Nigerian Medical Practitioner

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Vesicovaginal fistula complicating uterine evacuation: a case report

MA Ijaiya, AP Aboyeji, GA Fawole, AAG Jimoh, OO Alabi, AO Olarinoye, OL Akintade, OK Ogah, DNC Nwachukwu, OA Alabi, SA Esuga, ZB Ijaiya


Vesicovaginal fistula (VVF) is of public health importance in sub-sahara Africa, where there are poor economic resources, inadequate health facilities and manpower. This report intends to demonstrate a rare cause of urogenital fistula. The clinical details of a case of vesicovaginal fistula complicating dilatation and curettage performed by an untrained operator is presented. To prevent such occurrence, mid-level health care providers are advised to use manual vacuum aspiration for uterine evacuation. It is easy to acquire the skill and it improves safety.

Keywords: Vesicovaginal fistula; Dilatation and Curettage; Untrained Operator

Nigerian Medical Practitioner Vol. 48(3) 2005: 88-89

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