Goh Judith T W, Browning Andrew
Gold Coast Hospital, Queensland, Australia.
Aust N Z J Obstet Gynaecol. 2005 Jun;45(3):237-8. doi: 10.1111/j.1479-828X.2005.00395.x.
A common complication following anatomical closure of obstetric genito-urinary fistula is urinary incontinence. Management is often suboptimal with lack of urodynamic equipment in most fistula centres in developing countries. Surgical interventions have been described with varying success. The aim of this paper is to describe the use of urethral plugs as an alternative management for women with postfistula incontinence, in a developing country. A pilot study was undertaken to assess the effectiveness of the urethral plugs in these women. The use of urethral plugs appear to be an effective short-term management of women with postfistula incontinence, with minimal complications. Longer follow-up and in larger numbers are required.
产科泌尿生殖瘘解剖学闭合术后的一种常见并发症是尿失禁。在发展中国家的大多数瘘管治疗中心，由于缺乏尿动力学设备，治疗往往不尽人意。已经描述了多种手术干预方法，成功率各不相同。本文旨在描述在一个发展中国家，使用尿道塞作为瘘管术后尿失禁女性的替代治疗方法。开展了一项试点研究，以评估尿道塞对这些女性的有效性。尿道塞的使用似乎是瘘管术后尿失禁女性有效的短期治疗方法，并发症极少。需要进行更长时间的随访和更大规模的研究。
