Saima Perveen.
Vesicovaginal fistula; a complication of obstructed labor.
Professional Med J Jan ;20(5):852-4.

Vesicovaginal fistula is a catastrophic obstetrical complication in which an abnormal opening forms between bladder and vagina, resulting in urinary incontinence. In developing countries 90% of fistulas are due to prolonged obstructed labor. Lack of skilled birth attendants, lack of emergency obstetric care and long distance to maternity homes contribute to the high rates of prolonged obstructed labor resulting in fistula formation. Obstetric fistula is rare in developed world as emergency obstetric care is readily available 1 there . Fistulas upset the life of patient socially, sexually and obstetrically. Successful repair of vesicovaginal fistula gives good name to surgeon as well as imparts better medical, social and 2 psychological relief to the patients . In developing countries the gynecologist must be acquainted with such problems and should have special training to deal with this situation.

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