Management of total urinary incontinence in females a two years experience

ABSTRACT

A prospective study of 7 cases in Urology Department at Sir Ganga Ram Hospital Lahore was carried out from September 1994 to September 1996. All patients presented with urinary incontinence [100%]. One patient [14.3%] was having associated pain Left Lumber Region and one [14.3%] pain Left Iliac fossa. The age varied from 14 to 40 years, with mean age of 28 years. Six patients [85.7%] were having ureterovaginal fistulae and one [14.3%] a vesicovaginal fistula. One [14.3%] of the ureterovaginal fistulae was result of a congenital opening of one of the double ureters in the vagina. One [14.3%] resulted from involvement of ureter in a growth. Four [57.1%] of the ureterovaginal fistulae and one [14.3%] vesicovaginal Fistula were result of some obstetrical surgery. In all the cases of the ureterovaginal fistulae, the ureters were implanted in urinary bladder with D.J. Stent, while vesicovaginal fistula was repaired with delayed absorbable vicryl 2/0. The results were 100%