###Human: Urinary incontinence,the well known complications of forceps delivery ###Assistant: Hi. I went through your query. I totally understand the problem. It is not a very frequent but a well known complication of forceps. I am really sorry to know your wife is suffering from urinary incontinence. I know it is an agonizing problem. Urinary incontinence is of three types. From your history I have not been able to make out exactly which type of problem she has. Does she leak urine continuously? Or not able to hold urine while coughing or laughing? The type of her problem will give me an idea as to the exact cause of her problem. Also, I would like to inform you that decision of forceps delivery is usually made at the very end only. There is no way to predict exactly when and which patient will need it. So, do not think your doctor could have prevented this complication. It is a sorry event but there was no way of knowing that this is going to happen. The medicine Urivoid (Bethanechol chloride) is a good medicine to treat the condition your wife has. Also the tests advised are a good way to detect the site of obstruction or leakage in the urinary system. This test will differentiate if there is any abnormal communication in the urinary system also known as fistula in medical terms. This is what I was referring to as the different types of incontinence. A fistula will show as a continuous and slow leakage of urine. Whereas episodic incontinence like while coughing or lifting heavy weights will show as abnormal uroflow studies which you say are normal. Only in the second type of problem the Urivoid will work. Revert back with the answers for the above questions to an obstetrician and gynaecologist online -->