Urethral obstruction is a common complication after surgery for stress incontinence. Symptoms include the following:
- Decreased force of the urine stream
- Incomplete bladder emptying
- Irritation or pain during urination (dysuria)
- Recurrent urinary tract infections
- Urinary retention
Urethrolysis involves cutting obstructive adhesions (fibrous tissue bands) that fix the urethra to the pubic bone. When the procedure is performed through an incision in the vagina, it is called transvaginal urethrolysis. This technique is associated with few complications and permits the correction of vaginal abnormalities.
Transvaginal urethrolysis is the most effective procedure for mending urethral obstruction that results from surgical repair of stress incontinence.