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.