女子腹圧性尿失禁に対する手術 : Raz法とGittes法の比較

Abstract

1986年10月～1990年2月の間の19例にRaz法, 1990年6月～1991年5月の間の18例にGittes法を施行した.1991年8月にRaz法施行17例及びGittes法施行全例で追跡調査を行った.Raz法施行12例及びGittes法施行16例で失禁の消失或いは著明改善を認めた.重症な合併症はみなかった.Raz法の手術結果が不十分な理由は, 早期症例における手術手技の未熟, 及び症例選択の誤りであると考えられた

We performed Raz procedure and Gittes procedure for female stress incontinence since October 1986. Raz procedure was performed on 19 patients between October 1986 and February 1990, and Gittes procedure was performed on 18 patients between June 1990 and May 1991. We followed up 17 patients who underwent Raz procedure and all the patients who underwent Gittes procedure at the time August 1991. Disappearance or marked improvement of incontinence was confirmed in 12 patients by Raz procedure, and 16 patients by Gittes Procedure. No serious complications were recognized. The reason why the result of Raz procedure was not sufficient was due to our immature operative technique and incorrect patient selection in our early experience. From this experience, we believe that both procedures can be very useful and minimal invasive operation for female stress incontinence.