Management of post-midurethral sling voiding dysfunction. International Urogynecological Association research and development committee opinion

Voiding dysfunction following midurethral sling procedures is not a rare event. There is no current consensus regarding management of this complication. Although it is often transient and self-limiting, chronic post-midurethral sling voiding dysfunction may lead to irreversible changes affecting detrusor function. Initial management includes intermittent catheterization, and addressing circumstantial factors interfering with normal voiding, such as pain. Early sling mobilization often resolves the dysfunction, and is associated with minimal morbidity. Sling incision or excision at a later stage, although fairly effective, could be associated with recurrence of stress urinary incontinence. There is insufficient evidence to justify urethral dilatation in this context.

International urogynecology journal. 2017 Nov 23 [Epub ahead of print]

Tony Bazi, Manon H Kerkhof, Satoru I Takahashi, Mohamed Abdel-Fattah, IUGA Research and Development Committee

American University of Beirut Medical Center, Cairo Street, Beirut, Lebanon. ., Department of Obstetrics and Gynecology, Radboud University Medical Center, Nijmegen, The Netherlands., Nihon University School of Medicine, Tokyo, Japan., School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Scotland, UK.

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