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first you need to break apart the word.
FISTULA- is an abnormal connection or passageway that has been created between 2 organs or vessels that normally are not supposed to connect.
VESICOVAGINAL FISTULA- is an abnormal fistulous tract extending between the bladder and the vagina that allows continuous involuntary discharge of urine into the vaginal vault.
OBSTETRIC FISTULA- is a condition often caused by long labor where the unborn child is pressed against the pelvis which cuts off the perfusion to a portion of the vesicovaginal wall causing a portion of the tissue to die which creates a hole in the tissue.
this type of condition can also be caused by violent rape.
this condition can be surgically repaired.