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Voiding Dysfunction After Female Pelvic Surgery

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Female Genitourinary and Pelvic Floor Reconstruction

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Abstract

Pelvic surgery can result in voiding dysfunction. Neuropathic inadvertent iatrogenic trauma to the pelvic plexus occurs most often after radical gynecological and colorectal surgeries. In benign conditions, transvaginal and abdominal retropubic surgery performed for pelvic organ prolapse and urinary incontinence lead to voiding dysfunction because of anatomic changes and overcorrections. In the latter categories, bladder outlet obstruction remains the most prevalent cause of voiding dysfunction, rather than neuropathy. Long-standing bladder outlet obstruction can lead to overactive bladder or even myopathic detrusor failure. Surgery for pelvic organ prolapse can lead to outcomes in voiding behaviors with urinary retention, overactive bladder, and stress urinary incontinence.

In this chapter, we describe the surgical anatomy of the pelvic nervous system and the pelvic floor and discuss the pathophysiology and evaluation of voiding dysfunction after pelvic surgery, including surgery for stress urinary incontinence, pelvic organ prolapse, endometriosis, hysterectomy, and colorectal surgery.

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Authors and Affiliations

  1. Department of Urology, Icahn School of Medicine at Mount Sinai Hospital, New York, NY, USA

    Shirin Razdan

  2. Department of Urology, Larkin Hospital Palm Springs Teaching Hospital, Miami, FL, USA

    Angelo E. Gousse

Authors
  1. Shirin Razdan
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  2. Angelo E. Gousse
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Editor information

Editors and Affiliations

  1. University of Lisbon, Lisbon, Portugal

    Francisco E. Martins

  2. University of Oslo, Oslo, Norway

    Henriette Veiby Holm

  3. Memorial Sloan Kettering Cancer Center, New York, NY, USA

    Jaspreet S. Sandhu

  4. Eastern Virginia Medical School, Norfolk, VA, USA

    Kurt A McCammon

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Razdan, S., Gousse, A.E. (2023). Voiding Dysfunction After Female Pelvic Surgery. In: Martins, F.E., Holm, H.V., Sandhu, J.S., McCammon, K.A. (eds) Female Genitourinary and Pelvic Floor Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-031-19598-3_16

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  • DOI: https://doi.org/10.1007/978-3-031-19598-3_16

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-19597-6

  • Online ISBN: 978-3-031-19598-3

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