TRANSVAGINAL URETHROLYSIS FOR URETHRAL OBSTRUCTION AFTER ANTI-INCONTINENCE SURGERY

Abstract

No AccessJournal of UrologyClinical Urology: Original Articles1 Apr 1998TRANSVAGINAL URETHROLYSIS FOR URETHRAL OBSTRUCTION AFTER ANTI-INCONTINENCE SURGERY CINDY A. CROSS, R. DUANE CESPEDES, SHARON F. ENGLISH, and EDWARD J. McGUIRE CINDY A. CROSSCINDY A. CROSS , R. DUANE CESPEDESR. DUANE CESPEDES , SHARON F. ENGLISHSHARON F. ENGLISH , and EDWARD J. McGUIREEDWARD J. McGUIRE View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)63554-7AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Urethral obstruction following a stress incontinence procedure occurs in 5 to 20% of patients. We examine the success of transvaginal urethrolysis in resolving voiding dysfunction. Materials and Methods: A retrospective chart review was performed on 39 patients who had undergone transvaginal urethrolysis for urethral obstruction following an anti-incontinence procedure. Preoperatively, a history was taken, and pelvic examination and either video urodynamics or cystoscopy were done. Results: All 39 patients complained of urge incontinence, 13% had urinary retention, 51% had incomplete bladder emptying and 36% voided to completion but had irritative voiding symptoms. Previous surgery included retropubic urethropexy in 41% of the cases, pubovaginal sling in 38% and bladder neck suspension in 21%. Mean length of followup after urethrolysis was 16 months. Of the 39 patients 33 (85%) had resolution of urge incontinence but 5 still required occasional intermittent catheterization. The remaining 6 patients had continued urge incontinence. An augmentation procedure was performed in 4 patients with improvement of symptoms. Conclusions: Our data support transvaginal urethrolysis for the treatment of iatrogenic urethral obstruction. 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Volume 159Issue 4April 1998Page: 1199-1201 Advertisement Copyright & Permissions© 1998 by American Urological Association, Inc.MetricsAuthor Information CINDY A. CROSS More articles by this author R. DUANE CESPEDES More articles by this author SHARON F. ENGLISH More articles by this author EDWARD J. McGUIRE More articles by this author Expand All Advertisement PDF downloadLoading ...