Traumatic Fistula

Traumatic fistula is a condition that can occur as the result of sexual violence, often in conflict and postconflict settings. There are no solid estimates of its prevalence, but traumatic gynecologic fistula can make up a significant part of the overall genital fistula caseload in places where sexual violence has been used as a weapon of war.

Rape, often aggravated by the thrusting of objects into the vagina, can result in a hole between a woman’s vagina and bladder or rectum, or both, resulting in the leaking of urine and/or feces. Survivors of sexual assault may have additional, severe physical injuries and are at an increased risk for unwanted pregnancy and sexually transmitted infections, including HIV. Survivors live not only with chronic incontinence, but also with the psychological trauma and stigma of rape.