Nepal | July 09, 2020

Cases of fistula on the rise, doctors concerned

Himalayan News Service
Share Now:

Kathmandu, May 28

Gynaecologists have expressed their concern about the increasing number of surgical fistula cases in the country.

As per a data provided by Kathmandu Model Hospital, reconstructive surgeries were performed on 40 women who suffered from surgical fistula in the last three years.

“The problem is increasing mainly because there are more patients undergoing caesarean section procedure during which women are at high risk of being injured in the urethra and urinary bladder,” informed Dr Aruna Karki, head of the Department of Gynaecology and obstetrics as well as a fistula surgeon at Kathmandu Model Hospital.

The number of women suffering from obstetric fistula is also on the rise, according Dr Karki.

According to a 2011 UNFPA report, an estimated 200 to 400 women in the country suffer from obstetric fistula every year.

“An obstetric fistula is a hole between the vagina and rectum or bladder that is caused by prolonged obstructed labour, leaving a woman incontinent of urine or faeces or both,” said Dr Karki.

Women who develop obstetric fistula end up giving birth to a stillborn baby. Women suffer from urinary incontinence or faecal incontinence if they suffer from fistula.

“It is necessary to go for caesarean section  if a woman can’t give birth to a baby within eight hours of labour pain,” added Dr Karki.

According to hospital data, 80 new patients of fistula visit the hospital yearly. “There are many women who don’t have access to hospitals in the country. There aren’t many hospitals in the country that provide treatment for fistula. Thus, many cases of fistula go unnoticed,” added the doctor.

One of the causes for obstetric fistula in women is early marriage. “The pelvis isn’t properly developed. This is why the tissues get damaged during delivery. And, if a woman suffers from fistula, surgery is a must for delivery. “Malnutrition too is a major cause for fistula in women and girls,” said the doctor.

Because of lack of awareness and fear of social stigma, many women do not want to talk about their health problems due to which many women in the country are compelled to live with diseases for years.

If left untreated, obstetric fistula causes chronic incontinence and can lead to frequent infections and renal diseases. Obstetric fistula can be prevented and in most cases treated. Reconstructive surgery with a trained, expert fistula surgeon can cure the injury.

A version of this article appears in print on May 29, 2018 of The Himalayan Times.

Follow The Himalayan Times on Twitter and Facebook

Recommended Stories:

More from The Himalayan Times:

Nepal COVID-19 Update: 255 new cases, 253 recoveries, no deaths

KATHMANDU: Nepal’s Health Ministry, in its regular press briefing, shared the latest updates on coronavirus contagion from across the country, and government’s response to the health crisis. As of today, 266,457 tests through Polymerase Chain Reaction (PCR) method and 312,402 Rapid Diagn Read More...

In Pictures: Rallying forth in Prime Minister's support

Supporters of Prime Minister KP Oli organised a rally at Lagankhel, Lalitpur, on Wednesday, for the seventh day. The pro-prime minister demonstrations were held in the wake of recent political developments wherein PM Oli is being asked to step down from his either of his posts. Read More...

Nepal Airlines Corporation aircraft

Four more Nepal Airlines employees diagnosed with COVID-19 on Wednesday

KATHMANDU: Four more employees of Nepal Airlines Corporation (NAC) have been diagnosed with the coronavirus infection, on Wednesday. In the last two days, six employees of the national flag carrier have been detected with COVID-19. Among those infected are one pilot and five cabin crew members, a Read More...

Crash Landing on You's Son Ye-jin and Parasite's Lee Sun-kyun set for Hollywood debut?

KATHMANDU: Popular South Korean actress Son Ye-jin is set to make her Hollywood debut with film tentatively titled The Cross alongside Sam Worthington. Lee Sun-kyun from the Oscar-winning Parasite has also been a role in it. Qutoing an official from Son’s agency MS Team Entertainment, Th Read More...

Celta and Atletico share spoils in insipid draw

VIGO: Atletico Madrid dropped points for the third time since the season resumed after the coronavirus stoppage as they drew 1-1 away to struggling Celta Vigo in an uninspiring match in La Liga on Tuesday. Striker Alvaro Morata got the visitors off to the perfect start by tapping an Angel Corre Read More...

Over 90pc COVID-19 recovery reported in Rautahat

RAUTAHAT: Rautahat district, which has been hard-hit by the pandemic, has shown a promising rate of COVID-19 recovery. The district with about 92 percent of patients being discharged from health facilities has bagged much appreciation for the efforts of the concerned authorities. According to Read More...

Billie Eilish's mother reveals singer's obsession with Justin Bieber

KATHMANDU: American singer-songwriter Billie Eilish's mother Maggie has revealed about the singer's childhood obsession with Canadian singer Justin Bieber. In a recent episode of the 18-year-old singer's Apple Music radio show me & dad radio, Maggie, who appeared as a special guest talked ab Read More...

BTS members accused of using MBA enrolment to delay military enlistment

KATHMANDU: The members of K-pop supergroup BTS are facing accusations that they are using a graduate programme to delay their mandatory military duty. The Korea Times reports that speculation started swirling when their agency, Big Hit Entertainment said on July 7 that Jimin and V will start the Read More...