Use of periurethral injections of polyacrylamide hydrogel for treating post‐vesicovaginal fistula closure urinary stress incontinence

Abstract

In the short-term, periurethral injections of polyacrylamide hydrogel appears to be a promising method to treat post-obstetric fistula urinary stress incontinence.

Too Long to Wait: Obstetric Fistula and the Sociopolitical Dynamics of the Fourth Delay in Soroti, Uganda

“…The vast majority of the literature on obstetric fistula—considered the most severe of maternal morbidities (Wall, 2006)—focuses on clinical aspects of the condition, though some important and recent exceptions exist. Using qualitative approaches, researchers have studied women’s experiences of living with fistula (Bangser, 2011; Barageine et al, 2015; Mselle, Moland, Evjen-Olsen, Mvungi, & Kohi, 2011; Yeakey, Chipeta, Taulo, & Tsui, 2009), women’s quality of life after repair (Drew et al, 2016; Khisa & Nyamongo, 2012; Pope, Bangser, & Requejo, 2011), the difficulty of obtaining information about the condition among survivors (Krause, Lussy, & Goh, 2014; Turan, Johnson, & Polan, 2007), the social production of gendered powerlessness and its implications for fistula occurrence (Hamed, Ahlberg, & Trenholm, 2017), and neglect by nurses that contributes to fistula development (Bangser, et al, 2011; Mselle & Kohi, 2015). In addition, Heller and Hannig’s (2017) recent ethnography of fistula treatment in Niger and Ethiopia complicates popular representations of women with fistula as child brides who, after their injury, become social exiles who eventually find redemption through surgical repair.…”

An International Continence Society (ICS) report on the terminology for female pelvic floor fistulas

“…Simple, single-channel urodynamics ("Simple Cystometrics"), a technique more commonly available in resourceconstrained facilities, is also reviewed in this section. † † † † † 5.3.2 Single channel UDS ("Simple Cystometrics") 42 : Use of a catheter, catheter-tipped syringe, and sterile irrigant solution, may provide rudimentary yet valuable information to guide treatment algorithms. Any residual fistula needs to be excluded.…”

Validation of a culturally compliant voiding platform for urodynamics in African vesicovaginal fistula patients

“…Many patients who fail with traditional sling surgery after fistula closure are counseled to consider undergoing urinary diversion to overcome their chronic leakage [10,28], but there are many other techniques that may improve lower urinary tract function in such patients, if more precise urodynamic diagnoses can be made. These techniques could include (but are not limited to) bladder augmentation [29,30], bladder auto-augmentation (partial detrusor myectomy) [31,32], urethral bulking agents [33,34], tensioned midurethral slings with intermittent catheterization [35], or combinations of such techniques paired with medications and targeted physical therapy. At present, there is little evidence concerning the feasibility, safety, and efficacy of such treatment programs in patients with post-closure incontinence.…”