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Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion
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Iatrogenic obstruction after sling surgery.

Bhavin N Patel1, Kathleen C Kobashi1, David Staskin2

  • 1Virginia Mason Medical Center, Section of Urology and Renal Transplantation, C7-URO, 1100 9th Avenue, Seattle, WA 98101, USA.

Nature Reviews. Urology
|June 6, 2012
PubMed
Summary
This summary is machine-generated.

Sling surgery for stress urinary incontinence can cause iatrogenic obstruction, leading to urinary retention in 1-10% of patients. Treatment options range from catheter drainage to surgical interventions like sling excision.

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Area of Science:

  • Urology
  • Female Pelvic Medicine and Reconstructive Surgery

Background:

  • Sling surgery is the preferred treatment for stress urinary incontinence.
  • Iatrogenic obstruction is an emerging complication of sling procedures.
  • Urinary retention affects an estimated 1-10% of patients undergoing sling surgery.

Purpose of the Study:

  • To review the presentation, diagnosis, and management of iatrogenic obstruction following anti-incontinence sling surgery.

Main Methods:

  • Literature review of sling surgery complications.
  • Analysis of diagnostic criteria including patient history, physical examination, and urodynamic studies.
  • Summary of treatment modalities for post-sling obstruction.

Main Results:

  • Symptoms of iatrogenic obstruction are variable and include urgency, hesitancy, and weak stream.
  • Diagnosis relies heavily on the temporal relationship between surgery and symptom onset.
  • Management includes conservative measures like catheterization and surgical options such as sling revision or excision.

Conclusions:

  • Iatrogenic obstruction is a significant complication of anti-incontinence sling surgery.
  • Prompt diagnosis and appropriate management are crucial for patient outcomes.
  • Surgical intervention may be necessary for persistent or severe cases of retention.