Case StudyCorticosteroids to Prevent Recurrent Obstruction after Vaginal UrethrolysisRoth, Ted M. MD; Meeks, G. Rodney MDAuthor Information From the Division of Gynecology, Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson, MS. Corresponding author: Ted M. Roth, MD, Department of Obstetrics and Gynecology, UMC, 2500 N. State St., Jackson, MS 39206. E-mail: TROTH@jam.rr.com. Journal of Pelvic Medicine and Surgery: July-August 2003 - Volume 9 - Issue 4 - p 189 doi: 10.1097/01.spv.0000086646.83232.ec Buy Metrics AbstractIn Brief Background Urethral obstruction may occur after anti-incontinence surgery. We describe the use of steroids to prevent recurrent obstruction after vaginal urethrolysis. Case A 22-year-old woman with a history of a Burch procedure complicated by obstruction and a failed vaginal urethrolysis is now 6 months from a second urethrolysis for outlet obstruction and without complaints. Postoperatively, she received periurethral injections of 10 mg of dexamethasone and 1% lidocaine without epinephrine (2.5 mL of dexamethasone and 1 mL of lidocaine) every 2 weeks for a total of 8 visits. The injections were given around the bladder neck, directed toward the symphysis. Conclusion Steroids should be considered in the prevention of outlet obstruction after vaginal urethrolysis. The use of steroids increases the chance of success of recurrent urethrolysis for outlet obstruction. © 2003 Lippincott Williams & Wilkins, Inc.