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Botulinum Toxin Urethral Sphincter Injection Resolves Urinary Retention after Pubovaginal Sling Operation
Authors:C P Smith  M O’Leary  J Erickson  G T Somogyi  M B Chancellor
Institution:(1) University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA, US
Abstract:The management of prolonged urinary retention following pubovaginal sling surgery typically involves transvaginal urethrolysis for anatomical urethral obstruction. Brubaker 1] recently reported on urethral sphincter abnormalities as a cause of postoperative urinary retention following either Burch suspension or a pubovaginal sling procedure. We report a case of functional urethral obstruction and detrusor acontractility following pubovaginal sling surgery that was successfully treated by botulinum A toxin urethral sphincter injection.
Keywords::Bladder –  Botulinum toxin –  Incontinence –  Pubovaginal sling –  Urethra –  Urodynamics
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