title: "J" cut of sling for postoperative voiding dysfunction following synthetic midurethral slings.
abstract: BACKGROUND
  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%.
  
  
  CONCLUSIONS
  The J cut of the sling is an effective technique to manage voiding dysfunction after midurethral sling procedures.
authors: Division of Female Pelvic Medicine and Reconstructive Surgery, Indiana University, 1633 N. Capitol Avenue, Suite 436, Indianapolis, IN 46202, USA. seshkasturi@yahoo.com
authors: Seshadri
authors: S
authors: Kasturi
authors: Douglass S
authors: DS
authors: Hale
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D019919:Prosthesis Implantation / Q000379:methods*; D012189:Retrospective Studies; D053825:Suburethral Slings; D016896:Treatment Outcome; D014555:Urination Disorders / Q000601:surgery*