16 apr. SLINGUL SI SINDROMUL DE URGENTA ASOCIAT IUE
Gh. Geanta*, F. Stamatian**
* Spitalul Militar de Urgenta „C. Papilian”, Cluj-Napoca
** Clinica Obstetrica – Ginecologie I, Cluj- Napoca
Rezumat
Sindromul urinar de urgenta se asociaza IUE in pâna la 60% din cazuri. Când nu se demonstreaza instabilitatea de detrusor la explorarile urodinamice, peste 50% din pacientele cu IU mixta se vindeca dupa chirurgia antiicontinenta. Au fost investigate }i tratate prin sling pubovaginal 36 paciente cu IU mixta dintre care 12 paciente (33.3%) cu sindromul urinar cu tablou clinic complet şi 24 paciente (76.7%) cu mictiuni de urgenta.
La evaluarea postoperatorie, continenta la efort s-a obtinut la toate pacientele (100%) dar numai 61.2% (22 paciente) au fost multumite de rezultat. Motivul insatisfactiei celor 14 paciente (38.8%) a fost determinat de persistenta simptomelor de urgenta mictionala care au necesitat medicatie anticolinergica.
Abstract
Urge syndrome is associated with IUE in up to 60%. When detrusor instability isn’t demonstrated on urodinamics, more then 50% patients lose their urgency following anti-incontinence surgery. We evaluated and treated by pubovaginal sling 36 women with mixed incontinence: 12 patients (33%) had all 4 simptoms of urge syndrome while 24 patients (76.7%) had only pure urgency.
On postoperative evaluation, no patient (100%) had detectable stress incontinence but satifaction rate with result was only 61.2% (22 patients). The remaining 14 patients (38.8%) in whom result was unsuccessful, most important reason for dissatisfaction was the persistent urge syndrome who was treated with anthycolinergic medication.
