Article · pages 81–84
Original : Genito-Urinary Fistula
Cite this article
A Review on 45 Cases - B.K. Goswami, S.C. Biswas, Sebanti 81 Goswami, P. Basu, J. Mallick. Original : Genito-Urinary Fistula. J Int Med Sci Acad. 2006;19(2):81–84.
Opening of the article
In this prospective study of 45 cores, all the fistulas occurred outside our institution; 86.66% of them resulted fromobstetric cause and the rest from gynaecological. 37.77% subjects were aged below 20 and 26.66% between 21-25 years. As high as in 48.88%, it followed first childbirth. Most of them having little or no education came from rural areas with poor socioeconomic background, 14 out of 39 obstetric fistulas had history of prolonged labour, 11 had eclampsia and 21 needed instrumental delivery. This reflects the poor obstetric care they received. We repaired the fistulas through vaginal route in 43 cases and abdominally in two women. Some cases needed repeat surgery.
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