Dissertation for the degree of Doctor of Medicine (M.D)
Abstract:
Background and purpose: Urinary stress incontinence is the most common form of incontinence in women and is especially prevalent in young women. Considering the high costs that patients spend annually on this disease and improving their quality of life, various treatments have been considered for it, and due to the greater effectiveness of surgical treatments, these treatments are used.
Materials and methods: This study was a descriptive, analytical, retrospective type, the information of which is from among 20 patients referred to Kamkar Hospital between 1384 and 1391, which is the total number of surgical operations. Burch is formed in this time frame in Kamkar Hospital and its information was collected by completing questionnaires and telephone calls with patients, and then the obtained information was entered into SPSS V.16 software.
Findings: There is a significant relationship between the success rate of Burch surgery in patients with stress urinary incontinence with age, body mass index, time of onset of stress urinary incontinence, history of receiving medical treatment, and history of diabetes and hypertension before surgery in community patients. We didn't have it, but the success rate of the surgery in all the studied patients reached 14 from 20 cases, and 70% of the patients recovered after the surgery.
Conclusion and suggestions: Considering the significant percentage of recovery of stress urinary incontinence patients after Burch Colposuspension surgery, it seems that this surgical method is an effective method for treating patients with SUI, although it is possible that our study population is a statistical population. It is small and it is not possible to give a definite opinion about this issue based on that, and it needs more investigations in this field and statistical estimation in a larger society.
Key words: urinary incontinence, stress urinary incontinence, Burch colposuspension operation
Introduction:
International Urinary Control Society (ICS) Urinary Incontinence (UI) means complaining of any clear urinary leakage that leads to social problems; Health and religion for the individual knows. Urinary incontinence is a common symptom that affects women of all ages with different severity and manifestations. This disease is rarely life-threatening, but it can have serious effects on a person's physical and mental condition. (1)
Studies show that the prevalence of urinary incontinence is increasing towards middle age. Urinary incontinence may be seen in different forms.
Stress urinary incontinence (SUI) is a subtype of lower urinary symptoms as a form of bladder storage that occurs with symptoms of involuntary urinary leakage during physical activity or sneezing and coughing. Stress incontinence is the most common form of incontinence in women and is especially prevalent in young women.
Due to the high cost that patients spend annually on this disease and improving their quality of life, various treatments have been considered for it (2) First, non-invasive treatments such as lifestyle changes, behavioral changes, and drug treatments are used for these patients, but since drug treatments have not had much effect and due to the greater effect of surgical treatments, these treatments are used.
There are various surgical methods for women with stress incontinence who have not responded adequately to drug treatments (3).
Among these methods is the Burch colposuspension surgical method, which is one of the most effective and common surgical methods that has been highly successful in recent years.
Although this operation is highly successful but it has short-term and long-term side effects, including pelvic discomfort, pelvic bleeding, infections, pelvic organ prolapse, painful intercourse, and recurrence of the disease.
In this study, the effectiveness of surgery and the satisfaction of patients after surgery and the improvement of their quality of life, as well as the relationship of this success with parameters such as age, body mass index, history of receiving medical treatment, history of diseases such as diabetes and hypertension. rtl;">
General objective:
Determining the success rate of Burch colposuspension surgery in patients with stress urinary incontinence referred to Kamkar Hospital.
Partial objectives:
Investigating the relationship between surgery success Burch with the age of the patient
Investigation of the relationship between the success of Burch surgery with the patient's body mass index
Investigation of the relationship between the success of Burch surgery and the onset time of stress urinary incontinence
Investigation of the relationship between the success of Burch surgery and the patient's history of hypertension
Investigation of the relationship between the success of surgery Burch with a history of diabetes mellitus in the patient
Investigation of the relationship between the success of Burch surgery and the history of receiving medical treatment in the patient
Hypotheses:
There may be a relationship between the success of Burch surgery with the age of the patient.
A relationship between the success of Burch surgery and the patient's body mass index There may be.
There may be a relationship between the success of Burch surgery with the time of onset of stress urinary incontinence in the patient.
There may be a relationship between the success of Burch surgery with a history of hypertension.
There may be a relationship between the success of Burch surgery with a history of diabetes mellitus
There may be a relationship between the success of Burch surgery and the history of receiving medical treatment.
Research questions:
Main question:
The success rate of Burch colposuspension surgery in patients with urinary incontinence. How much is the stress of a patient visiting Kamkar Hospital?
Subquestions:
Is there a relationship between the success of Burch surgery with the patient's age?
Is there a relationship between the success of Burch surgery with the patient's body mass index?
Is there a relationship Is there a relationship between the success of Burch surgery and the onset of stress urinary incontinence in the patient?
Is there a relationship between the success of Burch surgery and a history of hypertension?
Is there a relationship between the success of Burch surgery and a history of diabetes mellitus?
Abstract
Assessment of stress urinary incontinence response to the Burch Colposuspension surgery in Kamkar hospital in 2005 to 2012 Dr. Moslemi, M.K-Dr. Tahvildar, S.A-Dr. mohaghegh, E 20 patients whith SUI who by completing the questionnaire and entered into SPSSV.16 software.
Result: the relationship between success rate of burch surgery whith: age, BMI, the onset of SUI, receiving medical treatment an diabetes and hypertension before surgery of our patients was not significant. However, the success rate of surgery was 14 out of 20, so 70% of patients were cured after it.