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Management of Voiding Dysfunction After Female Neobladder Creation

  • Lower Urinary Tract Symptoms & Voiding Dysfunction (J Sandhu, Section Editor)
  • Published:
Current Urology Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Functional complications after orthotopic neobladder urinary diversion (ONB), including urinary incontinence and urinary retention, present unique challenges. The purpose of this review is to outline contemporary treatment options for voiding dysfunction after ONB in females.

Recent Findings

Meticulous surgical technique in the form of urethral nerve-sparing has been shown to play an important role in maintaining continence, as has sparing the uterus when possible. Data supporting the effectiveness of lifestyle measures, urethral bulking, pubovaginal slings, and transobturator slings in the treatment of urinary incontinence are widely variable and limited to case reports. Urinary retention is still most effectively managed with self-catheterization.

Summary

Voiding dysfunction after ONB can be devastating. Recent advances focus on improving surgical techniques to decrease the risk of incontinence and retention, as post-operative management options are limited.

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Authors and Affiliations

  1. Division of Urology, University of Alberta, Edmonton, AB, Canada

    Nathan Y. Hoy

  2. Department of Urologic Surgery, Vanderbilt University Medical Center, 1302A Medical Center North, Nashville, TN, 37232, USA

    Joshua A. Cohn, Casey G. Kowalik, Melissa R. Kaufman, W. Stuart Reynolds & Roger R. Dmochowski

Authors
  1. Nathan Y. Hoy
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  2. Joshua A. Cohn
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  3. Casey G. Kowalik
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  4. Melissa R. Kaufman
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  5. W. Stuart Reynolds
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Corresponding author

Correspondence to Joshua A. Cohn.

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Conflict of Interest

Nathan Y. Hoy, Joshua A. Cohn, Casey G. Kowalik, and W. Stuart Reynolds each declare no potential conflicts of interest.

Melissa R. Kaufman reports money paid to her for teaching courses for Boston Scientific and Medtronic.

Roger R. Dmochowski is a paid consultant for Allergan and Medtronic.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Additional information

This article is part of the Topical Collection on Lower Urinary Tract Symptoms & Voiding Dysfunction

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Hoy, N.Y., Cohn, J.A., Kowalik, C.G. et al. Management of Voiding Dysfunction After Female Neobladder Creation. Curr Urol Rep 18, 33 (2017). https://doi.org/10.1007/s11934-017-0682-y

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  • DOI: https://doi.org/10.1007/s11934-017-0682-y

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