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Vesico-vaginal fistulas in developing countries.

P Hilton1

  • 1Directorate of Women's Services, Royal Victoria Infirmary, Newcastle upon Tyne, UK. paul.hilton@ncl.ac.uk

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|September 23, 2003
PubMed
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Vesico-vaginal fistula is a significant public health problem, often caused by obstructed labor. Prevention strategies focusing on women's health and education are crucial for eradication.

Area of Science:

  • Public Health
  • Obstetrics & Gynecology
  • Global Health

Background:

  • Vesico-vaginal fistula (VVF) is a major public health concern in developing nations.
  • Over 80% of VVF cases stem from neglected obstructed labor, affecting 1-2 per 1000 deliveries.
  • The global annual incidence reaches up to 500,000 cases.

Purpose of the Study:

  • To review the investigation and treatment principles for vesico-vaginal fistula.
  • To emphasize the importance of national and international prevention strategies for eradicating VVF.
  • To highlight key elements for effective VVF prevention strategies.

Main Methods:

  • Review of existing literature on vesico-vaginal fistula.
  • Analysis of causes, incidence, and epidemiological data.

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  • Synthesis of principles for investigation and treatment.

    • Main Results:

    • Vesico-vaginal fistula is predominantly caused by neglected obstructed labor.
    • Effective prevention requires a multi-faceted approach beyond medical intervention.
    • Key prevention strategies include government recognition, improved women's status, education, and accessible healthcare.

    Conclusions:

    • While investigation and treatment are important, prevention is paramount for eradicating VVF.
    • Comprehensive strategies must address societal factors, education, and healthcare access.
    • Governmental and international commitment is essential for tackling this public health issue.