Obstetric fistula is common in young adult women in the DRC. It is often the result of vaginal delivery, usually after prolonged labour. Fistula births often result in the death of newborns. Urogenital fistulas are the most frequent with a predominance of urethro-vaginal and vesico-uterine anato- moclinical entities.
Surgical repair, which is mostly done transvaginally, gives a good result. The implementation of a good reproduc- tive health policy, including the proper organisation of the health referencing system, the equipment of public hospitals with medical materials and supplies, continuous training and the proper