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Simple release of pubovaginal sling
1Department of Urology, Naval Medical Center Portsmouth, Portsmouth, Virginia, USA.
Urology
|February 22, 2001
Summary
Overcorrection following pubovaginal sling surgery can cause urinary retention. Releasing the sling material, often by transection, can resolve retention while maintaining continence, allowing for spontaneous voiding.
Area of Science:
- Urology
- Female Pelvic Medicine and Reconstructive Surgery
Background:
- Pubovaginal sling surgery is a common procedure for stress urinary incontinence.
- Overcorrection leading to obstructive voiding symptoms and urinary retention is an infrequent but significant complication.
Purpose of the Study:
- To describe a method for managing urinary retention after pubovaginal sling surgery.
- To present a technique that resolves retention while preserving continence.
Main Methods:
- Review of cases with obstructive voiding symptoms post-pubovaginal sling.
- Description of a surgical technique involving transection of the sling material.
- Utilizing a Lowsley retractor for the procedure.
Main Results:
- Transection of the sling material effectively relieved obstructive voiding symptoms and urinary retention.
- Continence was preserved in patients undergoing sling release.
- Spontaneous voiding was achieved post-procedure.
Conclusions:
- Sling material transection is an effective method to correct overcorrection after pubovaginal sling surgery.
- This approach successfully resolves urinary retention and preserves continence.
- A simple retractor-assisted procedure can restore normal voiding function.