Seshadri Kasturi1, Douglass S Hale. 1. Division of Female Pelvic Medicine and Reconstructive Surgery, Indiana University, 1633 N. Capitol Avenue, Suite 436, Indianapolis, IN 46202, USA. seshkasturi@yahoo.com
Abstract
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.
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.
Authors: G E Leach; R R Dmochowski; R A Appell; J G Blaivas; H R Hadley; K M Luber; J L Mostwin; P D O'Donnell; C G Roehrborn Journal: J Urol Date: 1997-09 Impact factor: 7.450