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Learn how a fistula is formed, how it is fixed, and most importantly—how it can be prevented.

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Obstetric fistula  is a medical condition in which a hole develops in the birth canal as a result of childbirth. This can be between the vagina and rectum,  Risk factors include  obstructed labor , poor access to medical care,  malnutrition , and  teenage pregnancy .  The underlying mechanism is  poor blood flow  to the affected area for a prolonged period of time.   Diagnosis is generally based on symptoms and may be supported by use of  methylene blue .  Obstetric fistula are almost entirely preventable with appropriate use of cesarean section . Treatment is typically by surgery. If treated early, the use of a urinary catheter may help with healing. Counseling may also be useful