Related Experiment Video
Updated: Jun 12, 2026
07:30
Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
Published on: April 1, 2022
[Obstetric vesicovaginal fistulas, about 131 cases]
Dalenda Chelli1, Hela Chelli, Abdelaziz Falfoul
1Service A du centre de maternité et de néonatologie de Tunis, La Rabta, Tunis, Tunisie.
La Tunisie Medicale
|June 3, 2010
Summary
Obstetric vesicovaginal fistulas (VVF) are common, but this study suggests a decline in cases. Continued efforts are needed to eliminate VVF and its significant impact on women's lives.
Area of Science:
- Urology
- Gynecology
- Public Health
Context:
- Vesicovaginal fistulas (VVF) are the most common urogenital fistulas, predominantly caused by obstetrical complications.
- Despite advances, VVF remains a significant global public health concern, particularly in low-resource settings.
Purpose:
- To investigate the epidemiological characteristics of obstetric vesicovaginal fistulas.
- To evaluate the management and surgical outcomes of VVF cases.
Summary:
- A retrospective multicenter study analyzed 131 VVF cases over 25 years (1982-2007), representing 92% of all urogenital fistulas.
- The vaginal approach was the primary surgical method for repair (2/3 cases), with a mean fistula diameter of 11.35 mm.
- Most fistulas were unique (86.5%), and patients generally maintained normal renal function, with an average of 1.37 interventions per patient.
Impact:
- Findings indicate a potential decrease in obstetrical VVF incidence.
- Eradication requires comprehensive institutional, socioeconomic, and obstetric interventions to mitigate the profound socioeconomic, functional, and psychological burdens on affected women.
