Voiding Dysfunction and Urinary Retention

Νitti, Victor W.; Fleischman, Nicole

doi:10.1016/b978-0-323-02902-5.50036-8

Cited by 4 publications

(3 citation statements)

References 57 publications

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“…Retropubic angulation may also be appreciated on translabial ultrasound, voiding cysto‐urethrogram and urethroscopy. Vaginal examination may reveal mesh extrusion or anterior vaginal wall prolapse [19].…”

Section: Diagnostic Evaluationmentioning

confidence: 99%

Outlet obstruction after sling surgery

Tse¹,

Chan²

2011

BJU International

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This article provides a current update on the risk factors, clinical features, and diagnosis on obstruction after female stress incontinence surgery using the midurethral synthetic sling. Particular attention has been paid to identify the patient at risk for developing voiding diffi culty post-sling surgery, as well as the utility of urodynamics and various imaging modalities, especially translabial ultrasound, in the diagnostic process.Urethral obstruction is not an uncommon complication after sling surgery for female stress urinary incontinence (SUI). This paper focuses on this complication in the context of the mid-urethral synthetic sling, which is now the predominate surgical option used by many surgeons in the treatment of female SUI. The epidemiology and risk factors predisposing to sling obstruction is reviewed, followed by a description of clinical features used in supporting the diagnosis. The use of urodynamics in conjunction with translabial ultrasound as a novel approach to assess the position of the sling and its relation to the urethra is

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Section: Diagnostic Evaluationmentioning

confidence: 99%

Outlet obstruction after sling surgery

Tse¹,

Chan²

2011

BJU International

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“…Urinary retention (UR) is a condition in which untimely emptying of the bladder leads to retention of residual urine, characterized by autonomic dysuria and with or without pain in the bladder region. [ 1 , 2 ] In standardizing the terminology for lower urinary tract function, the Standardisation Sub-Committee of the International Continence Society (ICOS) has classified it into 2 categories: “acute urinary retention” and “chronic urinary retention.” [ 3 ] There are many causes of UR, including obstructive factors, neurogenic factors (sensory or motor nerve injury of the bladder), iatrogenic factors (pharmacological and non-pharmacological effects), infectious factors, and others. [ 4 , 5 ] Among them, benign prostatic hyperplasia is the most common obstructive etiology of UR in men, accounting for approximately 53% of total cases.…”

Section: Introductionmentioning

confidence: 99%

Efficacy and safety of electroacupuncture for urinary retention: A systematic review and meta-analysis

Xu,

Wu,

et al. 2024

Medicine

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Background: Electroacupuncture (EA) is considered as an effective treatment for urinary retention (UR). Methods: Up to April 7, 2023, randomized controlled trials (RCTs) of EA for UR were extensively searched in 8 databases, including Pubmed, Cochrane, Embase, Web of Science, Chinese Biomedical Literature Database, Chinese Journal Full-text Database, Wanfang Data, and VIP Full-text e-Journals Database. The Cochrane Risk of Bias tool and the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) were utilized to evaluate the quality of all included RCTs. Meta-analysis was conducted using Stata 15.0 software. Results: A total of 23 trials were included, and the meta-analysis results suggested that compared with the control group, EA can effectively treat various types of UR (risk ratio [RR] = 1.22, 95CI%: 1.14, 1.31) and promote bladder function recovery, with a significant reduce in residual urine volume (weighted mean differences [WMD] = −49.60, 95CI%: −64.10, −35.11), an increase in maximum bladder capacity (WMD = 47.00, 95CI%: 12.76, 81.24), a shorten in the first urination time (standardized mean difference [SMD] = −1.42, 95CI%: −2.08, −0.76), and less adverse reactions (RR = 0.21, 95CI%: 0.07, 0.65). Conclusion: EA has significant advantages in treating UR, but the efficacy and safety are still needed to be further verified through large-sample and high-quality RCTs.

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“…Anatomic lesions leading to bladder outlet obstruction include inflammatory processes, pelvic prolapse, neoplasms, external compression, iatrogenic obstruction, and other miscellaneous origins. 4 With the advantages of being inexpensive, reproducible, noninvasive, and without radiation exposure, TVS has been proposed as the best way to explore the pathogenesis of female voiding disorders 5,6 and to assess the bladder emptying function. 5 In this unusual case, a vaginal abscess appeared as a clinical cystocele.…”

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confidence: 99%