title: Sling procedures after repair of obstetric vesicovaginal fistula in Niamey, Niger.
abstract: OBJECTIVE
  The purpose of this paper is to evaluate the results of sling procedures for stress incontinence after repair of vesicovaginal fistulae at the National Hospital in Niamey, Niger.
  
  
  METHODS
  This study is a retrospective chart review of 701 women surgically treated for vesicovaginal fistulae. One hundred forty women subsequently underwent a sling procedure for stress incontinence after fistula repair.
  
  
  RESULTS
  The demographics among the groups were similar. No significant difference was seen in results between the sling types except the risk of erosion was significantly greater in the synthetic sling group. There was a trend towards greater sling success in the fascia lata group.
  
  
  CONCLUSIONS
  Correction of incontinence is a common and difficult challenge following repair of obstetric vesicovaginal fistula. Compared to published studies on sling procedures, these patients have higher rates of continued incontinence. This is likely due to the frequent loss of a urethral sphincter as well as high prevalence of detrusor overactivity and decreased bladder capacity.
authors.affiliation: Department of Obstetrics, Gynecology and Reproductive Sciences, Mount Sinai School of Medicine, 1176 Fifth Avenue, Box 1170, New York, NY 10029, USA. Charles.Ascher-Walsh@mssm.edu
authors.forename: Charles J
authors.initials: CJ
authors.lastname: Ascher-Walsh
authors.forename: Tracy L
authors.initials: TL
authors.lastname: Capes
authors.forename: Yungtai
authors.initials: Y
authors.lastname: Lo
authors.forename: Abdoulaye
authors.initials: A
authors.lastname: Idrissa
authors.forename: Jeff
authors.initials: J
authors.lastname: Wilkinson
authors.forename: Karolynn
authors.initials: K
authors.lastname: Echols
authors.forename: Bruce
authors.initials: B
authors.lastname: Crawford
authors.forename: Rene
authors.initials: R
authors.lastname: Genadry
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D009548:Niger; D012189:Retrospective Studies; D053825:Suburethral Slings; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014719:Vesicovaginal Fistula / Q000601:surgery*