There are two common reasons why patients don’t appear for follow-up appointments: either they are fully cured and don’t feel they need to come back, especially if they live in an insecure area or far from the facility; or they are dissatisfied with the result because they continue to leak. If a woman needs further care but can’t or doesn’t return for follow-up, there’s not much we can do to help her, alas. We also cannot properly assess our own effectiveness in her case.