Urinary incontinence after prolonged labour and caesarean section

A 30 year old woman, who had had five children and two abortions, presented to the outpatients' department with a one year history of constant dribbling of urine after her last delivery. This was a caesarean section after a prolonged obstructed labour. The baby had a transverse lie and a two day history of an impacted shoulder and hand prolapse. He had a subsequent intrauterine death. Fig 1 Gynaecological examination of the patient under anaesthesia Fig 2 Intravenous urogram in the premicturition phase