Over time, Sasha has developed some awareness of how cultural practices predisposed her to developing both
vesico- and recto-vaginal fistulas.
Obstetric fistula is commonly defined as a
vesico- or rectovaginal fistula resulting from prolonged obstructed labour.
Other contraindications include an atonic detrusor with an elevated postvoid residual, uncontrolled and severe detrusor instability, vesicoureteral reflux,
vesico- or urethrovaginal fistula, or a history of pelvic radiation.
She may have a condition called
vesico- ureteric reflux, which is where the urine flows the wrong way from the bladder back up toward the kidneys.