Vesico Vaginal Fistula Following Sexual Assault: Case Report

Abstract

A case of an eleven year-old Fulani girl who developed vesico-vaginal fistula (VVF) following sexual assault is presented. The patient was sexually assaulted in a farm by a 27 year-old Fulani cattle rearer. She started leaking urine 4 hours after the assault. Examination under anaesthesia and dye test revealed 0.5cm by 0.5cm juxta urethral fistula. She had indwelling urethral catheter for 21 days with urinary antiseptic and the fistula healed. This approach is a treatment option in young girls with traumatic VVF particularly where limited tissue access will make surgical repair difficult.
Key Words: Vesico-Vaginal Fistula, Sexual Assault.

[ Trop J Obstet Gynaecol, 2004;21:186-187]