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Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
06:57

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Published on: September 13, 2020

Outlet obstruction after sling surgery.

Vincent Tse1, Lewis Chan

  • 1Department of Urology, Concord Repatriation General Hospital, Sydney, Australia. vwmtse@gmail.com

BJU International
|November 17, 2011
PubMed
Summary
This summary is machine-generated.

Urethral obstruction is a common complication after mid-urethral synthetic sling surgery for female stress urinary incontinence. This review details risk factors, diagnosis using urodynamics and translabial ultrasound, and treatment options.

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Last Updated: May 27, 2026

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
06:57

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Published on: September 13, 2020

Area of Science:

  • Urology
  • Female Pelvic Medicine

Background:

  • Mid-urethral synthetic slings are a primary surgical treatment for female stress urinary incontinence (SUI).
  • Urethral obstruction is a recognized complication following sling placement.

Purpose of the Study:

  • To provide an updated review of risk factors, clinical presentation, and diagnostic strategies for urethral obstruction after mid-urethral synthetic sling surgery.
  • To highlight the role of urodynamics and translabial ultrasound in diagnosing post-sling obstruction.

Main Methods:

  • Review of current literature on mid-urethral synthetic sling surgery for SUI.
  • Discussion of epidemiological data and predisposing risk factors for obstruction.
  • Explanation of clinical features suggestive of urethral obstruction.
  • Description of diagnostic modalities including urodynamics and translabial ultrasound.

Main Results:

  • Urethral obstruction is a significant concern after synthetic sling placement for SUI.
  • Identifying patients at risk for voiding difficulties is crucial.
  • Translabial ultrasound offers a novel method to assess sling position relative to the urethra, aiding in understanding the anatomical basis of obstruction.

Conclusions:

  • Understanding the risk factors and clinical signs is key for early diagnosis of post-sling obstruction.
  • Urodynamics and translabial ultrasound are valuable tools for assessing sling-related urethral obstruction.
  • Effective management strategies are available for this complication.