From: Current practices in treatment of female genital fistula: a cross sectional study
 | N | % |
---|---|---|
Method for diagnosing incontinence after fistula surgery^ | Â | Â |
By history and physical examination, including dye test | 29 | 73% |
By history and physical examination, without dye test | 8 | 20% |
By urodynamic studies | 1 | 3% |
No response | 2 | 5% |
Operative procedures performed to reduce the risk of postoperative SUI* | Â | Â |
Urethral lengthening | 17 | 43% |
Bulbocavernosus sling (Browning) | 14 | 35% |
Bladder neck suspension | 11 | 28% |
Medial thigh fascio-cutaneous flaps | 3 | 8% |
Other | 11 | 28% |
No response | 1 | 3% |
Non-surgical treatment provided for incontinence after fistula repair* | Â | Â |
Pelvic floor exercises | 30 | 75% |
Anticholinergic medications (buscopan, oxybutinin, etc.) | 21 | 53% |
Bladder training | 17 | 43% |
Urethral plugs | 5 | 13% |
Peri-urethral injection (autologous fat, collagen, microspheres) | 2 | 5% |
Other | 5 | 13% |
No response | 3 | 8% |
Surgical treatments provided for urinary incontinence after surgery* | Â | Â |
Pubovaginal sling surgery | 19 | 48% |
Bladder neck suspension | 18 | 45% |
Vaginal tape procedure | 6 | 15% |
Other | 10 | 25% |
No response | 2 | 5% |
Treatments/care provided to patients who have failed surgical treatment for stress incontinence* | Â | Â |
Counseling | 28 | 70% |
Long-term pelvic floor exercises | 22 | 55% |
Urinary diversion | 14 | 35% |
Urethral plugs | 7 | 18% |
Other/comment | 3 | 8% |