Suprameatal Transvaginal Urethrolysis in Urethral Obstruction Associated with Anti-incontinence Surgery: A Case Report.
10.12701/yujm.1999.16.2.376
- Author:
Jin Wook YOO
1
;
Hee Chang JUNG
;
Tong Choon PARK
Author Information
1. Department of Urology College of Medicine, Yeungnam University, Taegu, Korea.
- Publication Type:Case Report
- Keywords:
Anti-incontinence surgery;
Urethral obstruction;
Urethrolysis
- MeSH:
Adult;
Female;
Follow-Up Studies;
Gynecological Examination;
Humans;
Hysterectomy;
Intermittent Urethral Catheterization;
Ligaments;
Sensation;
Urethral Obstruction*;
Urodynamics
- From:Yeungnam University Journal of Medicine
1999;16(2):376-379
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report our experience with a case of urethrolysis using a transvaginal suprameatal approach without lateral perforation of the urethropelvic ligament. A 43-year-old woman suffered from voiding difficulties such as hesitancy, frequency, urgency, decreased urinary flow, residual urine sensation after Marshall-Marchetti-Krantz operation concurrent with hysterectomy. The results of multidisciplinary work-ups of urethral obstruction such as history, vaginal examination, voiding cystourethrography, urodynamic study, showed that she had urethral obstruction due to a previous operation. Since clean intermittent catheterization and alpha-blocker therapy did not improve her symptoms, suprameatal transvaginal urethrolysis was performed to resolve the symptoms. Postoperative follow-up for 5 months showed that the patient remained free from voiding difficulty in their life. We believe that suprameatal transvaginal urethrolysis is worth attempting for urethral obstruction associated with anti-incontinence surgery.
