Treatment

The treatment options for voiding obstruction after antiincontinence surgery in women depend primarily on the duration and severity of the obstruction. After antiincontinence surgical procedures,many patients experience temporary voiding dysfunction; therefore, it is reasonable to wait at least 2 to 3 months before surgical treatment.

During this period, intermittent catheterization can be used. However, early intervention may be required for patients with an obstructive synthetic sling, because readjustment of some slings is possible (e.g., loosening of the sling using a urethral sound).

After the 2- to 3-month "waiting" period, surgical intervention is indicated. There are a variety of surgical approaches for the treatment, including simple sling incision, sling incision and free vaginal wall flap, urethrolysis, and Martius flap interposition.

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