title: Reflections on the knowledge base for obstetric fistula.
abstract: This article presents the reflections of an experienced fistula surgeon and an epidemiologist on the current knowledge base for obstetric fistula. The incidence, prevention, and management of vesico-vaginal and recto-vaginal fistula are discussed. The authors call for more randomized controlled trials to determine the effectiveness of surgical interventions for fistula repair.
authors.affiliation: Department of Public Health and Epidemology, University of Birmingham, Edgbaston, Birmingham, England, B15 2TT, UK. kellyj@zoom.co.uk
authors.forename: J
authors.initials: J
authors.lastname: Kelly
authors.forename: H R
authors.initials: HR
authors.lastname: Winter
mesh_terms: D002986:Clinical Trials as Topic; D003906:Developing Countries; D005260:Female; D006801:Humans; D015994:Incidence; D051188:Knowledge Bases; D008429:Maternal Welfare; D007744:Obstetric Labor Complications / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D011247:Pregnancy; D012006:Rectovaginal Fistula / Q000175:diagnosis* / Q000628:therapy; D018456:Reproductive Medicine / Q000379:methods; D016896:Treatment Outcome; D013519:Urogenital Surgical Procedures; D014719:Vesicovaginal Fistula / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy