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January 2007 · Vol. 19, No. 01

PELVIC SURGERY CONTROVERSIES

How to work up and treat voiding dysfunction after surgery for stress incontinence

Postop complications call for systematic evaluation and an informed plan for surgery when indicated. First in a series


Fast Track

Whenever possible, remove an indwelling catheter and teach the patient intermittent self-catheterization

Cutting a synthetic, allograft, xenograft, or autologous sling almost always restores normal voiding

Mickey  M.  Karram,  MD

Director of Urogynecology, Good Samaritan Hospital, and Professor of Obstetrics and Gynecology, University of Cincinnati, Cincinnati, Ohio

Jerry  G.  Blaivas,  MD

Clinical Professor of Urology, Weill Medical College of Cornell University, New York, NY

Voiding dysfunction—either difficulty voiding or urinary retention—after surgery for stress incontinence distresses the patient and challenges the surgeon. Here is our systematic approach to evaluating and managing such cases.

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