Obstetric fistula: Difference between revisions
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{{Infobox medical condition | |||
| name = Obstetric fistula | |||
| image = [[File:Prolonged_obstructed_labour_sequelae.jpg|250px]] | |||
| caption = Illustration of sequelae from prolonged obstructed labour | |||
| field = [[Obstetrics]] | |||
| symptoms = [[Urinary incontinence]], [[fecal incontinence]], [[vaginal discharge]], [[vaginal irritation]], [[infertility]] | |||
| complications = [[Social isolation]], [[depression (mood)|depression]], [[infection]] | |||
| onset = Typically after [[childbirth]] | |||
| duration = Long-term without treatment | |||
| causes = [[Prolonged obstructed labour]] | |||
| risks = [[Young age]], [[malnutrition]], [[lack of access to healthcare]] | |||
| diagnosis = Based on [[symptoms]] and [[physical examination]] | |||
| differential = [[Urinary tract infection]], [[vaginal fistula]] | |||
| prevention = Access to [[obstetric care]], [[cesarean section]] when needed | |||
| treatment = [[Surgical repair]] | |||
| prognosis = Good with treatment | |||
| frequency = Estimated 2 million women affected worldwide | |||
}} | |||
[[File:Obstetric_Fistula_Locations_Diagram.png|Obstetric fistula locations diagram|left|thumb]] | |||
[[File:Addis-ababa-fistula-hospital.jpg|Addis Ababa Fistula Hospital|left|thumb]] | |||
'''Obstetric fistula''' is a severe medical condition where a hole develops in the birth canal as a result of childbirth. This can be between the vagina and rectum, ureter, or bladder. It can result in incontinence of urine or feces. Complications may include depression, social isolation, and poverty. | '''Obstetric fistula''' is a severe medical condition where a hole develops in the birth canal as a result of childbirth. This can be between the vagina and rectum, ureter, or bladder. It can result in incontinence of urine or feces. Complications may include depression, social isolation, and poverty. | ||
==Causes== | ==Causes== | ||
The primary cause of obstetric fistula is prolonged obstructed labor. Other causes can include sexual violence, surgical error, and physical trauma. In developing countries, the condition is particularly common due to the lack of access to quality medical care. | The primary cause of obstetric fistula is prolonged obstructed labor. Other causes can include sexual violence, surgical error, and physical trauma. In developing countries, the condition is particularly common due to the lack of access to quality medical care. | ||
==Symptoms== | ==Symptoms== | ||
The main symptom of obstetric fistula is the uncontrollable leaking of urine or feces from the vagina. Other symptoms can include infections, irritation on the areas of the body that are continuously wet, kidney disease, and even death if left untreated. | The main symptom of obstetric fistula is the uncontrollable leaking of urine or feces from the vagina. Other symptoms can include infections, irritation on the areas of the body that are continuously wet, kidney disease, and even death if left untreated. | ||
==Prevention== | ==Prevention== | ||
Prevention of obstetric fistula involves improving access to quality obstetric care, particularly in developing countries. This includes access to cesarean sections. Early marriage and early childbirth, which can result in a physically immature birth canal, should be discouraged. | Prevention of obstetric fistula involves improving access to quality obstetric care, particularly in developing countries. This includes access to cesarean sections. Early marriage and early childbirth, which can result in a physically immature birth canal, should be discouraged. | ||
==Treatment== | ==Treatment== | ||
Treatment of obstetric fistula involves surgery to close the hole. This can often be done through the vagina, but may also be done abdominally. The success rate of the surgery is as high as 90% for uncomplicated cases. Following surgery, physical therapy may be needed to return to normal function. | Treatment of obstetric fistula involves surgery to close the hole. This can often be done through the vagina, but may also be done abdominally. The success rate of the surgery is as high as 90% for uncomplicated cases. Following surgery, physical therapy may be needed to return to normal function. | ||
==See also== | ==See also== | ||
* [[Childbirth]] | * [[Childbirth]] | ||
* [[Incontinence]] | * [[Incontinence]] | ||
* [[Cesarean section]] | * [[Cesarean section]] | ||
[[Category:Obstetrics]] | [[Category:Obstetrics]] | ||
[[Category:Gynaecology]] | [[Category:Gynaecology]] | ||
[[Category:Conditions of the genital organs]] | [[Category:Conditions of the genital organs]] | ||
[[Category:Women's health]] | [[Category:Women's health]] | ||
{{stub}} | {{stub}} | ||
Latest revision as of 22:10, 9 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Obstetric fistula | |
|---|---|
| |
| Synonyms | N/A |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Urinary incontinence, fecal incontinence, vaginal discharge, vaginal irritation, infertility |
| Complications | Social isolation, depression, infection |
| Onset | Typically after childbirth |
| Duration | Long-term without treatment |
| Types | N/A |
| Causes | Prolonged obstructed labour |
| Risks | Young age, malnutrition, lack of access to healthcare |
| Diagnosis | Based on symptoms and physical examination |
| Differential diagnosis | Urinary tract infection, vaginal fistula |
| Prevention | Access to obstetric care, cesarean section when needed |
| Treatment | Surgical repair |
| Medication | N/A |
| Prognosis | Good with treatment |
| Frequency | Estimated 2 million women affected worldwide |
| Deaths | N/A |
Obstetric fistula is a severe medical condition where a hole develops in the birth canal as a result of childbirth. This can be between the vagina and rectum, ureter, or bladder. It can result in incontinence of urine or feces. Complications may include depression, social isolation, and poverty.
Causes[edit]
The primary cause of obstetric fistula is prolonged obstructed labor. Other causes can include sexual violence, surgical error, and physical trauma. In developing countries, the condition is particularly common due to the lack of access to quality medical care.
Symptoms[edit]
The main symptom of obstetric fistula is the uncontrollable leaking of urine or feces from the vagina. Other symptoms can include infections, irritation on the areas of the body that are continuously wet, kidney disease, and even death if left untreated.
Prevention[edit]
Prevention of obstetric fistula involves improving access to quality obstetric care, particularly in developing countries. This includes access to cesarean sections. Early marriage and early childbirth, which can result in a physically immature birth canal, should be discouraged.
Treatment[edit]
Treatment of obstetric fistula involves surgery to close the hole. This can often be done through the vagina, but may also be done abdominally. The success rate of the surgery is as high as 90% for uncomplicated cases. Following surgery, physical therapy may be needed to return to normal function.
