Management of Voiding Dysfunction after Surgical Treatment of Female Stress Urinary Incontinence
Journal of the Korean Continence Society
; : 40-45, 2005.
Article
in Ko
| WPRIM
| ID: wpr-160948
Responsible library:
WPRO
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.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Urinary Incontinence
/
Cholinergic Antagonists
/
Diagnosis
Type of study:
Diagnostic_studies
Limits:
Female
/
Humans
Language:
Ko
Journal:
Journal of the Korean Continence Society
Year:
2005
Document type:
Article