#obstetric fistula

[worldcelebrations]

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Saturday, June 15th

Today is..

Pride Month. Happy pride to the queers & aces in the world.

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Chardonnay Day.

International Day to End Obstetric Fistula.

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[murderousink23]

05/23/2024 is World Turtle Day 🌎, Linnaeus Day 🇸🇪, National Taffy Day 🇺🇸, Drinking with Chickens Day 🍸🐔🇺🇸, Vesak 🌕🇺🇳, International Day to End Obstetric Fistula 🇺🇳

[coochiequeens]

Ladies pleas share are to raise awareness for an issue that impacts new mothers and leaves them even more vulnerable.

“20 years on – progress but not enough! Act now to end fistula by 2030!”

Obstetric fistula is a hole between the birth canal and bladder or rectum, caused by prolonged, obstructed labour without access to timely, high-quality medical treatment. It leaves women and girls leaking urine, faeces or both, and often leads to chronic medical problems, depression, social isolation and deepening poverty. Ninety percent of pregnancies involving fistula end in stillbirth.

Health systems and communities are falling short in ending obstetric fistula. Gender discrimination and social marginalization create additional risks, resulting in fistula disproportionately occurring among impoverished, underserved and marginalized women and girls.

Three cost-effective solutions can prevent fistula: timely access to high-quality emergency obstetric and newborn care, trained professionals with midwifery skills at childbirth, and universal access to modern contraception. Health systems can reduce fistula by tracking prevalence, correcting gaps in care and ensuring universal access to a competent health workforce. National health plans must also address gender discrimination and other factors making women and girls more vulnerable to maternal mortality and disease.

Bold political leadership and investment could eradicate fistula. Ambitious partnerships and scaled-up investments are imperative to ending fistula by 2030 – our global target under the Sustainable Development Goals. 

UNFPA leads the global Campaign to End Fistula, a drive to transform the lives of vulnerable women and girls. The 20-year-old campaign represents a global commitment to fistula prevention and holistic treatment, including surgical repair and social reintegration and rehabilitation. Despite progress, elimination by 2030 demands accelerated action, starting now. To that end, the theme for the international day this year is “20 years on – progress but not enough! Act now to end fistula by 2030!”

Ending obstetric fistula by 2030

2020 marked the count-down towards the goal of ending the problem of obstetric fistula by 2030, according to the last report of the Secretary General.  

Obstetric fistula is preventable; it can largely be avoided by delaying the age of first pregnancy; the cessation of harmful traditional practices; and timely access to obstetric care.

Besides, it is expected that 13 million more child marriages could take place by 2030 than would have otherwise. Families are more likely to marry off daughters to alleviate the perceived burden of caring for them, especially in the anticipated economic fallout of the pandemic.

Due to all these reasons an increase in cases might occur and new strategies will be required in the post-COVID-19 recovery period to address the expected backlog of cases.

With this possible future scenario of preventive measures in danger, now more than ever, it is important to call on the international community to use the International Day to End Obstetric Fistula to significantly raise awareness and intensify actions towards ending obstetric fistula, as well as urging post-surgery follow-up and tracking of fistula patients.

Related links

Campaign to end Fistula

UN Population Fund (UNFPA)

Nairobi Summit Commitments on ICPD25

World Health Organization - 10 facts about obstetric fistula 

WHO: End fistula. Restore Women's Dignity  

Related documents

UN Secretary General’s Report

Resolution on supporting efforts to end obstetric fistula (2012)

Resolutions on intensification of efforts to end obstetric fistula (2014 and 2018)

[wamathai]

M-PESA Foundation holds free medical camp for fistula patients in Makueni County

M-PESA Foundation is holding a week-long free fistula medical camp at Makueni County Referral Hospital in Makueni County as it marks the International Day to End Obstetric Fistula. The foundation has invested KES 8.5m towards the camp Over 100 women living with fistula are expected to benefit from free surgeries, screening, and medical advice. The camp is being held in collaboration with the…

[yokeproductions]

Fistula Film

Fistula

This short film has been made to raise awareness, reduce stigma about fistula, and highlight the devastating impact fistula has on women who live with this condition. The goal is to make life better and safer for women giving birth and to prevent fistula from happening in the first place. The film is a call to action to improve access to maternal care including quality, safe, timely, and affordable surgical, obstetric, and anesthesia care—and promote safe motherhood for all.

