Skip to main content
SpringerLink
Log in

Bladder Outlet Obstruction After Sling Surgery for Stress Urinary Incontinence

  • Chapter
  • First Online:
Female Bladder Outlet Obstruction and Urethral Reconstruction

  • 349 Accesses

Abstract

Voiding dysfunction is the commonest indication for a salvage procedure after sling surgery for stress urinary incontinence. Presentation is varied and diagnosis requires a high index of suspicion. Confirmation is by a comprehensive evaluation that usually includes urodynamics but no single modality works for all. Management is directed, among other factors, by type of original surgery, time-frame of presentation and severity of symptoms. Interventions can be challenging and are best handled at referral centers. While most patients will have resolution of voiding difficulty, residual symptoms may remain bothersome. Careful counseling is mandatory.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Daneshgari F, Kong W, Swartz M. Complications of mid urethral slings: important outcomes for future clinical trials. J Urol. 2008;180:1890–7.

    Article  Google Scholar 

  2. Rehman H, Bezerra CA, Bruschini H, Cody JD, Aluko P. Traditional suburethral sling operations for urinary incontinence in women. Cochrane Database Syst Rev. 2017;7:CD001754.

    PubMed  Google Scholar 

  3. Ford AA, Rogerson L, Cody JD, Aluko P, Ogah JA. Mid-urethral sling operations for stress urinary incontinence in women. Cochrane Database Syst Rev. 2017;7:CD006375.

    PubMed  Google Scholar 

  4. Albo ME, Richter HE, Brubaker L, Norton P, Kraus SR, Zimmern PE, et al. Burch colposuspension versus fascial sling to reduce urinary stress incontinence. N Engl J Med. 2007;356:2143–55.

    Article  CAS  Google Scholar 

  5. Richter HE, Albo ME, Zyczynski HM, et al. Retropubic versus transobturator midurethral slings for stress incontinence. N Engl J Med. 2010;362:2066–76.

    Article  CAS  Google Scholar 

  6. Haylen BT, Freeman RM, Swift SE, Cosson M, Davila GW, Deprest J, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint terminology and classification of the complications related directly to the insertion of prostheses (meshes, implants, tapes) and grafts in female pelvic floor surgery. Neurourol Urodyn. 2011;30(1):2–12.

    Article  Google Scholar 

  7. Kobashi KC, Albo ME, Dmochowski RR, Ginsberg DA, Goldman HB, Gomelsky A, et al. Surgical treatment of female stress urinary incontinence: AUA/SUFU guideline. J Urol. 2017;198:875–83.

    Article  Google Scholar 

  8. Carr LK, Webster GD. Voiding dysfunction following incontinence surgery: diagnosis and treatment with retropubic or vaginal urethrolysis. J Urol. 1997;157:821–3.

    Article  CAS  Google Scholar 

  9. Sanses TV, Brubaker L, Xu Y, Kraus SR, Lowder JL, Lemack GE, et al. Preoperative hesitating urinary stream is associated with postoperative voiding dysfunction and surgical failure following Burch colposuspension or pubovaginal rectus fascial sling surgery. Int Urogynecol J. 2011;22:713–9.

    Article  Google Scholar 

  10. Wheeler TL, Richter HE, Greer WJ, Bowling CB, Redden DT, Varner RE. Predictors of success with postoperative voiding trials after a mid urethral sling procedure. J Urol. 2008;179:600–4.

    Article  Google Scholar 

  11. Miller EA, Amundsen CL, Toh KL, Flynn BJ, Webster GD. Preoperative urodynamic evaluation may predict voiding dysfunction in women undergoing pubovaginal sling. J Urol. 2003;169:2234–7.

    Article  Google Scholar 

  12. Groutz A, Blaivas JG, Chaikin DC. Bladder outlet obstruction in women: definition and characteristics. Neurourol Urodyn. 2000;19:213–20.

    Article  CAS  Google Scholar 

  13. Nitti VW, Tu LM, Gitlin J. Diagnosing bladder outlet obstruction in women. J Urol. 1999;161:1535–40.

    Article  CAS  Google Scholar 

  14. Viereck V, Rautenberg O, Kociszewski J, Grothey S, Welter J, Eberhard J. Midurethral sling incision: indications and outcomes. Int Urogynecol J. 2013;24:645–53.

