A code of ethics for the fistula surgeon

Area of Science:

• Medical Ethics
• Global Health
• Surgical Practice

Background:

• Vesicovaginal fistulas from obstructed labor are eradicated in industrialized nations but remain prevalent in sub-Saharan Africa and South Asia.
• An estimated 3.5 million women suffer from obstetric fistulas, with limited access to adequate surgical repair.
• Increasing numbers of surgeons are volunteering for fistula repair missions in low-resource settings.

Purpose of the Study:

• To propose a Code of Ethics for fistula surgeons.
• To foster a cohesive international community of fistula surgeons.
• To enhance the quality of care for women with obstetric fistulas.

Main Methods:

• Development of a proposed Code of Ethics.
• Emphasis on fundamental ethical principles: beneficence, non-maleficence, respect for autonomy, and justice.
• Facilitation of a common ethos among international fistula surgeons.

Main Results:

• A framework for ethical conduct in fistula surgery is presented.
• The proposal aims to guide individual efforts towards a collective, standardized approach.
• Laying the groundwork for a more organized and ethical global response to obstetric fistulas.

Conclusions:

• A unified Code of Ethics is crucial for improving care for women with obstetric fistulas.
• Establishing shared values and goals will strengthen the international community of fistula surgeons.
• Ethical guidelines are essential for ensuring competent and compassionate surgical repair in underserved regions.