What is Fistula ? Obstetric fistula is a devastating childbirth injury in which an abnormal opening forms between a woman’s bladder and vagina or between the rectum and the vagina as a result of prolonged obstructed labor, resulting in continuous urinary or stool leakage. This condition is rare in high-income countries due to readily available obstetric care, while it continues to plague women in low resource settings. Estimates suggest that at least 2 million women have unrepaired obstetric fistula in low-income countries.

Goal The goal of this film is to enhance public, national, and international awareness, raising the priority of women’s reproductive health for low resource countries, expanding access to emergency obstetric and surgical services, and supporting holistic and high-quality obstetric fistula care for all who need it. The film is particularly timely given recent WHO data in 2023 showing that maternal deaths have increased or stagnated in nearly all regions of the world in the last 20 years, and continued staggering gaps in access to surgical, obstetric, and anesthesia care.

The film will also decrease the stigma imposed on women living with fistula through awareness. Finally, with increasing migration of women to high resource countries due to global instability from conflict, climate change, pandemic etc, it is critical that the medical community in high resource countries is educated and prepared to care for these women.

There is are 2 versions ((7min and 2min)

There is are 2 versions (7min and 2min)

Directed : Dearbhla Glynn Produced : Paddy Daly DOP : Paddy Jordan Executive Producer : Dr Rahel Nardos Editor : Cara Holmes Additional Editor : Michael Higgins Offline / Online Editor : Michael Higgins Founder Terrewoode and Executive Director: Alice Emasu Seruyange Medical Director Terrewoode : Mary Aono Programs Manager Terrewoode : Martha Ibeno HR/Admin Manager Terrewoode : Monica Opus Finance Manager Terrewoode : Lutie Kobusinge Uganda FIxer and Sound operator : Kisakye David Bel-lion Translation: Stella Apio and Alvine Nanyange Driver: Jafali Peirre Music : The Blaze Aidan Kavanagh

Funding support Maternal Health Fund https://maternalhealthfund.org/

University of Minnesota, Center for Global Health and Social Responsibility https://globalhealthcenter.umn.edu/global-womens-health

Global Women’s Initiative https://gwhi.org/

Advocacy Partners The Global Alliance for Surgical, Obstetric, Trauma, and Anaesthesia Care (G4 Alliance) https://www.theg4alliance.org/

Film Hosts Terrewode Women’s Community Hospital https://terrewode.org/ Director of Global Women's Health, Center for Global Health and Social Responsibility, University of Minnesota. Dr Rahel Nardos

Special Thanks Asalo Rose Isiangu lois Center for Global Health and Social Responsibility team at the University of Minnesota Terrewode Women’s Community Hospital Management The patients who shared their stories The G4 Alliance Joseph Kinihan Alice Emasu Nigel Rossiter & In Memory of Steven J Sockolov

[brookston]

Holidays 5.23

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Festival of Saint Sarah the Egyptian (Sara Kali the Black Queen; a.k.a. Les Saintes-Maries-de-la-Mer, France) begins [until 25th]

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Runic Half Month: Ing (Expansive Energy) [Day 14 of 15]

Season: Spring (Day 66 of 92)

Week: 3rd Full Week of May

Zodiac: Gemini (Day 3 of 31)

[warningsine]

In September 2017, the Hollywood film industry was rocked by sexual abuse allegations against American film mogul Harvey Weinstein. It triggered the 'Me Too' movement, where women in many countries of the world used the hashtag #MeToo to highlight sexual abuse in the film industry, and elsewhere. 

In Africa, the Me Too movement failed to take off. But this doesn't mean that sexual abuse doesn't exist on the continent. It just isn't spoken about publicly, says Benin documentary filmmaker Giovannia Atodjinou-Zinsou (pictured above). 

