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Int Neurourol J > Volume 9(1); 2005 > Article
Clinical Investigation
Journal of the Korean Continence Society 2005;9(1): 40-45.
DOI: https://doi.org/10.5213/jkcs.2005.9.1.40   
Management of Voiding Dysfunction after Surgical Treatment of Female Stress Urinary Incontinence.
Dong Seok Han, Geon Gil, Ju Hyun Shin, Seong Min So, Song Mo Youk, Yong Woong Kim, Jae Sung Lim, Hong Sik Kim, Chong Koo Sul, Yong Gil Na
Department of Urology, Chungnam National University College of Medicine, Daejeon, Korea. yongna@cun.ac.kr
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.
Keywords: Voiding dysfunction; Surgery; Treatment; Stress urinary incontinence
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Official Journal of Korean Continence Society & ESSIC (International Society for the Study of BPS) & Korean Society of Urological Research & The Korean Children’s Continence and Enuresis Society & The Korean Association of Urogenital Tract Infection and Inflammation & Korean Society of Geriatric Urological Care
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