Overactive bladder after sling surgery.
Midurethral sling surgery has become the new gold standard for the management of stress urinary incontinence. A significant number of patients will have preoperative symptoms of overactive bladder (OAB), including urgency, frequency, nocturia, and/or urgency urinary incontinence; however, 5% to 25% of women will report persistent, worsening, or de novo OAB after sling surgery. Some cases of OAB after sling surgery are known complications that should be recognized promptly and corrected, including urinary tract infection, urinary tract foreign body, and bladder outlet obstruction. For the remainder, the diagnosis and management of idiopathic postoperative OAB can be complicated. Preoperative clinical and urodynamic factors, as well as the choice of sling, may be helpful in predicting these patients and counseling them appropriately. When standard conservative therapy for OAB fails, sling incision, sacral neuromodulation, and botulinum toxin may be useful adjuncts.
Sajadi
Kamran P
KP
Glickman Urological and Kidney Institute, Cleveland Clinic Foundation, Cleveland, OH 44195, USA.
Vasavada
Sandip P
SP
D005260:Female; D006801:Humans; D053825:Suburethral Slings / Q000009:adverse effects*; D053201:Urinary Bladder, Overactive / Q000209:etiology*; D014550:Urinary Incontinence, Stress / Q000601:surgery
J Urol. 2003 Aug;170(2 Pt 1):494-7
12853807
Acta Obstet Gynecol Scand. 2004 Oct;83(10):904-8
15453883
Int Urogynecol J Pelvic Floor Dysfunct. 2002 Nov;13(6):353-7; discussion 358
12466905
J Urol. 2009 May;181(5):2176-80
19296975
Am J Obstet Gynecol. 2005 Dec;193(6):2083-7
16325620
Prog Urol. 2001 Dec;11(6):1306-13
11859672
Obstet Gynecol. 2005 Jul;106(1):38-43
15994615
Eur J Obstet Gynecol Reprod Biol. 2009 Aug;145(2):219-25
19473744
Int Urogynecol J Pelvic Floor Dysfunct. 1996;7(2):81-5; discussion 85-6
8798092
N Engl J Med. 2010 Jun 3;362(22):2066-76
20479459
J Urol. 2000 Nov;164(5):1628-31
11025720
Am J Obstet Gynecol. 2004 Jul;191(1):176-81
15295361
BJU Int. 2002 May;89(7):694-8
11966626
J Urol. 2008 Jan;179(1):214-9
18001792
Neurourol Urodyn. 2008;27(5):407-11
17985373
Korean J Urol. 2010 Feb;51(2):122-7
20414425
Curr Opin Urol. 2009 Jul;19(4):337-41
19444118
J Urol. 2004 Oct;172(4 Pt 1):1379-81
15371849
J Urol. 2008 Nov;180(5):1890-7
18801499
Int Urogynecol J Pelvic Floor Dysfunct. 2008 Feb;19(2):277-82
17671752
J Urol. 2009 Dec;182(6):2805-9
19837421
Am J Obstet Gynecol. 2008 Dec;199(6):696.e1-7
18845297
BJU Int. 2006 Sep;98 Suppl 1:17-23; discussion 24-6
16911596
J Urol. 1999 May;161(5):1535-40
10210391
Arch Intern Med. 2005 Mar 14;165(5):537-42
15767530
BJOG. 2007 May;114(5):522-31
17362484
Neurourol Urodyn. 2008;27(6):491-5
18537142
J Urol. 2010 Jun;183(6):2258-64
20400142
Neurourol Urodyn. 2010;29(1):4-20
19941278
Neurourol Urodyn. 2007;26(1):42-5
17149712
J Urol. 1994 Jul;152(1):93-8
8201698
J Urol. 2010 May;183(5):1906-14
20303102
Eur Urol. 2009 Jul;56(1):24-30
19285788
Am J Obstet Gynecol. 2004 Feb;190(2):324-31
14981369
J Urol. 2005 Apr;173(4):1295-301
15758785
J Urol. 1997 Mar;157(3):821-3
9072576
J Urol. 2007 Oct;178(4 Pt 1):1364-8; discussion 1368-9
17706717
Urology. 1998 Mar;51(3):408-11
9510344
Urology. 2004 Oct;64(4):675-9; discussion 679-81
15491697
J Clin Epidemiol. 2000 Nov;53(11):1150-7
11106889
Am J Obstet Gynecol. 2005 Dec;193(6):2144-8
16325631
Obstet Gynecol. 2004 Dec;104(6):1263-9
15572487
Acta Obstet Gynecol Scand Suppl. 1990;153:7-31
2093278