"Even when you suffer, you suffer inside," Atodjinou-Zinsou told DW. "It's rare to see women who will go and say: 'Excuse me, I was raped'. Even the simple act of declaring it to the police, even when you know who your aggressor is, is already a problem because there’s a feeling of shame, of embarrassment."

Sexual abuse rife in Africa's film industry 

A report released by a South African group, Sisters Working in Film and Television, found that just under two-thirds of the South African women they surveyed had been non-consensually coerced or touched at work. 

Yolande Welimoum, a 27-year-old filmmaker from Cameroon, says she's regularly experienced unwanted advances from men when she's made films.  

There will always be one [man] on the prowl that will tell you: 'These are the conditions for this film,'" sighed Welimoum, speaking in Senegal where she was presenting her film, Heritage, at a festival devoted to women's topics, Films Femmes Afrique (Films Women Africa). 

"I've been approached by several directors who want to flirt with you, go out with you and when you refuse, you won't be part of their project," she said. 

Welimoum told DW that she wouldn't let this stop her from making films that she cares about because she knows her worth. "I studied cinematography and I know that, despite the obstacles, I will make it," she said.  

The obstacles are many. One common hurdle, says Atodjinou-Zinsou, the filmmaker from Benin, is the assumption that women have no place in Africa's film industry. 

"People say it's a man's job and that it's the men who can stay late on a film set, it's the guys who can travel to go shoot, it's the men who can stay and edit when it's too late," she said. "You're told that it's not a woman's job: women must do a job that allows them to go and take care of the home." 

Giving African women a voice 

Atodjinou-Zinsou added that there is simply too much silence surrounding many issues affecting African women, not just sexual abuse: "Women's expression hasn't taken the way it should. It still needs to take off." 

Her 13-minute documentary, La Maladie de la Honte, hopes to help change this. It's about obstetric fistulas – a medical condition where prolonged childbirth can rupture a hole between the vagina and the bladder or rectum which can cause a woman to leak urine or feces. The condition is so taboo that it's known as 'the illness of shame' – which is also the title of Atodjinou-Zinsou's film.

Yolande Welimoum's fictional drama, Heritage, is on another little-discussed topic: the ban on Cameroonian women inheriting the family property. 

Problematically, films on women's topics by female directors often face double prejudice – meaning that financing such projects is especially difficult. As a result, females in the film industry have to work harder to tell the stories they want, said Rwandan-born filmmaker Marie-Clementine Dusabejambo. 

"What men can do, you have to do but also add something more," she said. "In order for people to believe in you, you have to prove it, like twice!" 

Dusabejambo was at the festival presenting her 21-minute drama, A Place for Myself about a young albino girl and how she and her mother fight back against discrimination.

At least for the moment, Dusabejambo's hard work has paid off. The festival jury rewarded her with 1 million CFA franc prize ($1,890) for best film, to help her continue telling the stories that matter on the continent. 

[maslows-pyramid-scheme]

Adolescent girls, especially those in early adolescence, are particularly vulnerable to the health consequences of pregnancy and delivery as their bodies may not be physically ready. Obstetric fistula, eclampsia, puerperal endometritis and systemic infections are just some of the serious conditions that they may face in the short- and long-term. Globally, maternal conditions are among the top causes of disability-adjusted life years (DALYs) and death among girls aged 15-19.

[theankoletimes]

Here's the corrected version of the story: Sighs of Relief as Mbarara Regional Hospital Specialists Repair Obstetric Fistulas in 40 Females

A team of surgeons led by Dr. Musa Kayondo, a renowned urogynecology expert and Head of Obstetrics and Gynecology at Mbarara Regional Referral Hospital, has successfully operated on 40 women. According to Halson Kagure, the Mbarara Regional Referral Hospital Public Relations Officer, the fistula camp was part of the hospital’s initiative to reduce the case backlog and improve the well-being of…

[murderousink23]

05/23/2023 is World Turtle Day 🐢🌏, Linnaeus Day 🇸🇪, National Lucky Penny Day 🇺🇲, National Taffy Day 🇺🇲, International Day to End Obstetric Fistula🇺🇳

[blocktobox123]

General Medicine in Kukatpally | General Surgery | Gynaecology

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Anupama Hospital is home to a team of highly skilled doctors who specialize in various medical fields. With years of experience and specialized knowledge, our doctors are equipped to provide result-oriented treatment plans for all types of medical conditions. Whether you require routine medical care, complex surgeries, or specialized treatments, our expert doctors are here to guide you every step of the way.

