Abstract

Introduction: Women living with Vesico Vaginal Fistula (VVF) continue to suffer for many years, and often in silence. Around the world, over 2 million women live with a fistula and new cases continue to be reported especially in low income countries. These countries also tend to have a high maternal morbidity and mortality rates. 
 Objectives: To establish the duration of leakage in a cohort of women diagnosed with fistula. 
 Methodology: A prospective cohort study conducted over a three-year period. Patients with confirmed diagnosis of VVF and or Recto Vaginal fistula (RVF) were eligible for study. A structured questionnaire was used to collect information on sociodemographic profiles, presenting symptoms and duration of leakage. 
 Results: A total of one thousand and twenty-four patients were enrolled in the study, 34% had lived with the fistula for more than 3 years. The majority (70%) were young, with a mean age of 20. Literacy levels were low in this cohort. Urban women were more likely to access fistula care services compared to their rural counterparts (p>0.0001). 
 Conclusion: Individual and country level factors influenced the duration women lived with fistula before surgical repair.

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