A don in the Department of Obstetrics and Gynaecology, University of Ilorin, Prof. Munirdeen Ijaiya, has invented a surgical procedure for the treatment of Vesico Vaginal Fistula.
According to the News Agency of Nigeria, Ijaiya disclosed this in his paper presentation at the 243rd Inaugural Lecture dubbed, ‘The Leaking Pipes as Avoidable Tragedy of Womanhood; The Odyssey of a Fistula Surgeon’ in Ilorin on Friday.
VVF is a childbirth complication causing abnormal fistulous tract extending between the bladder and the vagina that allows the continuous involuntary discharge of urine into the vaginal vault.
The condition represents a significant morbidity in female urology, with continual wetness, odor, and discomfort, causing serious social problems.
The UNILORIN don, who teaches in the Faculty of Clinical Sciences, College of Health Sciences of the institution, therefore, disclosed that the treatment procedure invention is named “M. Ijaiya’s Technique.”
He said the technique treats a rare and difficult juxtacervical VVF involving anterior lip of the cervix where the posterior lip of the cervix is used for fistula closure.
He added that “Over time, I have perfected the skill of fistula repair, as evidenced by a marked reduction in surgery time and a near 100 per cent success rate in recent years, irrespective of the complexity of the fistula.
“Obstetrics Fistula (OF) or VVF is an abnormal connection between the vagina and urinary bladder or between the vagina and rectum.
“This may develop after prolonged obstructed labour and complications, which leads to continuous urinary or faecal leakage.
“OF is as old as womanhood; it dates back from antiquity, while the cause is related to procreation.”
The don disclosed that reports indicated that an estimated 150,000 Nigerian women live with VVF, and 12,000 new cases occur annually.
He further pointed out that available data also indicates that the disease is prevalent in the Northern part of the country, as well as Akwa Ibom and Ebonyi in the Southern part.
“The social class of the woman, poverty, illiteracy, ignorance, the availability and the strong cultural opposition to cesarean deliveries are some of the determinants,” he said.
The expert bemoaned that most patients suffer from unnecessary and avoidable psychological complications such as loss of self-esteem, divorce, or separation and depression.
“The patient’s husband and sometimes their families desert them because the continuous urine leakage and odour make them socially unacceptable.
“It is believed that they have brought shame and dishonour to their families, therefore they are shunned by society and eventually become social outcasts.
“Despite successful fistula repair, some patients cannot enjoy a happy married life because of painful sex.”
