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International Urogynecology Journal
Published in: International Urogynecology Journal 1/2018

01-01-2018 | Special Contribution

Management of post-midurethral sling voiding dysfunction. International Urogynecological Association research and development committee opinion

Authors: Tony Bazi, Manon H. Kerkhof, Satoru I. Takahashi, Mohamed Abdel-Fattah, on behalf of the IUGA Research and Development Committee

Published in: International Urogynecology Journal | Issue 1/2018

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Abstract

Voiding dysfunction following midurethral sling procedures is not a rare event. There is no current consensus regarding management of this complication. Although it is often transient and self-limiting, chronic post-midurethral sling voiding dysfunction may lead to irreversible changes affecting detrusor function. Initial management includes intermittent catheterization, and addressing circumstantial factors interfering with normal voiding, such as pain. Early sling mobilization often resolves the dysfunction, and is associated with minimal morbidity. Sling incision or excision at a later stage, although fairly effective, could be associated with recurrence of stress urinary incontinence. There is insufficient evidence to justify urethral dilatation in this context.
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Metadata
Title
Management of post-midurethral sling voiding dysfunction. International Urogynecological Association research and development committee opinion
Authors
Tony Bazi
Manon H. Kerkhof
Satoru I. Takahashi
Mohamed Abdel-Fattah
on behalf of the IUGA Research and Development Committee
Publication date
01-01-2018
Publisher
Springer London
Published in
International Urogynecology Journal / Issue 1/2018
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-017-3509-y

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