The results of laparoscopic adhesiolysis for intractable urinary frequency.

Abstract

We evaluated urinary frequency related to pelvic adhesions around the bladder serosa and the result of laparoscopic adhesiolysis on intractable urinary frequency caused by adhesions that did not respond to conservative treatment. Laparoscopic adhesiolysis was performed for the diagnosis and treatment of 10 referred patients with a history of pelvic surgery in whom conservative treatment had failed. Urinary symptoms and signs, a urinary diary and cystometry were followed before and after surgery. In all cases there were various degrees of pelvic adhesion, mainly around the bladder. Frequency and urgency were improved in 9 of 10 patients. Urinary diary and cystometry parameters showed improvement at followup. Adhesions involving the bladder wall may restrict bladder distension in most of these patients. Laparoscopic adhesiolysis is beneficial in the diagnosis and treatment of this subgroup of patients.