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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Stress urinary incontinence after delayed primary closure of genitourinary fistula: A technique for surgical management
American journal of obstetrics and gynecology, Volume 186, No. 5, Year 2002
Notification
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Description
OBJECTIVES: Our purpose was to evaluate the anatomic pathology of severe incontinence after fistula closure and assess a surgical technique for correction of this problem. STUDY DESIGN: Twenty-two women with severe urinary incontinence after fistula closure were recruited, and clinical and urodynamic assessment was performed. A technique combining retropubic urethrolysis, pubovaginal sling, and omental graft was performed in women with genuine stress incontinence (GSI), and continence outcome was assessed at 4 weeks and 14 months. RESULTS: On urodynamic assessment, 9 (41%) had severe GSI with normal compliance, 3 (14%) GSI and poor compliance, 9 (41%) GSI and detrusor instability, and 1 (4%) voiding dysfunction with overflow incontinence. Nine women (41%) with pure GSI underwent continence surgery. Continence outcomes were 78% at 4 weeks and 67% at 14 months. CONCLUSION: The anatomic pathology of GSI after fistula surgery is complex. The surgical technique described is promising with low morbidity and improved continence rates at 4 weeks and 14 months compared with previous techniques. © 2002 Elsevier Science Inc.
Authors & Co-Authors
Carey, Marcus P.
Australia, Melbourne
Mercy Hospital for Women
Ethiopia, Addis Ababa
Mercy Hospital for Women
Goh, Judith T.W.
Australia, Melbourne
Mercy Hospital for Women
Ethiopia, Addis Ababa
Mercy Hospital for Women
Fynes, Michelle
Australia, Melbourne
Mercy Hospital for Women
Ethiopia, Addis Ababa
Mercy Hospital for Women
Murray, Christine
Australia, Melbourne
Mercy Hospital for Women
Ethiopia, Addis Ababa
Mercy Hospital for Women
Statistics
Citations: 43
Authors: 4
Affiliations: 2
Identifiers
Doi:
10.1067/mob.2002.122247
ISSN:
00029378
Research Areas
Health System And Policy
Participants Gender
Female