Outcome of Urogenital Fistula at National Fistula Centre of Dhaka Medical College Hospital, Bangladesh

Background: Urogenital fistula (UGF) commonly results from prolonged obstructed labour or inadvertent surgical injuries during obstetric and gynecological procedures. Despite being preventable, UGF remains a significant cause of morbidity among reproductive age women. Objective: This study aimed to evaluate the clinical pro le and surgical outcomes of UGF patients treated at the National Fistula Centre (NFC), Dhaka Medical College Hospital.Materials and Methods: A retrospective observational study was conducted on 100 patients who underwent surgical repair for UGF at the NFC between January 2017 December 2019. Patients with carcinoma, radiation-induced, congenital, traumatic fistulas, rectovaginal fistulas, or complete perineal tears were excluded. Data were collected using a semi structured questionnaire and analyzed using SPSS 25.Result: Of the 100 cases, 47 were obstetric fistulas (Group A), 16 were iatrogenic fistulas following obstetric surgery (Group B1), and 37 were iatrogenic fistulas following gynecological surgery (Group B2). All were vesicovaginal fistulas : midvaginal (43%) in Group A, juxtacervical (56%) in Group B1, and vault (100%) in Group B2. Most fistulas were small (