Non-surgical management of post-obstetric fistula urinary symptoms may be neglected. The reduced success rates in surgery for post-obstetric fistula urinary incontinence may be due to the lack of attention to the other reasons for urinary symptoms and markedly impaired urethral function. Urethral closure pressures in this group of women often did not reflect the severity of urinary incontinence.
A urethral plug appears to be an effective means of restoring or improving continence in women with persistent urinary incontinence following successful repair of obstetric VVF although data on long-term outcome were not available for analysis. Success rates may be lower if women have a significantly reduced bladder capacity or a new or wide urethra.
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