The commonest cause of vesicovaginal fistula in India is:

• A Gynaecological surgery
• B Obstetric trauma from obstructed labour ✓
• C Advanced cervical carcinoma
• D Radiotherapy

Explanation

In developing countries including India, prolonged obstructed labour remains the leading cause: the fetal head compresses the bladder base and urethra against the symphysis pubis, producing pressure necrosis, and sloughing occurs around the third to fifth day after delivery. In developed countries, iatrogenic surgical injury during hysterectomy accounts for about 75 percent of cases. Malignancy and radiation are important causes but together form only a small minority of fistulas seen in Indian practice.

Reference: DC Dutta's Textbook of Gynecology, 7th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.