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Related Experiment Video

Updated: Jul 11, 2026

Urethroplasty with Pedicled Tunica Vaginalis for the Treatment of Long-segment Anterior Urethral Stricture Caused by Lichen Sclerosus of Glans Penis
03:55

Urethroplasty with Pedicled Tunica Vaginalis for the Treatment of Long-segment Anterior Urethral Stricture Caused by Lichen Sclerosus of Glans Penis

Published on: October 18, 2024

Genital fistula--our experience.

Arati Biswas1, Runa Bal, M Alauddin

  • 1Department of Obstetrics and Gynaecology, Calcutta National Medical College, Kolkata.

Journal of the Indian Medical Association
|September 11, 2007
PubMed
Summary

Genital fistulas, particularly vesicovaginal fistulas, significantly impact women

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External Female Genitals01:15

External Female Genitals

The vulva encompasses the external structures of the female reproductive system. At the forefront is the monpubis, a cushion of fatty tissue atop the pubic bone. Once puberty sets in, this area typically grows hair. Extending from just behind the mons pubis are the labia majora (labia = 'lips'; majora = 'larger'), which are larger skin fs olds coated with hair. Nestled within are the labia minora (labia = 'lips'; minora = 'smaller'), which are thinner, more pigmented, and hairless. While the...

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Area of Science:

  • Obstetrics and Gynecology
  • Surgical Urology
  • Women's Health

Background:

  • Genital fistulas present significant physical and psychosocial challenges for women.
  • Vesicovaginal fistulas are the most common type, often linked to obstetric complications.
  • Understanding causative factors and surgical outcomes is crucial for improving patient care.

Purpose of the Study:

  • To classify the types of genital fistulas encountered.
  • To identify the primary etiological factors contributing to their formation.
  • To evaluate the success rates of surgical repairs for different fistula varieties.

Main Methods:

  • A retrospective analysis of 42 patients diagnosed with genital fistulas.
  • Detailed inquiry into causative factors, with a focus on obstetric and gynecological histories.
  • Surgical correction of fistulas followed by assessment of repair outcomes.

Main Results:

  • Vesicovaginal fistulas constituted 76.19% of cases, followed by rectovaginal (11.90%).
  • Obstetric causes (prolonged labor, instrumental delivery, C-section) were primary for VVF (71.87%).
  • Abdominal hysterectomy was a leading gynecological cause of VVF (44.44%); other fistulas had varied causes.

Conclusions:

  • Vigilant obstetric care and meticulous surgical techniques can reduce genital fistula incidence.
  • High success rates were achieved for fistula repairs, with VVF repair success at 82.75% on first attempt.
  • Addressing obstetric and surgical factors is key to preventing and treating these debilitating conditions.

Related Experiment Videos

Last Updated: Jul 11, 2026

Urethroplasty with Pedicled Tunica Vaginalis for the Treatment of Long-segment Anterior Urethral Stricture Caused by Lichen Sclerosus of Glans Penis
03:55

Urethroplasty with Pedicled Tunica Vaginalis for the Treatment of Long-segment Anterior Urethral Stricture Caused by Lichen Sclerosus of Glans Penis

Published on: October 18, 2024