Management of voiding dysfunction after anti-incontinence operation / 대한산부인과학회지
Korean Journal of Obstetrics and Gynecology
;
: 761-768, 2010.
Article
in Korean
| WPRIM
| ID: wpr-53037
ABSTRACT
With the increasing number of surgery for incontinence, voiding dysfunction after anti-incontinence surgery will continue to be a problem. The patient with postoperative voiding dysfunction may present with primarily storage symptoms or voiding symptoms, or a combination of both. Detailed knowledge of the preoperative voiding status may aid in the diagnosis of voiding dysfunction. Diagnosis is based on history, physical examination, urinalysis and postvoid residual volume, but additional informations from urodynamic study and cystoscopy are useful. Patients with postoperative voiding dysfunction should be initially treated conservatively with intermittent or continuous catheterization, fluid restriction, anticholinergics and pelvic floor physiotherapy. When conservative treatment fails, surgical intervention should be done. It is important to distinguish between midurethral sling and other procedures because the timing and type of intervention vary. In case of midurethral sling, loosening or cutting the tape has had excellent results. Prevention of obstruction during surgery may be the best way to avoid reoperation.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Physical Examination
/
Reoperation
/
Urodynamics
/
Catheterization
/
Residual Volume
/
Urinalysis
/
Pelvic Floor
/
Cholinergic Antagonists
/
Cystoscopy
/
Suburethral Slings
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Obstetrics and Gynecology
Year:
2010
Type:
Article
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