Abstract
Bladder outlet obstruction in the female is rare. The patient may complain of symptoms of obstruction such as the need to strain, difficulty in starting the stream, interrupted or prolonged stream, or the sensation of incomplete emptying. The patient’s symptoms may not correlate with the residuals of urine, which can be low or high. Patients with chronic retention can present with minimal symptoms of obstruction but a significant residual of urine.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Suggested Reading
Klutke C, Siegel S, Carlin B, et al. Urinary retention after tension-free vaginal tape procedure: incidence and treatment. Urology. 2001;58:697–701.
Laurikainen E, Killholma P. A nationwide analysis of transvaginal tape release for urinary retention after tension-free vaginal tape procedure. Int Urogynecol J Pelvic Floor Dysfunct. 2006;17:111–9.
Sokol A, Jelovsek J, Walters M, et al. Incidence and predictors of prolonged urinary retention after TVT with and without concurrent prolapse surgery. Am J Obstet Gynecol. 2005;192:1537–43.
Author information
Authors and Affiliations
7.1 Electronic Supplementary Material
Below is the link to the electronic supplementary material.
Suprameatal urethrolysis and insertion of retropubic Martius flap. The patient is in retention and self-catheterization due to urethral obstruction. An incision is made anterior to the urethra directly toward the anterior pubic bone. The periosteum is exposed and the urethra retracted inferiorly. With sharp dissection, the retropubic is entered by detaching the pubourethral fascia from flesh under the inferior margin of the pubic bone. A Martius flap is prepared, rotated, and transferred anterior to the urethra into the retropubic space, where it is fixed by sutures to the anterior bladder wall. Sutures approximate the pubourethral fascia to the urethra. The vaginal incision is closed (MP4 237199 kb)
Rights and permissions
Copyright information
© 2015 Springer Science+Business Media New York
About this chapter
Cite this chapter
Raz, S. (2015). Bladder Outlet Obstruction. In: Atlas of Vaginal Reconstructive Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2941-2_7
Download citation
DOI: https://doi.org/10.1007/978-1-4939-2941-2_7
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4939-2940-5
Online ISBN: 978-1-4939-2941-2
eBook Packages: MedicineMedicine (R0)