Review

Evaluation and management of voiding dysfunction after midurethral sling procedures

10.5152/jtgga.2012.14

  • Hatice Çelik
  • Özgür Harmanli

Received Date: 03.02.2012 Accepted Date: 02.04.2012 J Turk Ger Gynecol Assoc 2012;13(2):123-127 PMID: 24592021

Midurethral slings have become the most popular surgical procedure for the correction of stress urinary incontinence in women. Urinary retention or obstructive voiding symptoms may arise from partial urethral obstruction as a result of oversuspension of the urethra or exaggerated tension. Fortunately, most cases of voiding dysfunction are transient and resolve spontaneously within days. Clean intermittent self-catheterization is the mainstay of conservative treatment. If symptoms persist, tape mobilization, incision or urethrolysis may be performed. Recurrent stress urinary incontinence may occur in a small group of patients, who may benefit from another incontinence treatment.

Keywords: Incontinence, midurethral sling, voiding dysfunction, urinary retention, urethrolysis