Evaluation and management of voiding dysfunction after midurethral sling procedures

Çelik, Hatice; Harmanli, Oz

doi:10.5152/jtgga.2012.14

Cited by 12 publications

(7 citation statements)

References 48 publications

(54 reference statements)

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“…[ 26 ] Studies have even reported that voiding disturbance is known to be transient and have been reported to resolve spontaneously as well. [ 27 ] No de novo urge incontinence was reported in our series though it has been reported in literature.…”

Section: Discussionmentioning

confidence: 62%

A study of transobturator tape in stress urinary incontinence

et al. 2017

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Background:Stress urinary incontinence (SUI) is commonly encountered in gynecological practice. Nowadays, midurethral sling surgeries in the form of transobturator tape (TOT) surgery are recommended in its treatment.Aims and Objectives:To assess the outcome and patient satisfaction of TOT surgery in the treatment of SUI.Materials and Methods:A prospective study was undertaken for patients of SUI who underwent TOT surgery by the outside in method and followed up for 5 years. The patients were assessed clinically and by the Patient Global Impression of Improvement (PGI-I) preoperatively and at postoperative day 3, discharge and 3 months follow-up.Results:Successful surgical treatment with TOT was seen in all patients at the time of discharge. There was no recurrence of SUI seen up to 1 year, but at 5-year follow-up two patients had a recurrence of SUI on examination though they did not complain of SUI. Urinary retention, tape extrusion, and groin stitch infection were the commonly seen complications following surgery. On subjective assessment, 61 patients were completely satisfied at day 3, and all patients were completely satisfied at discharge and 3 months follow-up as per the PGI-I score.Conclusion:TOT gives an excellent outcome in the treatment of SUI.

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Section: Discussionmentioning

confidence: 62%

A study of transobturator tape in stress urinary incontinence

et al. 2017

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“…Chronic urinary retention from urethral obstruction may be corrected by urethrolysis or treated with lifelong intermittent catheterization. After MUS procedures, surgical release for refractory postoperative VD procedures has been indicated for 1-2% of women [14].…”

Section: Discussionmentioning

confidence: 99%

Outcome of Syed’s Modified Pubo-Vaginal Fascial Rectus Sling Surgery in The Treatment of Female Urinary Incontinence - A Single Centre Experience

Nazir¹,

Rasool²,

Magray³

et al. 2020

SJAMS

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Original Research Article Objective: We Modified the technique of pubo-vaginal fascial rectus sling to make it minimally invasive, less expensive and reduce the incidence of post operative urinary dysfunction. Material and Methods: This study was conducted over a period of ten years on 147 patients who were operated from Jan 2003 to Jan 2013, and followed till Jan 2020. Female patients with age range from 25-65yrs, having SUI were included in the study. Apart from the standard operative procedure of PVS, we have developed a modification in which once the prolene threads are passed above from the vaginal wound, they are not tied together as per the standard procedure but a Hemolok clip (10mm) was used bilaterally to secure the thread over the rectus sheath. Results: Operation was performed in general as well as in regional block. Mean operative time was 45 min with average blood loss of 100 ml. Average Sling length was 10cm with a width of 2cms. Hemolok clips (10mm) were used at both ends over the rectus sheath after appropriate tension. Hospital stay was 2.4 days. Minor Complications occur in 17 pts (11.5%). Till Jan 2020, 131pts (89.11%) are voiding well & have no leakage or retention, while rest of the patients 16 (10.88%) are lost to follow up after 3 years. Conclusion: Syed ' s Modified Pubovaginal fascial rectus sling is a highly successful strategy for the management of Female urinary incontinence with a low rate of postoperative voiding dysfunction with good long term functional & cosmetic results.

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“…The method used for the voiding trial just after catheter removal can influence the incidence of VD. Furthermore, intervention methods such as indwelling bladder catheterization or intermittent catheterization for retention affect the recovery period [ 19 ]. In one study, urinary retention was acknowledged when catheterization lasted at least 4 weeks, whereas in another study this parameter was at least 1 day [ 20 21 ].…”

Section: Discussionmentioning

confidence: 99%

“…In one study, urinary retention was acknowledged when catheterization lasted at least 4 weeks, whereas in another study this parameter was at least 1 day [ 20 21 ]. In the present study, significant PVR was considered to be a PVR of more than 50% of voided volume, whereas others have adopted a cutoff of 100 mL PVR [ 19 ]. It is also debated whether to catheterize for obstructive voiding symptoms or not [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Analysis of voiding dysfunction after transobturator tape procedure for stress urinary incontinence

et al. 2015

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PurposeThe definition of posttransobturator tape procedure (post-TOT) voiding dysfunction (VD) is inconsistent in the literature. In this study, we retrospectively investigated the risk factors for post-TOT VD by applying various definitions in one cohort.Materials and MethodsThe medical records of 449 patients were evaluated postoperatively. Acute urinary retention requiring catheterization, subjective feeling of voiding difficulty during follow-up, and postoperative postvoid residual (PVR) greater than 100 mL or PVR greater than 50% of voided volume (significant PVR) were adopted for the definition of VD. With these categories, multivariate analysis was performed for risk factors of postoperative VD.ResultsTen patients (2.2%) required catheterization, 47 (10.5%) experienced postoperative voiding difficulty, and 63 (14.7%) showed significant PVR. In the multivariate logistic analysis, independent risk factors for postoperative retention requiring catheterization were previous retention history (p=0.06) and preoperative history of hysterectomy. Risk factors for subjective postoperative voiding difficulty were underactive detrusor (p=0.04) and preoperative obstructive voiding symptoms (p<0.01). Previous urinary retention history (p<0.01)) was an independent risk factor for concomitant postoperative voiding difficulty and significant PVR. Spinal anesthesia (p=0.02) and previous urinary retention history (p=0.02) were independent risk factors for significant postoperative PVR.ConclusionsWith the use of several definitions of VD after the midurethral sling procedure, postoperative peak flow rate and PVR were significantly different between groups. Although there were no independent risk factors consistent with various definitions of VD, preoperative obstructive voiding symptoms and objective parameters suggesting impaired detrusor tend to have predictive power for post-TOT VD.

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Evaluation and management of voiding dysfunction after midurethral sling procedures

Cited by 12 publications

References 48 publications

A study of transobturator tape in stress urinary incontinence

A study of transobturator tape in stress urinary incontinence

Outcome of Syed’s Modified Pubo-Vaginal Fascial Rectus Sling Surgery in The Treatment of Female Urinary Incontinence - A Single Centre Experience

Analysis of voiding dysfunction after transobturator tape procedure for stress urinary incontinence

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