The Obstetrics and Gynecology Department of King Abdulaziz Medical City in Jeddah, in cooperation with the Health Awareness Services, organized the activities of the Vaginal Fistula Awareness Day 2015 under the slogan “We are all with you to treat vaginal fistula”, and it lasted for two days in King Abdulaziz Medical City in Jeddah, which aimed to increase community awareness of the existence of a fistula The vagina as a disease and increasing the awareness of the patient''s family about the suffering that the patient is going through.

• Vesicovaginal fistula: It is an abnormal connection between the vagina and the bladder, which leads to urine leaking out of the vagina involuntarily, and its causes are obstructed labor and the head entrapment of the newborn in the vagina, and this type has been eliminated as it is widespread in poor countries that lack hospitals and difficult to reach Hospital, as for recent reasons, complications of cesarean section are often after repeated operations, or a complex abdominal uterine removal process, where the bladder is ruptured and the suture passes through it by mistake, and it is diagnosed through a cystoscope and the use of color dye to know the size of the fistula and the extent of its connection to the ureter, and CT scan Colored to see the ureter and bladder and the possibility of involvement of the ureter with the bladder with a fistula, as well as urine analysis and not using permanent catheters to reduce the rate of infections.

Rectal vaginal fistula: It is a connection between the vagina and the digestive system, which leads to the involuntary exit of stool and gases from the vagina, and among its causes is an injury during childbirth to the rectum or ring, or it may be caused by cancer, it may be due to Crohn''s disease and this must be known before starting the surgical procedure, and from Procedures that aid in the diagnosis, the blue dye test by filling the rectum with dyed water with blue water and following up if the water is leaking from the vagina, and thus it is possible to know the number of openings that may have been more than one opening, as well as magnetic resonance to find out the size of the connection between the colon and the vagina, as well as the number of openings and to know the absence Pelvis from gynecological or non-gynecological tumors, as well as anal ultrasound To evaluate the anal muscle and to know the anal sphincter muscle if it has defects or if the fistula passes through it.

Dr. Noor Wali indicated that 8 cases were treated at King Abdulaziz Medical City in Jeddah with a vaginal-vesical fistula by opening the abdomen, and 10 cases suffering from rectal and rectal vaginal fistula were treated, and she added that now, for the first time, the vesico-vaginal fistula has been treated by endoscopy. Where a medical team from King Abdulaziz Medical City in Jeddah successfully performed the first operation on a woman in her 30s. Where the operation was performed by a medical team in cooperation with Dr. Tariq Jaber, consultant surgery and endoscopy, and Dr. Hassan Madani, consultant urologist, as the patient had suffered from fistula and urinary incontinence for eight months as a result of a previous caesarean section that caused a rupture of the bladder, which led to the occurrence of the vaginal fistula, The medical team decided the necessity of surgical intervention, and the operation was carried out for the first time by means of a laparoscope without resorting to opening the abdomen, and that, thanks to God Almighty, the patient was cured within fifteen days.

Dr. Fatima also indicated that a medical symposium was held at the Sisters Association, which discussed issues related to this disease, as well as an awareness day at the Outpatient Clinics Center at King Abdulaziz Medical City in Jeddah. To educate patients and reviewers about this disease, then the participating parties, speakers and organizers were honored.