title: Urinary fistula and incontinence.
abstract: It is estimated that as many as 3.5 million women worldwide suffer from obstetric urinary fistula. This public health tragedy is a result of obstructed labor and inadequate access to health care, and its eradication lies in prevention and treatment. Efforts at prevention should be made through targeted education and public intervention for improved nutrition, access to health care, and women's social status. Diagnosis and treatment in limited resource settings can occur, and there are specific recommendations regarding nonsurgical and surgical approaches to care. Treatment success may be complicated by social, psychological, and clinical factors, with reintegration a primary concern for this group of women.
authors.affiliation: Division of Urogynecology and Reconstructive Pelvic Surgery, Women and Infants Hospital of Rhode Island, The Warren Alpert Medical School of Brown University, Providence, Rhode Island.
authors.forename: Brittany Star
authors.initials: BS
authors.lastname: Hampton
authors.affiliation: The Warren Alpert Medical School of Brown University, Providence, Rhode Island.
authors.forename: Allison
authors.initials: A
authors.lastname: Kay
authors.affiliation: Division of Urogynecology and Reconstructive Pelvic Surgery, Women and Infants Hospital of Rhode Island, The Warren Alpert Medical School of Brown University, Providence, Rhode Island.
authors.forename: Anna
authors.initials: A
authors.lastname: Pilzek
mesh_terms: D005260:Female; D005843:Geography; D013509:Gynecologic Surgical Procedures / Q000534:rehabilitation; D006801:Humans; D007231:Infant, Newborn; D007744:Obstetric Labor Complications / Q000453:epidemiology / Q000209:etiology / Q000628:therapy; D011247:Pregnancy; D015995:Prevalence; D012307:Risk Factors; D016896:Treatment Outcome; D014548:Urinary Fistula / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D014549:Urinary Incontinence / Q000453:epidemiology / Q000209:etiology / Q000628:therapy