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Laparoscopic Surgery: Minimally invasive surgeries with smaller incisions for faster recovery.

Gynaecology & Obstetrics: Care for women’s health, including pregnancy, irregular periods, PCOD, and ovarian cysts.

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Urology: Treatment for urological conditions like kidney stones, bladder infections, and prostate issues.

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Anupama Hospital offers expert diagnostic services, ensuring accurate and timely results. Our high-quality diagnostic services include biochemical tests, microbiology tests, and pathological services, enabling doctors to make informed decisions regarding your treatment plan.

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In addition to our healthcare services, Anupama Hospital provides an in-house pharmacy with a wide range of medicines and medical accessories. The pharmacy is available 24/7, ensuring that patients have easy access to essential medications and life-saving drugs at any time of day or night.

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For reliable, high-quality, and affordable healthcare, Anupama Hospital is your trusted partner. Whether you need emergency care, routine treatment, or specialized surgery, we are here to provide expert medical attention and compassionate care. Contact us today to schedule a consultation or visit our hospital for immediate assistance.

[brookstonalmanac]

Holidays 5.23

Holidays

Angelica Day (French Republic)

Aretha Franklin Appreciation Day (Michigan)

Aromanian National Day (Balkans; a.k.a. Aromanians, Vlachs, or Macedo-Romanians)

Asian Corpsetwt Day [Every 23rd]

Best Friend-in-Law Day

Bifocals Day

Bluebell Day

Caracal Day

Climb A Tree Day

Day of the Ministry of Environment and Natural Resources (Azerbaijan)

Day of Ukrainian Marines (Ukraine)

Divorce Day (UK)

Empire Air Day (UK)

Empire Day (Bermuda)

EMS Save-a-Life Day Day

Festival of Saint Sarah the Egyptian (Sara Kali the Black Queen; a.k.a. Les Saintes-Maries-de-la-Mer, France) begins [until 25th]

Go For A Walk In Your Swim Fins Day

Go Nissan Day

Harvesting Healing Day

Heroes’ Day (Ukraine)

International Day of Women’s Football

International Day to End Obstetric Fistula (UN)

International GM1 Gangliosidosis Awareness Day

International Synthesizer Day

Isis Asteroid Day

Kids Ocean Day (California)

Kiss Day (Japan)

Komagata Maru Remembrance Day (Canada)

Labour Day (Jamaica)

Linnaeus Day (Sweden)

Lucky Penny Day

Mass Graves Day (Iraq)

Mayoring Day (Rye, Sussex, UK)

Melissa McBride Day

Mesmerism Day

Moog Day

National Apology Day

National Best Friend-in-Law Day

National Braid Day

National Canine Cancer Awareness Day

National Day (Morocco)

National Ethan Day

National Fill Your Thermos Brand Bottle Day

National Girls Learn Coding Day

National Goat Day

National Infantry Day (Ukraine)

National Medical Coder Day

National MILF Day

National Reed Day

National Stop the Bleed Day

National Tea Cosy Day

143 Day (Mr. Rogers)

PitDark Pitch Day

Stormy Daniels Day

Students’ Day (Mexico)

World Crohn's and Colitis Day

World Day Against Melanoma

World Turtle Day

World Wrestling Day

Youth Day (Tajikistan)

Food & Drink Celebrations

Dunkin Iced Coffee Day

National Asparagus Day

National Drinking with Chickens Day

National Pork Roll Day

National Taffy Day

Independence & Related Days

Ausveria (Declared; 2019) [unrecognized]

Bonumland (Declared; 2015) [unrecognized]

Constitution Day (Germany)

Plan for Palestine Independence by 1949 (Approved by UK Parliament; 1939)

Reberia (Declared; 2020) [unrecognized]

South Carolina Statehood Day (#8; 1788)

