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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Sexual violence-related fistulas in the Democratic Republic of Congo
International Journal of Gynecology and Obstetrics, Volume 103, No. 3, Year 2008
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Description
Objective: To determine the magnitude of traumatic gynecologic fistulas caused by sexual violence in the Democratic Republic of Congo. Methods: A retrospective analysis of hospital records from 604 consecutive patients who received treatment for gynecologic fistulas at Panzi Hospital between November 2005 and November 2007. Results: Of the 604 patients, 24 (4%) reported that their fistulas had been caused by sexual violence; of these, 5 (0.8%) had developed fistulas as a direct result of forced penetration with foreign objects and/or gang rapes. Of the remaining patients, 6 had a fistula before they were raped, 9 developed iatrogenic fistulas following inappropriate instrumentation to manage rape-induced spontaneous abortion or stillbirth, or after abdominal hysterectomy, and 4 developed fistulas after prolonged and obstructed labor. Conclusion: Traumatic fistulas are rare compared to obstetric fistulas. Fistulas indirectly related to sexual violence are likely to be more common than those directly related. All fistulas resulting from sexual violence, whether direct or indirect, should be considered traumatic and special care should be given to these women. © 2008 International Federation of Gynecology and Obstetrics.
Authors & Co-Authors
Onsrud, Mathias
Democratic Republic Congo, South Kivu
Panzi Hospital
Sjøveian, Solbjørg
Norway, Oslo
Universitetet I Oslo
Luhiriri, Roger
Democratic Republic Congo, South Kivu
Panzi Hospital
Mukwege, Dénis Mukengere
Democratic Republic Congo, South Kivu
Panzi Hospital
Statistics
Citations: 69
Authors: 4
Affiliations: 2
Identifiers
Doi:
10.1016/j.ijgo.2008.07.018
ISSN:
00207292
Research Areas
Health System And Policy
Maternal And Child Health
Sexual And Reproductive Health
Violence And Injury
Study Design
Cohort Study
Study Locations
Congo
Participants Gender
Female