GENITO-URINARY FISTULA

Abstract

Genito Urinary Fistula is an abnormal communication between the urinary and genital tract.
Vesico vaginal Fistula (VVF) is the commonest type. Setting: Department of Obstetrics & Gynaecology, Lady
Willingdon Hospital, Lahore Period: From Jan 2000 to Dec 2003. Patients & Methods: Forty seven (47)
patients admitted with genitourinary Fistula (GUF). Twenty-five out of 47 cases were in third decade of their
life and 19 women were Para 5 or more. Majority of the patients (37 out of 47) had fistula due to obstetrical
trauma. Results: Among the 43 cases repaired, 95% were done through the vaginal route. Overall success rate
was 88.5%. Discussion & Conclusions: Prevention of obstetric fistula poses a great challenge for obstetricians
in developing countries. It should be the highest priority of reproductive health care. Efforts should be directed
towards creating awareness, better education and provision of emergency obstetric care at the grass root level.
Physicians, philanthropists and public should also take initiative in this regard.