4th Thursday in May

Eat More Fruits and Vegetables Day [Thursday of Memorial Day Weekend]

Red Nose Day (US) [Last Thursday]

Throwback Thursday [Every Thursday]

World Chardonnay Day [Thursday before Memorial Day]

Weekly Holidays beginning May 23 (3rd Full Week)

National Safe Sun Week (thru 5.29)

Festivals Beginning May 23, 2024

Asian Festival of Children’s Content (Singapore) [thru 5.26]

Book World Prague (Prague, Czech Republic) [thru 5.26]

Hay Festival of Literature and Arts (Hay-on-Wye, United Kingdom) [thru 6.2]

Hot Luck (Auto, Texas) [thru 5.26]

Kerrville Folk Festival (Kerrville, Texas) [thru 6.9]

Kodiak Crab Festival (Kodiak, Alaska) [thru 5.27]

Main Street Port Clinton Walleye Festival (Port Clinton, Ohio) [thru 5.27]

Patriotic Festival (Norfolk, Virginia) [thru 5.26]

Ware Shoals Catfish Feastival (Ware Shoals, South Carolina) [thru 5.25]

Feast Days

Aaron the Illustrious (Syriac Orthodox Church)

Amaldus Nielsen (Artology)

Anathansius (Positivist; Saint)

Appreciate Reptiles Day (Pastafarian)

Bertholet Flemalle (Artology)

Bluebell Day (Shamanism)

Bufi the Toad (Muppetism)

Carl Bloch (Artology)

Carista (Day of Peace in the Family; Pagan)

Declaration of the Bab (Baba'i)

Desiderius, Bishop of Langres (Christian; Saint)

Desiderius of Vienne (Christian; Saint)

Euphrosyne of Polotsk (Christian; Saint)

Franz Kline (Artology)

Giovanni Battista de' Rossi (Christian; Saint)

Guibert of Gemblours (Christian; Saint)

Harold Hitchcock (Artology)

Ivo of Chartres (Christian; Saint)

John Baptist Rossi (Christian; Saint)

József Rippl-Rónai (Artology)

Julia of Corsica (Christian; Saint)

Leontius of Rostov (Christian; Marty)

Margaret Fuller (Writerism)

Mitch Albom (Writerism)

Nicolaus Copernicus and Johannes Kepler (Episcopal Church (USA))

Peter Matthiessen (Writerism)

Quintian, Lucius and Julian (Christian; Saints)

Rosalia (Ancient Rome)

Simon the Zealot (Abkhazia)

Slim Pickens Day (Church of the SubGenius; Saint)

Tubilustrium (Ceremony to Purify the Ceremonial Trumpets; Ancient Rome) [also 3.23]

Turtle Day (Pastafarian)

Vulcan's Day (Ancient Rome)

William of Perth (Christian; Saint)

William of Rochester (Christian; Saint)

Lunar Calendar Holidays

Full Moon [5th of the Year] (a.k.a. ... 

Bright Moon (Celtic)

Buddha Day (Buddhism)

Budding Moon (Traditional)

Corn Planting Moon (Alternate)

Dragon Moon (China)

Egg Laying Moon (Traditional)

Fell Moon (South Africa)

Flower Moon (Amer. Indian, North America, Traditional)

Grass Moon (Neo-Pagan)

Hare Moon (England, Wicca)

Leaf Budding Moon (Traditional)

Milk Moon (Colonial)

Panther Moon (Choctaw)

Planting (Cherokee, Traditional)

Southern Hemisphere: Beaver, Frost, Hunter’s

Buddha Day [Around 5th Full Moon of the Year] (a.k.a. ... 

Buddha Jayanti (Nepal)

Buddha Purnima (Parts of India)

Buddha Purnuma (Bangladesh)

Hari Raya Waisaki (Indonesia)

Lord Buddha’s Parinirvana (Bhutan)

Saga Dawa (Sikkim, India)

Shyadar Pidar (Parts of India)

Vesak Day (Singapore, Sri Lanka)

Visakha Bucha Day (Thailand)

Visakh Bochea (Cambodia)

Wesak (Malaysia)

Lucky & Unlucky Days

Sensho (先勝 Japan) [Good luck in the morning, bad luck in the afternoon.]

