Simplified surgical approach to bladder outlet obstruction following pubovaginal sling.
We report a new technique of vaginal patch interposition to relieve bladder outlet obstruction after a suburethral sling procedure when the obstruction is caused by over correction of the urethrovesical angle. In this technique the sling is incised longitudinally in the midline and dissected laterally. A vaginal patch is obtained from the vaginal mucosa, then interposed and sutured between the 2 cut edges of the sling. This method is characterized by simplicity and low morbidity, while preserving the integrity of the suburethral sling to maintain continence.
Ghoniem
G M
GM
Department of Urology, Tulane University School of Medicine, New Orleans, Louisiana, USA.
Elgamasy
A N
AN
D000368:Aged; D000071938:Fasciotomy; D005260:Female; D006801:Humans; D011183:Postoperative Complications / Q000601:surgery*; D013536:Suture Techniques; D014524:Urethral Obstruction / Q000601:surgery; D001748:Urinary Bladder Neck Obstruction / Q000601:surgery*; D014555:Urination Disorders / Q000601:surgery; D014621:Vagina / Q000601:surgery*