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Related Experiment Video

Updated: Jul 18, 2026

Removal of an Intravesical Gellhorn Pessary and Staged Repair of a Residual Large Vesico-Vaginal Fistula
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Obstetric fistula in developing countries: a review article.

Mulu Muleta1

  • 1Obstetrician-Gynecologist, Addis Ababa Fistula Hospital, Addis Ababa Ethiopia.

Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|December 16, 2006
PubMed
Summary

Obstetric fistula, caused by prolonged obstructed labor, devastates women in low-resource settings like Ethiopia. Surgical repair offers hope, but access to treatment and prevention remain critical challenges.

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Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Surgical Management

Background:

  • Obstetric fistula remains a significant public health issue in resource-poor countries, particularly Ethiopia.
  • It disproportionately affects impoverished, young, illiterate women and girls due to prolonged obstructed labor.

Purpose of the Study:

  • To review the epidemiology and management of obstetric fistula.
  • To highlight the experiences and services of the Addis Ababa Fistula Hospital.

Main Methods:

  • Comprehensive review of published and unpublished literature on obstetric fistula.
  • Inclusion of expert opinions to augment findings.

Main Results:

  • Obstetric fistulas are primarily caused by neglected obstructed labor, often resulting in stillbirth and incontinence.
  • Affected women face social ostracization, divorce, and limited access to surgical repair.
  • Surgical intervention successfully treats many women, but a significant treatment gap persists.

Conclusions:

  • While prevention is the ultimate goal, there is a substantial and ongoing need for curative obstetric fistula services.
  • The Addis Ababa Fistula Hospital plays a crucial role in providing essential surgical care.
  • Addressing the socioeconomic factors contributing to fistula is vital for long-term solutions.