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Review
. 2012 Jun 1;13(2):123-7.
doi: 10.5152/jtgga.2012.14. eCollection 2012.

Evaluation and management of voiding dysfunction after midurethral sling procedures

Hatice Celik  1 , Ozgür Harmanlı  1
Affiliations
Review

Evaluation and management of voiding dysfunction after midurethral sling procedures

Hatice Celik et al. J Turk Ger Gynecol Assoc. .

Abstract
in English, Turkish

Midurethral slings have become the most popular surgical procedure for the correction of stress urinary incontinence in women. Urinary retention or obstructive voiding symptoms may arise from partial urethral obstruction as a result of oversuspension of the urethra or exaggerated tension. Fortunately, most cases of voiding dysfunction are transient and resolve spontaneously within days. Clean intermittent self-catheterization is the mainstay of conservative treatment. If symptoms persist, tape mobilization, incision or urethrolysis may be performed. Recurrent stress urinary incontinence may occur in a small group of patients, who may benefit from another incontinence treatment.

Midüretral slingler, kadınlarda stress idrar inkontinansının cerrahi tedavisinde en çok tercih edilen işlem haline gelmiştir. Üretranın fazla asılması ya da meşin daha sıkı yerleştirilmesi tam idrar retansiyonuna veya obstrüktif işeme semptomlarına neden olabilir. Akut idrar retansiyonu hemen müdahale gerektirir. Neyse ki, çoğu işeme disfonksiyonu geçicidir ve bir kaç gün ile hafta içinde kendiliğinden çözülür. Temiz, aralıklı self kateterizasyon, konservatif tedavinin temelini oluşturur. Konservatif tedaviye rağmen işeme disfonksiyonu devam ederse meş gevşetilebilir, kesilebilir ya da üretrolizis uygulanabilir. Bu da hastaların küçük bir kısmında tekrar tedaviyi gerektirebilecek düzeyde stres idrar inkontinansına yol açabilir.

Keywords: Incontinence; midurethral sling; urethrolysis; urinary retention; voiding dysfunction.

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