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Related Experiment Videos

Suburethral sling release

L Brubaker1

  • 1Department of Obstetrics and Gynecology, Rush Medical College, Chicago, Illinois, USA.

Obstetrics and Gynecology
|October 1, 1995
PubMed
Summary
This summary is machine-generated.

A modified suburethral sling release can resolve urinary retention after incontinence surgery. This surgical modification offers an alternative to complete sling removal for persistent voiding dysfunction.

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Area of Science:

  • Urology
  • Female Pelvic Medicine and Reconstructive Surgery

Background:

  • Genuine stress incontinence (GSI) affects many women, often treated with suburethral slings.
  • Urinary retention is a known complication following suburethral sling placement.
  • Persistent urinary retention can significantly impact quality of life.

Observation:

  • A 68-year-old woman with severe GSI and intrinsic sphincter deficiency experienced prolonged postoperative urinary retention (6 weeks) after pelvic reconstructive surgery with suburethral sling placement.
  • The patient underwent a modified sling release procedure.
  • The procedure involved releasing the suburethral sling to address the urinary retention.

Findings:

  • Following the suburethral sling release, the patient experienced an immediate return of spontaneous voiding function.

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  • Her symptoms of urinary retention resolved completely within two weeks post-procedure.

    • Implications:

    • This sling modification technique may serve as a viable alternative to complete sling removal for managing persistent urinary retention.
    • It offers a potential solution for patients experiencing debilitating voiding dysfunction after anti-incontinence surgery.
    • Further studies could explore the long-term efficacy and safety of this modified sling release procedure.