Management of Voiding Dysfunction after Surgical Treatment of Female Stress Urinary Incontinence.
- Author:
Dong Seok HAN
1
;
Geon GIL
;
Ju Hyun SHIN
;
Seong Min SO
;
Song Mo YOUK
;
Yong Woong KIM
;
Jae Sung LIM
;
Hong Sik KIM
;
Chong Koo SUL
;
Yong Gil NA
Author Information
1. Department of Urology, Chungnam National University College of Medicine, Daejeon, Korea. yongna@cun.ac.kr
- Publication Type:Original Article
- Keywords:
Voiding dysfunction;
Surgery;
Treatment;
Stress urinary incontinence
- MeSH:
Cholinergic Antagonists;
Diagnosis;
Female*;
Humans;
Urinary Incontinence*
- From:Journal of the Korean Continence Society
2005;9(1):40-45
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We studied the voiding dysfunction after surgical treatment of female stress urinary incontinence and diagnosis and treatment. MATERIALS AND METHODS: Three hundred women with stress urinary incontinence underwent surgical procedure between January 1998 and December 2004. Ninety two patients(30.6%) experienced the postoperative voiding dysfunction. As the primary procedure for the management of postoperative voiding dysfunction alpha-blockers medication and clean intermittent catheterization(CIC) were performed. Then, hegar dilation and urethral pull-down procedure were performed as a secondary measure. For the patients who showed persistent obstructed symptoms, cutting of mesh or sling materials were performed. RESULTS: In 57 patients, symptoms improved by alpha-blockers medication and CIC. The others were received hegar dilation and urethral pull-down procedure, and 29 patients were improved. 6 patients were not controlled by conservative treatment, of which 3 patients underwent cutting of mesh or sling. De novo urgency was developed in 12 patients. Anticholinergics were taken, symptoms were diminished in 10 patients after 5 months of medication. CONCLUSION: Most voiding dysfunction after surgery may be effectively managed by conservative treatment. In cases of failure, hegar dilation and urethral pull-down procedure may be useful within postoperative first weak. Finally, cutting of mesh or sling must be considered in patient whose the secondary measure is failed.
