A new technique for the surgical management of urinary incontinence after obstetric fistula repair


Dr A Browning, Addis Ababa Fistula Hospital, PO Box 3609, Addis Ababa, Ethiopia. Email andrew_browning@hotmail.com


Obstetric vesicovaginal fistula is a debilitating injury still occurring widely throughout the developing world. Fortunately, now more and more surgeons are becoming aware of this previously hidden problem, and many thousands of women are receiving treatment each year. What is difficult for the fistula surgeon are those women, who after having their vesicovaginal fistula successfully closed, return to their doctor, still just as incontinent as they were with the fistula still open. This study describes a new, simple and cheap surgical procedure that promises to improve the lot of these unfortunate women.