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Published in: International Urogynecology Journal 8/2011

01-08-2011 | Original Article

“J” cut of sling for postoperative voiding dysfunction following synthetic midurethral slings

Authors: Seshadri Kasturi, Douglass S. Hale

Published in: International Urogynecology Journal | Issue 8/2011

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Abstract

Introduction

This study evaluates the efficacy of dividing the sling in a “J” fashion in the management of refractory voiding dysfunction with obstructive voiding symptoms after midurethral slings. The sling is cut at 9 or 3 o’clock position, such that a part of the sling posterior to the urethra is intact.

Methods

This was a retrospective pilot study; analyzing patients who underwent sling division using the J cut technique for postoperative voiding dysfunction after midurethral slings between 2006 and 2010.

Results

Fifteen patients were identified during the study period. Mean post-void residual dropped from 239 mL (169.1) to 44.8 mL (47.5). The success rate for resolution of voiding dysfunction was 100%.

Conclusion

The J cut of the sling is an effective technique to manage voiding dysfunction after midurethral sling procedures.
Literature
1.
go back to reference Appell RA (1998) Primary slings for everyone with genuine stress incontinence? The argument for…. Int Urogynecol J Pelvic Floor Dysfunct 9:249–251PubMedCrossRef Appell RA (1998) Primary slings for everyone with genuine stress incontinence? The argument for…. Int Urogynecol J Pelvic Floor Dysfunct 9:249–251PubMedCrossRef
2.
go back to reference Sarver R, Govier FE (1997) Pubovaginal slings: past, present and future. Int Urogynecol J Pelvic Floor Dysfunct 8:358–368PubMedCrossRef Sarver R, Govier FE (1997) Pubovaginal slings: past, present and future. Int Urogynecol J Pelvic Floor Dysfunct 8:358–368PubMedCrossRef
3.
go back to reference Nilsson CG, Palva K, Rezapour M et al (2008) Eleven years prospective follow-up of the tension-free vaginal tape procedure for treatment of stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 19:1043–1047PubMedCrossRef Nilsson CG, Palva K, Rezapour M et al (2008) Eleven years prospective follow-up of the tension-free vaginal tape procedure for treatment of stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 19:1043–1047PubMedCrossRef
4.
go back to reference Moore C, Paraiso MF (2005) Voiding dysfunction after the tension-free vaginal tape procedure. Curr Urol Rep 6:356–359PubMedCrossRef Moore C, Paraiso MF (2005) Voiding dysfunction after the tension-free vaginal tape procedure. Curr Urol Rep 6:356–359PubMedCrossRef
5.
go back to reference Leach GE, Dmochowski RR, Appell RA et al (1997) Female Stress Urinary Incontinence Clinical Guidelines Panel summary report on surgical management of female stress urinary incontinence. The American Urological Association. J Urol 158:875–880PubMedCrossRef Leach GE, Dmochowski RR, Appell RA et al (1997) Female Stress Urinary Incontinence Clinical Guidelines Panel summary report on surgical management of female stress urinary incontinence. The American Urological Association. J Urol 158:875–880PubMedCrossRef
6.
go back to reference Romanzi LJ, Blaivas JG (2000) Protracted urinary retention necessitating urethrolysis following tension-free vaginal tape surgery. J Urol 164:2022–2023PubMedCrossRef Romanzi LJ, Blaivas JG (2000) Protracted urinary retention necessitating urethrolysis following tension-free vaginal tape surgery. J Urol 164:2022–2023PubMedCrossRef
7.
go back to reference Klutke C, Siegel S, Carlin B et al (2001) Urinary retention after tension-free vaginal tape procedure: incidence and treatment. Urology 58:697–701PubMedCrossRef Klutke C, Siegel S, Carlin B et al (2001) Urinary retention after tension-free vaginal tape procedure: incidence and treatment. Urology 58:697–701PubMedCrossRef
8.
go back to reference Rardin CR, Rosenblatt PL, Kohli N et al (2002) Release of tension-free vaginal tape for the treatment of refractory postoperative voiding dysfunction. Obstet Gynecol 100:898–902PubMedCrossRef Rardin CR, Rosenblatt PL, Kohli N et al (2002) Release of tension-free vaginal tape for the treatment of refractory postoperative voiding dysfunction. Obstet Gynecol 100:898–902PubMedCrossRef
9.
go back to reference Carr LK, Webster GD (1997) Voiding dysfunction following incontinence surgery: diagnosis and treatment with retropubic or vaginal urethrolysis. J Urol 157:821–823PubMedCrossRef Carr LK, Webster GD (1997) Voiding dysfunction following incontinence surgery: diagnosis and treatment with retropubic or vaginal urethrolysis. J Urol 157:821–823PubMedCrossRef
Metadata
Title
“J” cut of sling for postoperative voiding dysfunction following synthetic midurethral slings
Authors
Seshadri Kasturi
Douglass S. Hale
Publication date
01-08-2011
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 8/2011
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-011-1404-5

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