Short-Term Success Rate and Risk Factors for Failure of the Urethral Plication Procedure in the Management of Post-Obstetric Fistula Closure Stress Urinary Incontinence Among Ugandan Women: A Prospective Cohort Study
Prospective cohort study assesses success rate of urethral plication for SUI in Ugandan women, suggesting effectiveness.
Key Points
The aim is to evaluate the six-month success rate and identify risk factors for the urethral plication procedure in managing stress urinary incontinence post-fistula closure.
Conducted a prospective cohort study involving 70 women with moderate/severe SUI.
Participants underwent urethral plication and were followed for six months with various evaluations.
Analyzed data for risk factors using multivariable log binomial regression.
The success rate at six months was 61%, a decline from 70% at discharge.
56% of the 27 incontinent participants showed improvement in incontinence grade.
Severe vaginal scarring was identified as an independent risk factor (RR=3.77; 95% CI: 1.59–8.96; P=0.001).