ArticleInternational urogynecology journal2017
Early voiding dysfunction after midurethral sling surgery: comparison of two management approaches.
Article in International urogynecology journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 22 citations in OpenAlex.
- Babcock versus Scissor Tensioning for Retropubic Mid-Urethral Slings: Comparing Two Intra-Operative Techniques Through 5 Years of Follow-Up.International urogynecology journal · 2025Trial
- Midurethral Sling Surgery: Impacts on Sexual Function and Approaches to Complications.International urogynecology journal · 2026Review
- Continence Is Not Affected after Sling Revision with Transvaginal Tape Elongation for Post-Sling Voiding Dysfunction.Journal of clinical medicine · 2024Article
- Risk factors for stress urinary incontinence recurrence after midurethral sling revision.International journal of urology : official journal of the Japanese Urological Association · 2023Article
- Impact on urinary incontinence after management of complications related to a retropubic midurethral sling.International urogynecology journal · 2023Review
- Comparison of early loosening vs delayed section of mid-urethral slings for postoperative voiding dysfunction.International urogynecology journal · 2023Article
- Article
- Complications and re-operations after tension-free vaginal tape operation in women with stress urinary incontinence.International urogynecology journal · 2021Article
- Comment on "A constricted midurethral sling needs loosening within 48-72 hours".International urogynecology journal · 2018Article
- A constricted midurethral sling needs loosening within 48-72 hours.International urogynecology journal · 2018Article
- Management of post-midurethral sling voiding dysfunction. International Urogynecological Association research and development committee opinion.International urogynecology journal · 2018Article
- Prevention, diagnosis, and management of midurethral mesh sling complications.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2017Review
- Mesh complications: best practice in diagnosis and treatment.Therapeutic advances in urologyReview
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisEarly voiding dysfunction (EVD) with urinary retention (UR) is a complication of midurethral sling (MUS) surgery. Management is not standardized. Our objective was to characterize management approaches at our center, and report outcomes including resolution of UR, persistent voiding dysfunction, and recurrent stress urinary incontinence (SUI).
methodsAll women requiring catheterization for ≥7 days after MUS surgery during the period March 2014 to 2016 were eligible for inclusion in this prospective study. The management plan for each patient was decided jointly by the surgeon and the patient. Questionnaires regarding urinary symptoms were administered at enrollment, and 3 and 6 months after surgery. The timing and type of any surgical intervention were recorded.
resultsDuring the 2-year period, 31 women experienced EVD for ≥7 days after MUS surgery. At 6 months, complete data were available for 30 women (97%). Two management approaches were identified: "early mobilization" to loosen the MUS intact (in 10 patients), and continued catheterization with delayed sling lysis as needed (in 21 patients). In eight of the ten women in the early mobilization group, UR resolved after one intervention. Two required a second mobilization. For all women in this group, UR resolved after one or two procedures. In 11 of the 21 women in the continued catheterization group UR resolved without intervention. The other ten women in the continued catheterization group opted for sling lysis ≤6 months after MUS surgery. None of the women in the mobilization group reported SUI at 6 months in contrast to 9 of 20 (45%) in the planned continued catheterization group (p = 0.029). Seven of the nine women experiencing recurrent SUI had undergone sling lysis.
conclusionsPatients experiencing EVD after MUS surgery can be informed that UR will resolve in 50% with continued catheterization. Mobilization should be an option for those not comfortable with prolonged catheterization. Early intervention by mobilization may be associated with a lower risk of recurrent SUI, compared to continued catheterization and delayed sling lysis.
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