What We Did
#FistulaAware – Intro
Fistula is an abnormal connection between two surfaces
Although there are good kinds such as those deliberately created; there are no fistulae involving the genital tract and lower urinary/poop (gastrointestinal) tract that appears to be good.
There is essentially uncontrolled leakage of urine, poop and/or blood via any of the tracts mentioned.
Complaints of persistent vaginal discharge following childbirth, pelvic surgeries or cancer therapy (radiotherapy) is common.
Expectedly, obstetric fistulae contribute to as much as 98% of these fistulae as a complication of labour, childbirth or interventions therein
#FistulaAware – Curtailing the occurrence of Obstetric Fistula in society.
Achieving, maintaining the goal of safe motherhood and maternal health is achievable by all means with a skilled birth attendant. A Skilled Birth Attendant (SBA) is birth personnel that has been trained to proficiency for the management of labour and its complications, early recognition of complications, or prompt referral.
An SBA is not necessarily a doctor in a fancy huge hospital, could be a Nurse, midwife or CHEW (Community Health Extension Worker)
#FistulaAware – Kinds of Fistula and how they occur
Following the acknowledgements of fistulas as inborn, or man-made, it may also be life-saving* or total nuisance. While most genital tract fistulae occur as a complication of obstructed labour during childbirth (obstetric), it may also occur as complications of STDs (PIDs), tumours, even genital/pelvic
tuberculosis (yes, you read that right!).
Genitourinary fistulas (vesicovaginal or urethrovaginal) can be a debilitating cause of loss of voluntary control of urination and are formed because of poor wound healing after a traumatic insult (e.g., obstetric laceration, pelvic surgery, perineal trauma, or radiation exposure, neglected vaginal pessaries). Leakage due to fistulas is generally continuous, although it may be elicited by position change or stress-inducing activities.
#FistulaAware – Solutions I
Evaluation should include a careful examination of the vaginal walls for fistulas. If the diagnosis is made early, the fistulous tract may heal with prolonged catheterization, this means that a soft rubber tube is placed in the urethra for about two weeks to allow the fistula to heal. However, if this procedure is unsuccessful or if the diagnosis is made late, surgical correction is generally the only hope for a cure. Several imaging modalities can be done to outline the tracts affected and locate the abnormal connection(s) in preparation for repair. Other blood tests would be done to assess fitness and ensure the success of the intended repair. #FistulaAware #EndFistula #LeaveNoOneBehind #BashirFistulaFoundation #BFF