Urogynecology Expert Forum
Bladder Sling Surgery
About This Forum:

Questions in the Urogynecology forum are answered by Bruce Crawford, MD, J. Kyle Mathews, MD, and other medical professionals and experts. Topics covered include overactive bladders, bladder pain, fallen/drooping bladder, bowel urgency, bowel prolapse, cystitis, incontinence, pain with intercourse, rectal prolapse, surgery, urinary urgency, and uterine prolapse.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

Bladder Sling Surgery

I had a bladder sling surgery on Nov. 26, 2007 and for three weeks, had to self catherize. The urogyn said that the sling was probably too tight and performed a second procedure to loosen it.  It is more that a week and I still have to self -catherize.  Whenever I get a strong urge sensation,I try to go on my own. I have to squeeze in my stomach and hold it for about a minute, and only about a tablespoon amount of urine comes-out. Then I self cath and get about 125 to 150 cc.  I feel that the sling tension is most likely still too tight or that the procedure is just not working for me but the urogyn disagrees . I would like to have it remove before any further healing of the scar tissue or other problems such as UTI, infections, kidney problems but my urogyn wants to wait another month. I would not mind waiting if there were noticeable/encouraging progress but there is not any and I am getting frustrated. What are your thoughts?Thank you.
Related Discussions
242593_tn?1313867921
This also happens to my sling patients from time to time. I have found that this problem is often associated with a non-relaxing urethral sphincter and/or pelvic floor muscle. In order to urinate, you have to relax the urethral sphincter, and lower your pelvic floor. Sometimes after surgery, some women have difficulty doing this, especially after pelvic floor surgery. Releasing or removing the sling usually does not help, especially if the sling is loose to begin with. Options for treatment include pelvic floor physical therapy to help loosen the pelvic floor muscles, flomax (a drug which can relax the urethral sphincter, - usually used on men who can't pee due to enlarged prostates - caution this can also lower blood pressure), and Botox injected into the urethral and pelvic floor muscles. The fact that you are having bladder spasms is a good sign, it means that your bladder muscle ( the Detrusor) is in good working order. Have your urogyn check your urethral pressure profile, and note the maximum urethral closure pressure. If both of these are in the normal range, then the sling is probably not too tight, and you may benefit from therapy to relax your pelvic floor muscles and urethral sphincter.

Dr. Hoyte
1 Comment
Blank
Avatar_n_tn
A related discussion, bladder sling cramping was started.
Blank
Avatar_n_tn
A related discussion, bladdersling was started.
Blank
Avatar_n_tn
A related discussion, bladder sling problems was started.
Blank
Avatar_n_tn
A related discussion, should i have surgery was started.
Blank
Avatar_f_tn
A related discussion, Problem  with  urinating after surgery was started.
Blank
Continue discussion Blank
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
469720_tn?1388149949
Blank
Abdominal Aortic Aneurysm-treatable... Blank
Oct 04 by Lee Kirksey, MDBlank
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank