Journals / Uzmanlık Sonrası Eğitim ve Güncel Gelişmeler Dergisi / 2006 / Cilt: 3 - Sayı: 1

Peri ve postmenopozal dönemde farklı HT rejimlerinin serum homosistein düzeyleri üzerine etkileri

Effects of hormone therapy on serum homocysteine levels in peri-and postmenopausal women

Pages
46–50
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

The overall subjective cure rate was 90,85% for patients with stress urinary incontinence.

📌 3 Key Takeaways

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Objective & Hypothesis:OBJECTIVE: To report our experience with tension-free vaginal tape (TVT) operation in patients with stress urinary incontinence and to assess the rate of success and complications associated with this procedure.
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Key Findings & Data:METHODS: We performed a retrospective review of 153 patients undergoing the TVT procedure in a 4 years period to report intraoperative and postoperative complications and success rate.
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Conclusion & Impact:The overall subjective cure rate was 90,85% for patients with stress urinary incontinence.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:İleriye dönük çalışma · Östrojenler · Postmenopoz

Abstract

OBJECTIVE: To report our experience with tension-free vaginal tape (TVT) operation in patients with stress urinary incontinence and to assess the rate of success and complications associated with this procedure. METHODS: We performed a retrospective review of 153 patients undergoing the TVT procedure in a 4 years period to report intraoperative and postoperative complications and success rate. RESULTS: Intraoperative complications only included 11 (7,20%) bladder perforations. Postoperative complications included 16 (10,46%) short term voiding dysfunction, 14 (9,15%) overactive bladder. The rate of bladder perforation was significantly higher in patients with previous antiincontinence surgery than in those without previous antiincontinence surgery, (13,46% (7/52) compared with 4,0% (4/101), p<0,05). Women with previous antiincontinence surgery had significantly higher short term voiding dysfunction rate than those who did not have any previous antiincontinence surgery, (21,15% (11/52) compared with 5,0% (5/101), p<0,05). The rate of overactive bladder was similiar in women with or without previous antiincontinence surgery, (9,61% (5/52) compared with 8,91% (9/101), p>0,05). The overall subjective cure rate was 90,85% for patients with stress urinary incontinence. CONCLUSIONS: The TVT is an efficacious procedure for the treatment of stress urinary incontinence and a safe procedure with an acceptable complication rate.

Özet

AMAÇ: Bu çalışmada kliniğimizde uyguladığımız Tension-free Tape operasyonunun stres üriner inkontinaslı vakalardaki etkinliğini ve komplikasyon oranlarını belirtmeyi amaçladık. METOD: Retrospektif olarak 4 yıllık süre içerinde kliniğimizde 153 hastaya uyguladığımız TVT operasyonun intraoperatif ve postoperatif komplikasyonlarını ve başarı oranınını inceledik. SONUÇLAR: İntraoperatif dönemde sadece 11 mesane perforasyonu gözlenmiştir (%7.20). Postoperatif dönemde 16 hastada kısa süreli işeme sorunları (%10,46) ve 14 hastada overaktif mesane (%9,15) izlenmiştir. Mesane perforasyon oranı daha önceden başka bir inkontinans cerrahisi geçirenlerde (%13,4; 7/52) geçirmeyenlere göre anlamlı olarak yüksek bulunmuştur (%4,0; 4/101) (p 0,05). Tüm hastalarda sübjektif kür oranı %90,85 bulunmuştur YORUM: TVT stres üriner inkontinanslı hastalarda etkili ve kabul edilebilir komplikasyon oranlarıyla beraber güvenli bir operasyondur.

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Cite This Article

KIRAN, H., KIRAN, G., ÇETİN, T. (2006). Peri ve postmenopozal dönemde farklı HT rejimlerinin serum homosistein düzeyleri üzerine etkileri. Uzmanlık Sonrası Eğitim ve Güncel Gelişmeler Dergisi, Cilt: 3 - Sayı: 1, 46–50. https://ajindex.com/articles/320564

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