"J" cut of sling for postoperative voiding dysfunction following synthetic midurethral slings

Introduction This study evaluates the efficacy of dividing the sling in a "J" fashion in the management of refractory voiding dysfunction with obstructive voiding symptoms after midurethral slings. The sling is cut at 9 or 3 o'clock position, such that a part of the sling posterior to the urethra is intact. Methods This was a retrospective pilot study; analyzing patients who underwent sling division using the J cut technique for postoperative voiding dysfunction after midurethral slings between 2006 and 2010. Results Fifteen patients were identified during the study period. Mean post-void residual dropped from 239 mL (169.1) to 44.8 mL (47.5). The success rate for resolution of voiding dysfunction was 100%. Conclusion The J cut of the sling is an effective technique to manage voiding dysfunction after midurethral sling procedures.