Summary:
Genitourinary fistula is one of the most dreadful
complications encountered in obstetrics and gynaecology
and constitute a major surgical challenge for the
urogynecologist. With advanced obstetric care, this fistula
is rare in industrialized world but it is still a major health
problem in underdeveloped countries, particularly in sub-
Saharan Africa and Asia including Bangladesh.
Victim of fistula become physically cripple, socially outcast,
psychologically traumatized. Surgical repair is the definitive
cure. A surgeon with adequate training and experience can
optimize outcome of surgery by modifying techniques.
Repair of vesicovaginal fistula remains a major challenge
to surgeon worldwide.