Fistula

obstetric fistula develops in our women. An obstetric fistula is described as “a hole in the birth canal” that occurs as a result of obstructed labor. Malnourishment, poverty, and young age and resource poor areas are the main risk factors. The consequences of obstetric fistula are physical, emotional and psychological. Lack of skilled medical personnel’s and poor healthcare infrastructure along with low levels of education, and high fertility rates all contribute to Mali’s high obstetric fistula prevalence

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As intern doctors we are often told that a diagnosis of obstetric fistula can be made on first contact with the patient, based on the smell due to incontinence. This rather callous method of diagnosis is an indication of the effects of obstetric fistula; women are ostracized and ill-treated. Few specialized doctors were competent in management of Obstetric fistula at the University Teaching Hospital at the time and the client waiting was long, filled with women that travel far to get treatment at

Fistula in ano is reported to have the maximum incidence between the third and fourth decades of life, a mean age of 39.5 years, and a male predominance. The result in our study of male involvement was (80.1%) and the mean age was 39.5 years which are in agreement with many other international studies31. Fistulectomy was reported as an adequate surgical technique for the management of the simple or the low transsphincteric anal fistula. When a complicated transsphincteric or suprasphincteric fistula

treatment of any ailment starts with evaluation and description of the type of ailment or, in this case, fistulas. Kozell et al (12) offers an insight into this evaluation and treatment of fistulas. Initially, it is important to determine the origin or source of the fistula. It can originate from oesophagus, stomach, small bowel, large bowel or even bladder or other organs of the body. Some fistulas can complicate healing in post-surgical wounds and in chronic disease. Depending of the origin, the leaking

FISTULA-IN-ANO Description Fistula-in-ano, also known as anal fistula, is a tract lined by granulation that connects superficially the skin around the anus and deeply the anal canal or the rectum. It originates from the anal glands, which are located between the internal and external anal sphincter and drain into the anal canal. If the outlet of these glands becomes blocked, an abscess can form which can eventually point to the skin surface. The tract formed by this process is the fistula. Low level

observed was the creation of an arteriovenous fistula. The purpose of an arteriovenous fistula is to make a connection between the native artery and vein in an extremity through surgery. The surgical procedure that I saw performed, which was done by a vascular surgeon, was an AV fistula on the upper right arm. These fistulas are used for hemodialysis and accessed/used for dialysis 2-5 times per week. Basically, the vascular surgeon creates this fistula so as to provide easier/more reliable access

Primary diagnosis or procedure: Colovesical Fistula Risks Factors: 2pts -Diverticulitis -Cancer (specifically colorectal or cancer of the surrounding organs) -Inflammatory Bowel Disease (specifically Crohn's Disease and Colitis) -Surgery or Trauma that invovles the colon or bladder -Radiotheray Treament (in response to cancer) Pathophysiology: 2pts A colovesical fistula (CVF) is a connection from the colon to the urinary bladder. It can occur due to surgery or trauma around this area of the

Female genital fistulas lead to social and psychological stress by deteriorating the quality of life because of bad smell due to continuous leakage of urine into the vagina or uncontrolled passage of flatus or stool through the vagina.Genital fistulas could be classified as urogenital fistulas (UGF) and rectovaginal fistulas (RVF). UGFs may occur between the urinary bladder and the vagina (vesicovaginal fistula (VVF)); between the bladder and cervix or uterus; between the ureter and vagina, uterus

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