Vaginally inserted herbs causing vesico-vaginal fistula and vaginal stenosis.
A 32-year-old woman developed a vesico-vaginal fistula and vaginal stenosis following insertion of herbs into her vagina by a traditional doctor to "melt" her uterine myomata. She underwent successful trans-abdominal repair of her fistula and passive dilatation of her vagina was recommended for the vaginal stenosis. The emerging importance of traditional treatments as a cause of vesico-vaginal fistula is highlighted. The role of quality improvement through research and strict regulation to maximise the benefits of traditional treatment and minimise complications is also emphasised.
Urogynaecology Unit, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria. sonnyadaji@gmail.com
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Adaji
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Bature
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Shittu
D000282:Administration, Intravaginal; D000328:Adult; D003251:Constriction, Pathologic / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D007889:Leiomyoma / Q000628:therapy; D009549:Nigeria; D010946:Plants, Medicinal / Q000009:adverse effects*; D016896:Treatment Outcome; D014623:Vaginal Diseases / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D014719:Vesicovaginal Fistula / Q000209:etiology* / Q000601:surgery