The evolution of obstruction induced overactive bladder symptoms following urethrolysis for female bladder outlet obstruction

The Journal of Urology
Jonathan S StarkmanRoger R Dmochowski

Abstract

Bladder outlet obstruction following stress incontinence surgery may present as a spectrum of lower urinary tract symptoms. We evaluated the prevalence and impact of persistent overactive bladder symptoms following urethrolysis for iatrogenic bladder outlet obstruction. In a retrospective review we identified 40 patients who underwent urethrolysis. All patients underwent a standardized urological evaluation. Patients identified with genitourinary erosion, neurogenic bladder dysfunction and preexisting overactive bladder were excluded. Urethrolysis outcomes were determined by subjective bladder symptoms and objective parameters. Validated questionnaires were completed to assess symptom bother, patient satisfaction and quality of life. Statistical analyses were performed using Stata, version 9.0. A total of 40 patients were included in the study with a mean +/- SD followup of 13 +/- 11 months (range 3 to 38). Of the patients 34 patients presented with obstructive symptoms, while 36 had overactive bladder symptoms. Obstructive symptoms resolved in 28 of the 34 patients (82%), while overactive bladder symptoms resolved completely in only 12 (35%) and they were significantly improved in 4 (12%). Overall 20 patients (56%) were on ant...Continue Reading

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Citations

Oct 4, 2011·International Urogynecology Journal·Paulo Rodrigues, Flávio Hering
Jan 18, 2012·International Urogynecology Journal·Annette KuhnLuigi Raio
Sep 21, 2007·Current Urology Reports·Eric S Rovner
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Feb 12, 2014·Current Urology Reports·Nitya Abraham, Sandip Vasavada
Jul 27, 2014·The Urologic Clinics of North America·Harriette Scarpero
Jun 8, 2015·World Journal of Urology·Dominic Lee, Philippe E Zimmern
Feb 24, 2016·Current Urology Reports·Daniel S Hoffman, Victor W Nitti
Apr 10, 2013·The Journal of Urology·Margarita M AponteVictor W Nitti
Oct 30, 2015·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Georg GiannisAnnette Kuhn
Jul 14, 2010·Neurourology and Urodynamics·Sophie G FletcherGary E Lemack
Mar 16, 2012·Neurourology and Urodynamics·Montserrat Espuña-PonsMichael G Kirby
Mar 15, 2012·Neurourology and Urodynamics·Dudley RobinsonHeinz Koelbl
Sep 13, 2014·Neurourology and Urodynamics·Thomas Van den BroeckFrank Van der Aa
Sep 26, 2013·The Journal of Urology·Marisa M CliftonDaniel S Elliott
Jan 29, 2016·The Journal of Urology·Iryna M CrescenzeSandip Vasavada
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Mar 8, 2017·The Journal of Urology·Nirmish SinglaPhilippe E Zimmern
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Jan 31, 2016·Female Pelvic Medicine & Reconstructive Surgery·Shunaha Kim-FineEmanuel C Trabuco
Sep 18, 2008·Current Opinion in Obstetrics & Gynecology

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