Published in:
01-09-2016 | Letter to the Editor
Trends in the aetiology of urogenital fistula: a case of “retrogressive evolution”?
Author:
Ahmed Al-Badr
Published in:
International Urogynecology Journal
|
Issue 9/2016
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Excerpt
I read with interest the article by Hilton [
1], which sheds light on changes in the aetiology of urogenital fistulae, and states: “It has long been held as conventional wisdom that urogenital fistulae in low-income and middle-income countries are almost exclusively of obstetric aetiology, related to prolonged neglected obstructed labour, whereas those seen in high-income countries are largely iatrogenic in nature”. Then: “a growing perception amongst those working in the field that an increasing proportion of urogenital fistulae in low-income and middle-income countries may be iatrogenic, resulting from caesarean section”. …