第55回日本泌尿器科学会中部総会 シンポジウム3「Female Urology in the Future」-司会の言葉-

Abstract

Symposium 3 entitled "Female Urology in the Future" is very timely as female urology, a urological subspecialty mainly managing stress urinary incontinence (SUI), pelvic organ prolapse (POP) and overactive bladder (OAB), is now beginning to blossom in Japan. In 1986, the first Japanese female incontinence clinic was opened at the Department of Urology, Nagoya University. In 1999, the tension-free vaginal tape (TVT) procedure using polypropylene mesh tape to support the mid-urethra was introduced into Japan, and it dramatically changed the SUI treatment with less era"). invasiveness and durability ("mesh Recently, a variation of the TVT procedure, transobuturator tape (TOT) procedure, and POP repair using polypropylene mesh such as tension-free vaginal mesh (TVM) procedure, are the focus of concern among Japanese urologists and gynecologists practicing female pelvic floor medicine. The International Continence Society derived a new symptomatic definition of overactive bladder (OAB) in 2002. The Neurogenic Bladder Society in Japan published the OAB guideline aiming at public education and shared care in 2005. Five symposists discuss the advantages and pitfalls of the new mesh procedures for SUI and POP, conservation of the uterus in POP repair, gender specificity of OAB, basic research to develop OAB drugs other than anticholinergics, collaboration between urologists and gynecologists, and pediatric female urology.