De novo urgency was developed
in 12 patients. Anticholinergics were taken, symptoms were diminished in 10 patients after 5 months of medication.
Conclusion: Most voiding dysfunction after surgery may be effectively managed by conservative treatment.
In cases of failure, hegar dilation and urethral pull-down procedure may be useful within postoperative first weak.
Finally, cutting of mesh or sling must be considered in patient whose the secondary measure is failed. (J. Korean Continence Society 2005;9:40-45)

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