Obstetric Fistula

  • Salma Rahimi
  • Tracy Capes
  • Charles Ascher-WalshEmail author


Zara, 16 years old, stands in front of the referral hospital in Niamey. It has taken her 2 days to get here from her remote village in Agadez; the sun reflects the shadow at her feet. She moves but the shadow does not. A health worker, waiting to intake the next patient, looks over and realizes it is not a shadow; it is a puddle of urine that has leaked from Zara’s fistula during the short time she stood waiting her turn to be evaluated for surgery.


Cesarean Delivery Early Marriage Fistula Repair Child Marriage Skilled Birth Attendance 
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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Salma Rahimi
    • 1
  • Tracy Capes
    • 2
  • Charles Ascher-Walsh
    • 1
    Email author
  1. 1.Division of Urogynecology, Department of Obstetrics, Gynecology and Reproductive ScienceIcahn School of Medicine at Mount SinaiNew YorkUSA
  2. 2.Center for Continence and Pelvic Floor DisordersWest AllisUSA

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