RESUMO
To assess the demographic, sociocultural and environmental factors responsible for the causation of Vesicovaginal fistula [VVF] due to obstetric injury. This was a descriptive survey carried out among patients with Vesicovaginal fistula, recruited from free fistula repair camps arranged at the interior of Sindh Province Pakistan from 6[th] January 2005 to 18[th] January 2005. Twenty seven patients were interviewed. The information regarding demography, sociocultural and environmental factors was gathered and analyzed by SPSS V 16. The mean age of patients was 25.37 +/- 6.5 years. The mean age at first delivery was 18.55 +/- 2.4 years. Majority of patients 22[81.5%] were illiterate and 21[77.8%] belonged to poor socioeconomic class. Nineteen [70.4%] patients had availability of transport 24 hours a day. Twenty four [88.9%] patients traveled for 1-5 hours to reach health facility. Early age at the time of marriage and pregnancy, illiteracy, poor socioeconomic condition and unavailability of emergency obstetric care by skilled person are the causative factors for Vesicovaginal fistula