    Article  Google Scholar 

  15. Patel BN, Kobashi KC, Staskin D. Iatrogenic obstruction after sling surgery. Nat Rev Urol. 2012;9:429–34.

    Article  Google Scholar 

  16. Price N, Slack A, Khong SY, Currie I, Jackson S. The benefit of early mobilisation of tension-free vaginal tape in the treatment of post-operative voiding dysfunction. Int Urogynecol J Pelvic Floor Dysfunct. 2009;20:855–8.

    Article  Google Scholar 

  17. Bazi T, Kerkhof MH, Takahashi SI, Abdel-Fattah M, IUGA Research and Development Committee. Management of post-midurethral sling voiding dysfunction. International Urogynecological Association Research and Development Committee opinion. Int Urogynecol J. 2018;29:23–8.

    Article  Google Scholar 

  18. Sokol AI, Jelovsek JE, Walters M, Paraiso MFR, Barber MD. Incidence and predictors of prolonged urinary retentionafter TVT with and without concurrent prolapse surgery. Am J Obstet Gynecol. 2005;192:1537–43.

    Article  Google Scholar 

  19. Dmochowski RR, Osborn DJ, Reynolds WS. Slings: autologous, biologic, synthetic, and midurethral. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, editors. Campbell-Walsh urology. 11th ed. Philadelphia, PA: Elsevier; 2016. p. 1987–2038.

    Google Scholar 

  20. Gomes CM, Carvalho FL, Bellucci CHS, et al. Update on complications of synthetic suburethral slings. Int Braz J Urol. 2017;43:822–34.

    Article  Google Scholar 

  21. Scarpero HM, Dmochowski RR, Nitti VW. Repeat urethrolysis after failed urethrolysis for iatrogenic obstruction. J Urol. 2003;169(3):1013–6.

    Article  Google Scholar 

  22. Webster TM, Gerridzen RG. Gone in 24 hours: the feasibility of performing pubovaginal sling surgery with an overnight hospital stay. Can J Urol. 2003;10:1905–9.

    PubMed  Google Scholar 

  23. Sergouniotis F, Jarlshammar B, Larsson PG. Urethral complications after tension-free vaginal tape procedures: a surgical management case series. World J Nephrol. 2015;4:396–405.

    Article  Google Scholar 

  24. Velemir L, Amblard J, Jacquetin B, et al. Urethral erosion after suburethral synthetic slings: risk factors, diagnosis, and functional outcome after surgical management. Int Urogynecol J. 2008;19:999–1006.

    Article  CAS  Google Scholar 

  25. Marks B, Goldman H. Controversies in the management of mesh-based complications. Urol Clin North Am. 2012;39:419–28.

    Article  Google Scholar 

  26. Segal J, Steele A, Vassallo B, Kleeman S, Silva AW, Pauls R, et al. Various surgical approaches to treat voiding dysfunction following anti-incontinence surgery. Int Urogynecol J Pelvic Floor Dysfunct. 2006;17:372–7.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Apollo Hospitals, Hyderabad, India

    Sanjay Sinha

Authors
  1. Sanjay Sinha
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Female Urology, Reconstructive Urology and Neurovesical Dysfunction, Medanta, The Medicity, Gurugram, India

    Nikhil Khattar

  2. Department of Urology, All India Institute of Medical Sciences, New Delhi, India

    Rishi Nayyar

  3. Urology and Renal Transplantation, Krishna Institute of Medical Sciences, Secunderabad, Telangana, India

    Arabind Panda

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Sinha, S. (2021). Bladder Outlet Obstruction After Sling Surgery for Stress Urinary Incontinence. In: Khattar, N., Nayyar, R., Panda, A. (eds) Female Bladder Outlet Obstruction and Urethral Reconstruction. Springer, Singapore. https://doi.org/10.1007/978-981-15-8521-0_9

Download citation

  • DOI: https://doi.org/10.1007/978-981-15-8521-0_9

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-15-8520-3

  • Online ISBN: 978-981-15-8521-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation