"J" cut of sling for postoperative voiding dysfunction following synthetic midurethral slings
"J" cut of sling for postoperative voiding dysfunction following synthetic midurethral slings
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DOI:
10.1007/s00192-011-1404-5
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发表时间:
2011-08-01
影响因子:
1.8
通讯作者:
Hale, Douglass S.
中科院分区:
文献类型:
--
作者:
Kasturi, Seshadri;Hale, Douglass S.
Introduction This study evaluates the efficacy of dividing the sling in a "J" fashion in the management of refractory voiding dysfunction with obstructive voiding symptoms after midurethral slings. The sling is cut at 9 or 3 o'clock position, such that a part of the sling posterior to the urethra is intact.Methods This was a retrospective pilot study; analyzing patients who underwent sling division using the J cut technique for postoperative voiding dysfunction after midurethral slings between 2006 and 2010. Results Fifteen patients were identified during the study period. Mean post-void residual dropped from 239 mL (169.1) to 44.8 mL (47.5). The success rate for resolution of voiding dysfunction was 100%.Conclusion The J cut of the sling is an effective technique to manage voiding dysfunction after midurethral sling procedures.