TY - CHAP M1 - Book, Section TI - Genitourinary Fistula and Urethral Diverticulum A1 - Hoffman, Barbara L. A1 - Schorge, John O. A1 - Bradshaw, Karen D. A1 - Halvorson, Lisa M. A1 - Schaffer, Joseph I. A1 - Corton, Marlene M. PY - 2016 T2 - Williams Gynecology, 3e AB - A genitourinary fistula is defined as an abnormal communication between the urinary (ureters, bladder, urethra) and the genital (uterus, cervix, vagina) systems. The true incidence of genitourinary fistula is unknown and varies according to whether the etiology is obstetric or gynecologic. In Asia and Africa, up to 100,000 new cases of obstetric genitourinary fistula are added each year to the estimated pool of 2 million women with unrepaired fistulas (World Health Organization, 2014). For industrialized countries, most fistulas occur iatrogenically from pelvic surgery, and the generally accepted incidence derives from data on surgeries to correct these fistulas. For example, numbers from the National Hospital Discharge Survey of inpatient women show that approximately 4.8 per 100,000 women underwent lower reproductive tract fistula repair (Brown, 2012). This likely is underestimated as many cases are unreported, unrecognized, or treated conservatively. Of genitourinary fistulas, the vesicovaginal fistula is most common and develops significantly more frequently than ureterovaginal fistulas (Goodwin, 1980; Shaw, 2014). SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - obgyn.mhmedical.com/content.aspx?aid=1125289161 ER -