Obstetrics & Gynecology Track the topics, authors and articles important to you
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Obstetrics & Gynecology 1996;87:50-54
© 1996 by The American College of Obstetricians and Gynecologists
This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Weinberger, M.
Right arrow Articles by Ostergard, D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Weinberger, M.
Right arrow Articles by Ostergard, D.

Articles

Postoperative catheterization, urinary retention, and permanent voiding dysfunction after polytetrafluroethylene suburethral sling placement

MW Weinberger and DR Ostergard

OBJECTIVE: To determine the incidence of permanent voiding dysfunction after polytetrafluoroethylene suburethral sling placement, and to assess the effect of voiding mechanism and uroflowmetry on the duration of postoperative catheterization. METHODS: Between January 1986 and April 1991, 108 patients underwent suburethral sling procedures to treat genuine stress incontinence. Medical records were reviewed to collect urodynamic and catheterization data. One year or longer after surgery, 98 women completed a telephone interview evaluating incontinence, self-catheterization, and voiding symptoms. RESULTS: The mean duration of postoperative cathtrerization was 10.7 weeks. There was no significant relationship between preoperative uroflow indices and the duration of catheterization. The presence of a preoperative detrusor contraction was associated with a shorter mean duration of postoperative catheterization (6.1 versus 14.8 weeks, P = .07) and a lower risk of sling removal for retention (7 versus 33%, P = .04). Eight patients continued self-catheterization. Fourteen patients reported other micturition problems: three used the Crede maneuver or double voided to facilitate emptying and 11 were unable to urinate when seated upright. There was no correlation between the duration of catheterization and ongoing voiding dysfunction. Among nine women who underwent further surgery to treat postoperative urinary retention, three continue to catheterize, one performs Crede, and one urinates standing. CONCLUSIONS: Polytetrafluoroethylene suburethral sling placement commonly produces permanent voiding difficulty. Patients who void without a detrusor contraction are at increased risk for prolonged postoperative catheterization. Sling removal does not ensure resolution of urinary retention and may be no better than leaving the sling in place.


This article has been cited by other articles:


Home page
 Obstet GynecolHome page
M. Murphy, M. H. Heit, L. Fouts, C. A. Graham, L. Blackwell, and P. J. Culligan
Effect of Anesthesia on Voiding Function After Tension-Free Vaginal Tape Procedure
Obstet. Gynecol., April 1, 2003; 101(4): 666 - 670.
[Abstract] [Full Text] [PDF]

Home page
 Obstet GynecolHome page
B. J. Vassallo, S. D. Kleeman, J. L. Segal, P. Walsh, and M. M. Karram
Tension-Free Vaginal Tape: A Quality-of-Life Assessment
Obstet. Gynecol., September 1, 2002; 100(3): 518 - 524.
[Abstract] [Full Text] [PDF]

Home page
 Obstet GynecolHome page
P. J. Culligan, R. P. Goldberg, D. W. Blackhurst, K. Sasso, S. Koduri, and P. K. Sand
Comparison of Microtransducer and Fiberoptic Catheters for Urodynamic Studies
Obstet. Gynecol., August 1, 2001; 98(2): 253 - 257.
[Abstract] [Full Text] [PDF]

Home page
 Obstet GynecolHome page
W. H. KOBAK, M. D. WALTERS, and M. R. PIEDMONTE
Determinants of Voiding After Three Types of Incontinence Surgery: A Multivariable Analysis
Obstet. Gynecol., January 1, 2001; 97(1): 86 - 91.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1996 by the American College of Obstetricians and Gynecologists.