Current Bladder Dysfunction Reports

, Volume 11, Issue 1, pp 45–52 | Cite as

Bladder Outlet Obstruction After Incontinence Surgery

  • Benjamin M. BruckerEmail author
  • Dominique R. Malacarne
Stress Incontinence and Prolapse (R Dmochowski, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Stress Incontinence and Prolapse


Stress urinary incontinence (SUI) is said to effect up to 80 % of all women who complain of some type of urinary leakage. As education about the diagnosis and treatment of SUI becomes more widespread, there is a need for understanding the efficacy and potential complications of the therapies used to treat this condition. It is widely accepted that the gold standard for treatment of SUI is mid-urethral sling (MUS). One significant complication of the MUS procedure is subsequent bladder outlet obstruction (BOO). We review the incidence and etiology of BOO following MUS and hope this document can be used as a guide for identifying patients who may be affected by postsurgical BOO. Additionally, we discuss modalities for achieving a timely and accurate diagnosis and highlight recent evidence regarding the various applications of urodynamic studies, when concerned for BOO. Lastly, various managements of this complication are discussed. This chapter serves as a comprehensive overview of BOO after incontinence procedures, highlighting the recent research contributions, which have enhanced our understanding of this potential complication when treating SUI.


Bladder outlet obstruction Anti-incontinence procedure Mid-urethral sling Stress urinary incontinence Sling complications 


Compliance with Ethics Standards

Conflict of Interest

Drs, Brucker and Malacarne declare that they have no conflict of interest.

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.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  1. 1.Departments of Urology and Obstetrics and GynecologyNew York University School of MedicineNew YorkUSA

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