{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T03:13:49Z","timestamp":1777864429305,"version":"3.51.4"},"reference-count":11,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[1992,5,1]],"date-time":"1992-05-01T00:00:00Z","timestamp":704678400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J R Soc Med"],"published-print":{"date-parts":[[1992,5]]},"abstract":"<jats:p>A personal series of 716 patients with vesico-vaginal and\/or recto-vaginal fistulae is presented. Five hundred and seventy-eight patients were managed in Africa, mainly at the Addis Ababa Fistula Hospital, while 138 were kindly referred to me from various parts of Britain. The main cause of such fistulae in the developing world is pressure necrosis from obstructed labour. In the developed world the actiology is surgery, malignancy, radiotherapy or a combination of these. Other causes include neglected foreign bodies, coital injury and 1ocal treatment by an unqualified practitioner. A vesico-vaginal fistula alone was present in 78.8%, a recto-vaginal fistula alone in 4.3%, while 16.9% of patients had both a vesico-vaginal and a recto-vaginal fistula. Six hundred and six (84.6%) patients were cured at the first attempt at repair, 45 (6.3%) failed and 65(9.1%) had stress incontinence.<\/jats:p>","DOI":"10.1177\/014107689208500505","type":"journal-article","created":{"date-parts":[[2022,8,18]],"date-time":"2022-08-18T09:13:57Z","timestamp":1660814037000},"page":"257-258","source":"Crossref","is-referenced-by-count":42,"title":["Vesico-Vaginal and Recto-Vaginal Fistulae"],"prefix":"10.1177","volume":"85","author":[{"given":"J","family":"Kelly","sequence":"first","affiliation":[{"name":"Birmingham and Midland Hospital for Women, Queen Elizabeth Medical Centre, Edgbaston,\r            Birmingham B15 2TG"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1992,5,1]]},"reference":[{"key":"bibr1-014107689208500505","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1983.tb08933.x"},{"key":"bibr2-014107689208500505","first-page":"389","volume":"40","author":"Barnaud PL","year":"1980","journal-title":"Med Trop"},{"key":"bibr3-014107689208500505","first-page":"126","volume":"13","author":"Abbo AH","year":"1975","journal-title":"Sudan Med J"},{"key":"bibr4-014107689208500505","first-page":"189","volume":"4","author":"Hamlin RJ","year":"1966","journal-title":"Ethiopia Med J"},{"key":"bibr5-014107689208500505","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1979.tb02868.x"},{"key":"bibr6-014107689208500505","first-page":"324","volume-title":"Progress in Obstetrics and Gynaecology","author":"Kelly J","year":"1983"},{"key":"bibr7-014107689208500505","first-page":"22","volume":"103","author":"Martius H","year":"1932","journal-title":"Z Geburtshilfe Gynaekol"},{"key":"bibr8-014107689208500505","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.5650.147"},{"key":"bibr9-014107689208500505","first-page":"16","volume":"11","author":"Brennan M","year":"1989","journal-title":"Postgrad Doct"},{"key":"bibr10-014107689208500505","first-page":"440","author":"Poovan P","year":"1990","journal-title":"World Health Forum"},{"key":"bibr11-014107689208500505","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(89)90355-3"}],"container-title":["Journal of the Royal Society of Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/014107689208500505","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/014107689208500505","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:41:46Z","timestamp":1777527706000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/014107689208500505"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1992,5]]},"references-count":11,"journal-issue":{"issue":"5","published-print":{"date-parts":[[1992,5]]}},"alternative-id":["10.1177\/014107689208500505"],"URL":"https:\/\/doi.org\/10.1177\/014107689208500505","relation":{},"ISSN":["0141-0768","1758-1095"],"issn-type":[{"value":"0141-0768","type":"print"},{"value":"1758-1095","type":"electronic"}],"subject":[],"published":{"date-parts":[[1992,5]]}}}