Abstract
Eighteen patients at University College Hospital in Ibadan, Nigeria, underwent urologic evaluation after repair of obstetrics-related vesicovaginal fistulas. This included a questionnaire, assessment of vaginal scarring, urodynamics and urethroscopy. Eight patients demonstrated stress urinary incontinence, with 4 revealing type III incontinence with either low maximum urethral closure pressure or open vesical neck on urethroscopy. This study documents some of the persistent problems that occur even after successful closure of vesicovaginal fistulas. Continued evaluation should lead to better surgical and medical techniques to diminish the incidence of continued bladder dysfunction after closure of fistulas.
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