VOIDING DYSFUNCTION FOLLOWING CYSTOURETHROPEXY - ITS EVALUATION AND MANAGEMENT

We report on 15 women who underwent cystourethropexy for anatomical stress incontinence and who subsequently had dysfunctional voiding symptoms. All 15 women underwent retropubic take-down of the prior repair and substitution with an obturator shelf repair. All 13 women who had symptoms of bladder instability experienced resolution of these symptoms. Of 7 patients who were in urinary retention and required clean intermittent catheterization only 1 continued to require clean intermittent catheterization to facilitate bladder emptying after obturator shelf substitution. In this series a successful outcome was achieved in 14 of 15 patients (93%).