Affordable Access

Vesico-vaginal and recto-vaginal fistulae.

Publication Date
  • Research Article
  • Medicine


A personal series of 716 patients with vesico-vaginal and/or recto-vaginal fistulae is presented. Five hundred and seventy-eight patients were managed in Africa, mainly at the Addis Ababa Fistula Hospital, while 138 were kindly referred to me from various parts of Britain. The main cause of such fistulae in the developing world is pressure necrosis from obstructed labour. In the developed world the aetiology is surgery, malignancy, radiotherapy or a combination of these. Other causes include neglected foreign bodies, coital injury and local treatment by an unqualified practitioner. A vesico-vaginal fistula alone was present in 78.8%, a recto-vaginal fistula alone in 4.3%, while 16.9% of patients had both a vesico-vaginal and a recto-vaginal fistula. Six hundred and six (84.6%) patients were cured at the first attempt at repair, 45 (6.3%) failed and 65 (9.1%) had stress incontinence.

There are no comments yet on this publication. Be the first to share your thoughts.


Seen <100 times

More articles like this

Vesico-vaginal and recto-vaginal fistulae.

on Journal of the Royal Society o... May 1992

Vesico-vaginal and recto-vaginal fistulae.

on Journal of obstetrics and gyna... May 1998
More articles like this..