Malacarne Dominique R, Nitti Victor W
Departments of Urology and Obstetrics and Gynecology, Division of FPMRS, New York University Langone Medical Center, New York, NY, USA.
Curr Urol Rep. 2016 Nov;17(11):83. doi: 10.1007/s11934-016-0639-6.
As many as 80 % of all women who complain of urine leakage will be diagnosed with stress urinary incontinence (SUI). As the population ages and SUI becomes more widespread, it is imperative to understand how to manage potential complications of the therapies used to treat this condition. As the mid-urethral sling has become the "gold standard" of SUI treatment, it is important to be aware of post-operative complications associated with this procedure. One significant complication of the MUS is subsequent urinary retention. In this review, we discuss the potential etiologies of post-sling urinary retention and outline the various modalities for achieving a timely and accurate diagnosis. We also emphasize the applications of various diagnostic tools, such as urodynamics, when evaluating patients with post-sling urinary retention. Lastly, various treatments for this complication are discussed. This chapter serves as a comprehensive overview of how to approach post-sling urinary retention, underlining the recent academic research contributions that have enhanced our understanding of how to manage this condition.
抱怨有漏尿问题的女性中,多达80%会被诊断为压力性尿失禁(SUI)。随着人口老龄化以及SUI变得更加普遍,了解如何处理用于治疗该病症的疗法的潜在并发症变得至关重要。由于中段尿道吊带已成为SUI治疗的“金标准”,了解与此手术相关的术后并发症很重要。MUS的一个重要并发症是随后的尿潴留。在本综述中,我们讨论吊带术后尿潴留的潜在病因,并概述实现及时准确诊断的各种方式。我们还强调在评估吊带术后尿潴留患者时各种诊断工具(如尿动力学)的应用。最后,讨论了针对该并发症的各种治疗方法。本章全面概述了如何处理吊带术后尿潴留,强调了最近的学术研究贡献,这些贡献增进了我们对如何管理这种病症的理解。