Skip to main content

Table 4 Management of Urinary Incontinence after Fistula Repair

From: Current practices in treatment of female genital fistula: a cross sectional study

 

N

%

Method for diagnosing incontinence after fistula surgery^

  

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*

  

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*

  

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*

  

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*

  

Counseling

28

70%

Long-term pelvic floor exercises

22

55%

Urinary diversion

14

35%

Urethral plugs

7

18%

Other/comment

3

8%

  1. * Multiple responses allowed; percentages exceed 100%.
  2. ^ Exceeds 100% due to rounding.