The South Sudan Medical Journal exists to inform, educate and positively influence the development of Health Services in South Sudan.

The Journal is published quarterly in February, May, August and November.

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The SSMJ is licensed under a

Creative Commons Attribution-NonCommercial 4.0 International License

eISSN 2309-4613

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Current Edition: May 2022

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Vol 15 No 2 May 2022

Obstetric fistulae: A review and risk factors


Obstetric fistulae in South Sudan: a paradigm shift in repairs is required

Dr Koma Akim

Obstetric fistula (OF) is an abnormal communication between the vagina and the bladder/urethra and/or the rectum, which results in the passage of urine and/or faeces through the vagina. This occurs because during obstructed labour, the bladder, the vagina, and the rectum are compressed between the baby’s head and the pelvis leading to ischaemic necrosis of the areas involved thus leading to either vesicovaginal fistula (VVF) or rectovaginal fistula (RVF) or both. READ MORE


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