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비절개성 방광경부 견인술시 술중Chain Cystourethrogram의 유용성

Effectiveness of the Intraoperative Chain Cystourethrogram in "No-incision" Bladder Neck Suspension

대한비뇨기과학회지 1993년 34권 5호 p.889 ~ 893
조성중 (  ) - 순천향대학교

박영호 (  ) - 순천향대학교

Abstract


"No-incision" bladder neck suspension, Gittes' operation, is a simple & effective technique among the various surgical technique. But occasionally patients was complained of long-term urinary retention and voiding difficulty after operation
because
of
excessive traction of the nylon suture. We prevented them using chain cystourethrogram intraoperatively. This operation was performed under the spinal anesthesia which the patients can do the Valsalva maneuver during operation. Posterior
urethrovesical
angle was not significantly different between preoperative & intraoperative chain cystourethrogram. We corrected wide posterior urethrovesical angle to about 100°(mean angle of the normal range). Normal voiding after catheter removal & duration
of
admission was significantly decreased in intraoperative chain cystourethrogram group(p<0.05). During 11 months follow-up, overall cure rate was 84.6% without longterm postoperatively voiding difficulty. We concluded that intraoperative chain
cystourethrogram was useful methods for good results.

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