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Management of urinary retention and obstruction following surgery for stress urinary incontinence

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Abstract

Urethral obstruction is a potential consequence of all types of anti-incontinence surgery. Not all patients will present in frank urinary retention: the surgeon must have a high index of suspicion to make the correct diagnosis in these cases. Important considerations in the diagnosis of these patients include the timing and methodology of evaluation. Formal urethrolysis in a variety of approaches has demonstrated similar cure rates and recurrent stress incontinence rates. Sling incision may provide an easier and less morbid approach to relieving obstruction caused by a pubovaginal sling with equal efficacy. The procedures are described and recent outcomes discussed.

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Authors and Affiliations

  1. Department of Urology, New York University School of Medicine, 150 East 32nd Street, 2nd Floor, 10016, New York, NY, USA

    Harriette M. Scarpero MD & Victor W. Nitti MD

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  1. Harriette M. Scarpero MD
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  2. Victor W. Nitti MD
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Scarpero, H.M., Nitti, V.W. Management of urinary retention and obstruction following surgery for stress urinary incontinence. Curr Urol Rep 3, 354–359 (2002). https://doi.org/10.1007/s11934-002-0076-6

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  • DOI: https://doi.org/10.1007/s11934-002-0076-6

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