Table 4

Management of Urinary Incontinence after Fistula Repair

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%


* Multiple responses allowed; percentages exceed 100%.

^ Exceeds 100% due to rounding.

Arrowsmith et al. BMC Pregnancy and Childbirth 2010 10:73   doi:10.1186/1471-2393-10-73

Open Data