1982년 3월부터 1989년 2월까지 만 7년간 본 중앙대학교 의과대학부속병원 산부인과에 입원하여 전질벽협축술을 받은 긴장성요실금 환자 76명을 대상으로 치료성적을 비교하여 다음과 같은 결론을 얻었다. 1. 수술환자의 평균연령은 48세, 평균분만횟수는 3회, 요실금의 증상발현부터 치료개시까지의 평균기간은 8년이었다. 2. 요실금과 동반된 골반이완증으로는 자궁탈출증, 직장류, 방광류, 질탈출증, 질입구 이완증 및 회음부열상 등이었고, 그중 방광류가 가장많았다. 3. 대부분의 수술은 전신마취하에서 행하여졌고, 함께 시행된 수술로는 후질벽 성형술이 가장 많았으며, 이들 수술의 64.5%에서는 봉합시 catgut이 사용되었다. 4. 수술후 catheter drainage는 5일동안이 34예로 가장 많았다. 5. 수술후 합병증의 빈도는 열성 이환율(15.7%), 배뇨곤란(11.8%), 비뇨기계 감염(10.5%), 빈혈(7.9%)등의 순이었다. 6. 수술효과의 판정은 총완치율 65.8%, 총 호전율 18.4%, 총실패율 15.8%를 보였다. 7. Cumulative cure rate를 보면 1년완치율 62.9%, 2년완치율 62.5%, 3년완치율 54.5%, 4년촨치율 40.0%이었다. Cure와 improvement를 합한 cumulative success rate는 각각 82.9%, 79.2%, 72.7%, 60.0%로서 시간이 경과함에 따라 cure와 success rate는 감소하는 경향을 보였다. 8. Cumulative failure rate는 1년실패율 9.0%, 2년실패율 12.5%, 3년실패율 13.3%, 4년 17.1%로서 시간의 경과에 따라 증가하는 경향을 보였다.

Stress urinary incontinence is defined that the involuntary loss of urine through the urethra occurs secondary to an increase in abdominal pressure. There are various medical and surgical treatment modalities for this problem. Medical treatment include estrogen theraphy, Kegl`s exercise, functional electrical stimulation and so on, but most effective results are obtained from surgical management. Anterior colporrhaphy is an effective and the most popular surgical primary procedure and seems to be remained wide in vogue up to present because of short poerating time and minimal morbidity. Anterior colporrhaphy was done in 76 patients with stress urinary incontinence at the Department of Obstetrics and Gynecology, Chung-Ang University, College of Medicine, From March 1, 1982 to February 28, 1989. This study was undertaken to evaluate the efficacy of the results of anterior colporrhaphy for these patients. The results are as follows; The mean age of the patients was 48 years(range 31 to 67 years), the mean number of parity was 3.2, and the duration from onset of symptom to operation was about 8 years. Pelvic relaxation associated with stress urinary incontinence was cystocele(35 cases), relaxation of vaginal outlet and/or deep perineal tear(26 cases), rectocele(22 cases), uterine prolapse(11 cases), and vaginal vault prolapse(1 case) in order of frequency. Most of the anterior colporrhaphy was done under the general anesthesia, and the most common used suture material was catgut(64.8%). Febrile morbidity was the most common postoperative complication, which was noticed in 15.7% of all cases, next to voiding problem(11.8%), urinary tract infection(10.5%), anemia(7.9%) and so forth. The overall results of operation were as follows, 65.8% in cured, 18.4% in improved, and 15.8% in failure. The cumulative cure rate was 62.9% for 1 year, 62.5% for 2 years, 54.5% for 3 years, and 40.0% for 4 years. The cumulative success rate, which defined as cure rate pluses improved rate was 82.9% for 1 year, 79.2% for 2 years, 72.7% for 3 years, and 60.0% for 4 years. There is a tendency that the cumulative cure and success rate has been decreased according to time elapse.