A psycho-social study on genito-urinary fistula

Bangladesh Med Res Counc Bull. 1992 Dec;18(2):82-94.


This study was done on a series of 132 vesico-vaginal fistula (V.V.F.) cases to assess the social factors that are related to this morbidity and its psycho-social effects on them. About 54% of the respondents developed VVF as an outcome of their first pregnancy and none of them had a living child. Of this 39% were in the age group of 15-20 years. About 68% were illiterate and 22% had received formal education for up to 5 years. Fifty two per cent of the subjects had a family income of up to Tk. 1,000 only per month. Almost all were Muslims (94.7%). Of the respondents 64.6% had home delivery by TBA and 72% had history of prolonged labour. Fifty six per cent of the subjects did not like to avail the health facilities of the nearby clinic/hospital. Lack of privacy, objection from husband/family and conduction of delivery by male doctor were mentioned as causes for not availing the facilities by this large group. Indifferent attitude of husband and in-laws, expressed willingness of husband for taking another wife, disturbed socio-psycho-sexual life and deterioration of general health were the after effects of the morbidity at individual, conjugal and community level of the respondents.

MeSH terms

  • Adolescent
  • Adult
  • Anthropometry
  • Attitude to Health*
  • Bangladesh
  • Body Height
  • Educational Status
  • Female
  • Foot / anatomy & histology
  • Humans
  • Interpersonal Relations
  • Marriage
  • Obstetric Labor Complications
  • Parity
  • Pregnancy
  • Self Concept
  • Sexual Dysfunction, Physiological / etiology
  • Vesicovaginal Fistula / complications
  • Vesicovaginal Fistula / physiopathology
  • Vesicovaginal Fistula / psychology*