OBJECTIVES: To describe a simplified technique and results of @entity5405 by incision of the sling in the midline by way of a transvaginal approach. METHODS: We reviewed the charts of 19 @entity1 who underwent @entity5405 for obstruction. @entity1 presenting with retention, incomplete emptying or storage, or voiding symptoms suggesting obstruction after pubovaginal sling placement were evaluated with videourodynamic studies and cystourethroscopy. The diagnosis of obstruction was made on the basis of a combination of clinical, urodynamic, and endoscopic findings. All @entity1 underwent a midline incision of the sling by way of a transvaginal approach without formal urethrolysis. RESULTS: The mean @entity1 age was 57 years. Fifteen @entity1 (79%) had an @entity4438 , 3 (16%) an allographic fascia lata sling, and 1 (5%) a @entity7502 sling. Twelve @entity1 (63%) presented with urinary retention and required catheterization to empty. The other 7 @entity1 presented with obstructive and/or irritative symptoms without the need to catheterize. The mean time to sling lysis was 10.6 months from the initial surgery. The mean follow-up was 12 months (range 1 to 55). Overall, sling lysis was successful in 84% of the @entity1 . @entity3142 recurred in 17%. No significant perioperative @entity532 occurred. CONCLUSIONS: Pubovaginal sling lysis without formal urethrolysis appears to be a safe and effective method of relieving obstruction. The success and recurrent @entity3142 rates are comparable to those with formal urethrolysis.

Early results of XXXX by midline sling incision.

@entity1 :: ('9606', 'Species') :: ['women', 'Patients', 'patients', 'patient'] @entity5405 :: ('MESH:D015275', 'Disease') :: ['pubovaginal sling lysis'] @entity4438 :: ('MESH:C563219', 'Disease') :: ['autologous rectus fascial sling'] @entity7502 :: ('MESH:D011126', 'Chemical') :: ['polypropylene'] @entity532 :: ('MESH:D003925', 'Disease') :: ['complications'] @entity3142 :: ('MESH:D014550', 'Disease') :: ['stress incontinence', 'Stress incontinence']
@entity5405 :: (MESH:D015275,Disease) :: ['pubovaginal sling lysis']
