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master's thesis
Bulking operacije u liječenju inkontinencije
Zagreb: University of Zagreb, School of Medicine, 2021. urn:nbn:hr:105:094188
Sekulić, Mislav
University of Zagreb
School of Medicine
Department of Gynecology and Obstetrics

Institutional repository: Dr Med - University of Zagreb School of Medicine Digital Repository

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Sekulić, M. (2021). Bulking operacije u liječenju inkontinencije (Master's thesis). Zagreb: University of Zagreb, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:094188

Sekulić, Mislav. "Bulking operacije u liječenju inkontinencije." Master's thesis, University of Zagreb, School of Medicine, 2021. https://urn.nsk.hr/urn:nbn:hr:105:094188

Sekulić, Mislav. "Bulking operacije u liječenju inkontinencije." Master's thesis, University of Zagreb, School of Medicine, 2021. https://urn.nsk.hr/urn:nbn:hr:105:094188

Sekulić, M. (2021). 'Bulking operacije u liječenju inkontinencije', Master's thesis, University of Zagreb, School of Medicine, accessed 23 November 2024, https://urn.nsk.hr/urn:nbn:hr:105:094188

Sekulić M. Bulking operacije u liječenju inkontinencije [Master's thesis]. Zagreb: University of Zagreb, School of Medicine; 2021 [cited 2024 November 23] Available at: https://urn.nsk.hr/urn:nbn:hr:105:094188

M. Sekulić, "Bulking operacije u liječenju inkontinencije", Master's thesis, University of Zagreb, School of Medicine, Zagreb, 2021. Available at: https://urn.nsk.hr/urn:nbn:hr:105:094188

Metadata
TitleBulking operacije u liječenju inkontinencije
Title (english)Bulking operations in the treatment of incontinence
AuthorMislav Sekulić
MentorVladimir Banović (mentor)
Committee memberDržislav Kalafatić (predsjednik povjerenstva)
Committee memberDinka Pavičić Baldani (član povjerenstva)
Committee memberVladimir Banović (član povjerenstva)
GranterUniversity of Zagreb
School of Medicine
(Department of Gynecology and Obstetrics)
Zagreb
Defense date and country2021-07-16, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Gynecology and Obstetrics
Abstract
Urinarna inkontinencija je čest problem u žena svih dobnih skupina. Najveća prevalencija je u žena smještenih u domove za starije i nemoćne osobe. Tri četvrtine žena je pogođeno problemom, no samo jedna četvrtina potraži pomoć. Sling operacije ili Burch kolposuspenzija su zlatni standard u liječenju inkontinencije. Uretralne bulking operacije javljaju se početkom dvadesetog stoljeća. Danas su terapijska alternativa za žene koje nisu pogodne za liječenje kirurškim metodama, te žene koje ne žele invazivno kirurško liječenje. Bulking materijali se dijele s obzirom na svoju građu, pa tako razlikujemo čestično građene i ne-čestično građene materijale. Najčešće korišteni materijal je bio goveđi kolagen dok nije povučen iz uporabe, a trenutno postoji više komercijalno dostupnih materijala. Dostupni materijali su podjednako učinkoviti te podjednako sigurni za korištenje. Injiciranjem materijala oko uretre dolazi do poboljšanja prianjanja stijenki uretre prilikom faze punjenja mokraćnog mjehura, što se smatra odgovornim za kontinenciju. Stope izlječenja uretralnim bulking operacijama su niže u odnosu na stope izlječenja ostalim kirurškim metodama. Njihova prednost je u značajno manjem broju nuspojava u odnosu na ostale kirurške metode. Injiciranje bulking materijala je minimalno invazivan zahvat koji se primjenjuju u lokalnoj anesteziji. Bulking operacije nisu trajno rješenje problema urinarne inkontinencije. Dovode do prolaznog poboljšanja simptoma, a za održavanje učinka je potrebna ponavljana primjena.
Abstract (english)
Urinary incontinence is a common problem in women of all age groups. The highest prevalence of urinary incontinence is in older women in nursing homes. Three out of four women are affected, but only one out of four women seek treatment. Sling operations and the Burch colposuspension are the gold standards for urinary incontinence treatment. Urethral bulking operations were first performed at the start of the twentieth century. Today they represent an alternative in incontinence treatment for women who cannot be treated with the conventional surgical methods or do not want to be treated invasively. We divide bulking materials by their structure, so we differentiate particulate and non-particulate bulking materials. Bovine collagen was the most frequently used material until its discontinuation from production. Today there are several commercially available materials used in urethral bulking operations. They are equally effective and equally safe. The injection of the bulking material around the urethra improves the coaptation of the urethral walls during the bladder filling phase, which is responsible for maintaining continence. The cure rates are lower with urethral bulking operations when compared with conventional surgical methods, but they have a significantly lower incidence of adverse effects. Urethral bulking operations are minimally invasive procedures and are being applied in local anaesthesia. They are not a permanent cure method, and they need repeating to maintain continence.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:105:094188
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2022-05-11 07:45:05