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Voiding dysfunction after abdominoplasty--an unusual complication.

Inka Scheer1, Ranee Thakar, Abdul H Sultan

  • 1Mayday University Hospital, London Road, Croydon, Surrey CR7 7YE, UK.

International Urogynecology Journal and Pelvic Floor Dysfunction
|April 6, 2006
PubMed
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Abdominoplasty can cause urinary dysfunction, worsening stress urinary incontinence and altering urine stream direction. Surgical correction involving urethrolysis and pelvic floor repair successfully resolved these issues.

Area of Science:

  • Urology
  • Plastic Surgery
  • Gynecology

Background:

  • Abdominoplasty is a common cosmetic surgery, often performed after significant weight loss.
  • Previous studies suggest potential benefits for incontinence symptoms post-abdominoplasty.
  • This case highlights a rare complication of urinary dysfunction following the procedure.

Observation:

  • A patient undergoing abdominoplasty refashioning experienced worsened stress urinary incontinence.
  • A significant and concerning change was noted in the direction of her urinary stream, becoming upwardly directed.
  • This indicated a potential impact on urethral support or position.

Findings:

  • Surgical intervention, including urethrolysis, tension-free vaginal tape insertion, and anterior colporrhaphy, was performed.

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  • The patient's stress urinary incontinence symptoms showed improvement post-operatively.
  • The abnormal upward direction of the urinary stream was corrected, reverting to a normal direction.

    • Implications:

    • Abdominoplasty, while elective, carries risks of genitourinary complications.
    • Urologists and plastic surgeons should be aware of potential urinary dysfunction after abdominoplasty.
    • Prompt surgical management can effectively treat these iatrogenic urinary issues, improving patient quality of life.