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Obstetric fistula is a medical condition in which a hole develops in the birth canal as a result of childbirth. [1] [2] This can be between the vagina and rectum, ureter, or bladder.
Rectovaginal fistulas are often the result of trauma during childbirth (in which case it is known as obstetric fistula), with increased risk associated with significant lacerations or interventions are used such as episiotomy or operative (forceps/vacuum extraction) deliveries [2] or in situations where there is inadequate health care, such as in some developing countries.
Prolonged obstructed labour can lead to stillbirth, obstetric fistula, and maternal death. [19] Fetal death can be caused by asphyxia. [1] Obstructed labor is the leading cause of uterine rupture worldwide. [1] Maternal death can result from uterine rupture, complications during caesarean section, or sepsis. [18]
Vesicouterine fistulas occur most commonly after lower segment caesarean sections (about 83-93% of cases). [2] The possible mechanisms by which vesicouterine fistulas occur following caesarean sections include undetected bladder injury during caesarean section, inadvertent placement of a suture through the bladder during the repair of the uterus and abnormal blood vessel connections following ...
In anatomy, a fistula (pl.: fistulas or fistulae /-l i,-l aɪ /; from Latin fistula, "tube, pipe") is an abnormal connection (i.e. tube) joining two hollow spaces (technically, two epithelialized surfaces), such as blood vessels, intestines, or other hollow organs to each other, often resulting in an abnormal flow of fluid from one space to the other.
Obstetrics is the field of study ... medical professionals began to understand the anatomy of the uterus and the ... the woman he first treated for a fistula.
The presence of a vaginal fistula has a profound effect on the quality of life since there is little control over the passage of urine and feces through the vagina. [6] [7] Urogenital fistulas are often classified according to their cause: obstetric fistula, congenital fistula and iatrogenic fistula. Urogenital fistulas can be classified by ...
The hernia descends below the proximal (upper) third of the vagina in females, [2] or, according to another definition, below the pubococcygeal line (PCL). [ 3 ] [ note 1 ] According to a consensus statement by the USA, Australia and the UK, [ note 2 ] a cul-de-sac hernia / peritoneocele is defined as "a protrusion of the peritoneum between the ...