Premieres

Addicted to Love (Film; 1997)

The Asphalt Jungle (Film; 1950)

Blended (Film; 2014)

Born This Way, by Lady Gaga (Album; 2011)

Brassed Off (Film; 1996)

Bruce Almighty (Film; 2003)

Catching Fire, by Suzanne Collins (Novel; 2012)

Cat Nipped (Oswald the Lucky Rabbit Cartoon; 1932)

The China Plate (Silly Symphonies Cartoon; 1931)

David and Goliath, by Malcolm Gladwell (Book; 2014)

Doctor Faustus, by Thomas Mann (Novel; 1947)

Dragonquest, by Anne McCaffrey (Novel; 1971) [Dragonriders of Pern #2]

The Dwarf, by Pär Lagerkvist (Novel; 1944)

The Fabulous Riverboat, by Philip José Farmer (Novel; 1971) [Riverworld #2]

Fidelio (Final Version), by Ludwig Van Beethoven (Opera; 1814)

Fish Tales (WB LT Cartoon; 1936)

Follow That Dream (Film; 1964)

Gigantic: A Tale of Two Johns (Music Documentary Film; 2003)

The Gong Show Movie (Film; 1980)

I’ll Be There For You, by The Rembrandt’s (Song/Friends Theme Song; 1995)

Indiana Jones and the Temple of Doom (Film; 1984)

Injun Trouble (Mighty Mouse Cartoon; 1951)

Island of the Blue Dolphins, by Scott O'Dell (Novel; 1960)

The Kids Are Alright (Documentary Film; 1979)

Law and Audrey (Noveltoons Cartoon; 1952)

Lights Fantastic (WB MM Cartoon; 1942)

The Lost World: Jurassic Park (Film; 1997)

The Marshall Mathers LP, by Eminem (Album; 2000)

Much Ado About Nutting (WB MM Cartoon; 1953)

A Mutt in a Rut (WB LT Cartoon; 1959)

Nutty News (WB LT Cartoon; 1942)

Pat Garrett & Billy the Kid (Film; 1973)

Patience, by Gilbert & Sullivan (Operetta; 1881)

Persepolis (Animated Film; 2007)

The Shining (Film; 1980)

Silly Scandals (Betty Boop Cartoon; 1931)

Taking the Long Way, by the Dixie Chicks (Album; 2006)

The Thin Man (Film; 1934)

Tommy, by The Who (Album; 1969)

X-Men: Days of Future Past (Film; 2014)

Today’s Name Days

Alma, Desiree, Renate (Austria)

Deziderije, Nada, Vilim, Želimir, Željko (Croatia)

Vladimír (Czech Republic)

Desiderus (Denmark)

Lii, Liidi, Liidia, Ly, Lydia (Estonia)

Lyydia, Lyyli (Finland)

Didier (France)

Alma, Désirée, Renate (Germany)

Dezső (Hungary)

Desiderio (Italy)

Leontīne, Ligija, Lonija (Latvia)

Gertautas, Ivona, Tautvydė (Lithuania)

Oddlaug, Oddleif (Norway)

Budziwoj, Dezyderiusz, Dezydery, Emilia, Iwona, Jan, Leontyna, Michał, Symeon (Poland)

Mihail (România)

Želmíra (Slovakia)

Desiderio (Spain)

Desideria, Desirée (Sweden)

Allard, Desirae, Desire, Desiree (USA)

Today is Also…

Day of Year: Day 144 of 2024; 222 days remaining in the year

ISO: Day 4 of week 21 of 2024

Celtic Tree Calendar: Huath (Hawthorn) [Day 12 of 28]

Chinese: Month 4 (Ji-Si), Day 15 (Ding-Hai)

Chinese Year of the: Dragon 4722 (until January 29, 2025) [Wu-Chen]

Hebrew: 15 Iyar 5784

Islamic: 15 Dhu al-Qada 1445

J Cal: 24 Magenta; Threesday [24 of 30]

Julian: 10 May 2024

Moon: 100%: Full Moon

Positivist: 3 St. Paul (6th Month) [Anathansius]

Runic Half Month: Ing (Expansive Energy) [Day 14 of 15]

Season: Spring (Day 66 of 92)

Week: 3rd Full Week of May

Zodiac: Gemini (Day 3 of 31)

[cbccindia]

International Day to End Obstetric Fistula: Support Women's Health and Dignity

Join us in raising awareness and supporting women affected by obstetric fistula on the International Day to End Obstetric Fistula. Let's work together to ensure every woman has access to dignified healthcare and a life free from this preventable childbirth injury.

[bharathidasanprabhu]

INTERNATIONAL DAY TO END OBSTETRIC FISTULA (An abnormal or surgical path between a hollow or tubular organ or body surface or between two hollow or tubular organs) - 23 MAY 2024 - மகப்ப��றியல் ஃபிஸ்துலாவை (புழை, புரை, புன்புரை & பௌத்திரம்) முடிவுக்குக் கொண்டுவருவதற்கான சர்வதேச தினம் (ஒரு வெற்று அல்லது குழாய் உறுப்புக்கும் உடல் மேற்பரப்புக்கும் இடையில் அல்லது இரண்டு வெற்று அல்லது குழாய் உறுப்புகளுக்கு இடையில் ஒரு அசாதாரண அல்லது அறுவை சிகிச்சை செய்யப்பட்ட பாதை) - 23 மே 2024.

[drrajeevkapoor]

Rectovaginal Fistula: Causes, Symptoms, And Treatment

A rectovaginal fistula (RVF) is a distressing medical condition characterized by an abnormal connection between the rectum and the vagina. This connection leads to the passage of stool or gas from the rectum into the vagina, causing significant discomfort, embarrassment, and potential health issues. Lets explore the causes, symptoms, diagnosis, and treatment options for rectovaginal fistulas. 

What Is Rectovaginal Fistula?

A rectovaginal fistula is an abnormal passage or tunnel that develops between the rectum (the last part of the large intestine) and the vagina. This connection allows stool, gas, or sometimes even pus to pass between the two organs. RVFs can vary in size and severity, and their causes may also differ.

Types of Rectovaginal Fistulas

There are several types of RVFs, including congenital (present from birth) and acquired (developed due to an injury or medical condition). The most common acquired RVFs result from obstetric complications during childbirth, surgical complications, inflammatory bowel diseases like Crohn’s disease, or radiation therapy for pelvic cancers.

Causes of Rectovaginal Fistulas

Understanding the underlying causes of RVFs is essential for proper management. Common causes include:

Obstetric injuries during childbirth.

Surgical complications (e.g. after colorectal surgery).

Inflammatory bowel diseases (e.g. Crohn’s disease).

Radiation therapy for pelvic cancers.

Trauma or injury to the pelvic area.

How To Identify A Rectovaginal Fistula?

Recognizing the signs and symptoms of an RVF is crucial for early diagnosis. Common indicators include:

Passage of stool or gas through the vagina.

Foul-smelling vaginal discharge.

Recurrent urinary tract infections (UTIs).

Pain or discomfort in the pelvic region.

Vaginal irritation or itching.

Impact On Quality of Life Due To Rectovaginal Fistula

RVFs can significantly affect a person’s quality of life. The constant leakage of stool or gas can lead to social isolation, emotional distress, and a decreased ability to perform daily activities comfortably.

Diagnosing Rectovaginal Fistula

Physical Examination – A physical examination, including a pelvic exam, is often the first step in diagnosing an RVF. During the exam, a healthcare provider may detect the abnormal passage between the rectum and vagina.

Imaging And Diagnostic Tests – Additional tests may be required to confirm the diagnosis and assess the extent and location of the RVF. These tests can include:

Endoscopy: A flexible tube with a camera (endoscope) is inserted into the rectum to visualize the fistula.

Barium enema: A contrast material (barium) is used during X-rays to highlight the RVF.

Magnetic Resonance Imaging (MRI): This imaging technique can provide detailed images of the pelvic area.

Treatment Options For Rectovaginal Fistula

Treating an RVF depends on its size, location, and underlying causes. Treatment options include:

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