n Obstetrics and Gynaecology Forum - Can we eradicate fistulae in South Africa? - : editorial

Volume 24, Issue 3
  • ISSN : 1027-9148



Urogenital fistulae (UGF) is one of the most dreadful complications encountered in obstetrics and gynaecology and constitutes a major surgical challenge to physicians. It is a source of great misery and unhappiness in the patient and a major liability and anxiety to the doctor. When it is surgical related, there are grave medicolegal implications. In South Africa, a country straddling the first and third world, urogenital fistulae caused by obstructed labour and those caused by gynaecological surgery are seen in approximately equal proportions. In most other African countries, especially Sub-Saharan states, obstetric related fistulae are far commoner. In high income countries, obstetric fistulae is rare.

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