Beyond Continence: Long-Term Psychosocial Adaptation Following Mainz II Urinary Diversion for Incurable Obstetric Fistula in Rural Uganda
Fred Kirya, Ronald Opito, Ritah Kiconco, David Aderu, Joseph Epodoi, Denise Apolot, Jacob Eperu, Richard Stephen Mpango · 2026
Read Beyond Continence: Long-Term Psychosocial Adaptation Following Mainz II Urinary Diversion for Incurable Obstetric Fistula in Rural Uganda by Fred Kirya, Ronald Opito, Ritah Kiconco, David Aderu, Joseph Epodoi, Denise Apolot, Jacob Eperu, Richard Stephen Mpango (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13217446.txt.
Description
Fred Kirya and co-authors present a 2026 qualitative study of life years after last-resort surgery for incurable obstetric fistula in rural Uganda. The Mainz II pouch reroutes urine to the bowel, restoring continence when the bladder injury cannot be repaired, but nobody had asked how women live with it long term.
Interviews with six fistula patients and one woman with another urological condition, five to fourteen years after surgery, found bodies largely healed and dignity partly restored. Dryness and physical function improved, yet night-time leakage, psychological distress, and stigma persisted. Younger women, in their twenties and early thirties, adapted better than those in their fifties and sixties, who reported isolation. The authors call for rehabilitation joining mental and sexual health care to the surgery.
Catalog record
| CREATOR | Fred Kirya, Ronald Opito, Ritah Kiconco, David Aderu, Joseph Epodoi, Denise Apolot, Jacob Eperu, Richard Stephen Mpango |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 35 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |