TREATMENTS
Obstetric Fistula Repair in Mumbai
Obstetric fistula repair is a surgical procedure that aims to close an abnormal hole (fistula) between a woman’s birth canal and her bladder or rectum. This fistula often develops due to prolonged, obstructed labour without timely medical help.
The condition can lead to continuous leakage of urine or stool through the vagina, which can deeply affect a woman’s health, hygiene, and emotional well-being.
At our centre in Mumbai, we provide safe, evidence-based, and compassionate treatment for obstetric fistulas – helping women regain comfort, dignity, and control over their bodies.
Obstetric Fistula Treatment At A Glance
| TECHNIQUE USED | DURATION | RESULTS | RECOVERY | HOSPITAL STAY | AVG COST |
|---|---|---|---|---|---|
| Transvaginal Repair | 1–3 Hours | 80–90% First-Time Success Rate | 4–6 Weeks | 3–5 Days | Call For Exact Cost: 1800-268-4000 |
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All You Need To Know About Obstetrics Fistula
What Is Obstetric Fistula Repair & When Is It Done?
An obstetric fistula is a small tunnel-like opening that forms between:
- The vagina and bladder (called vesicovaginal fistula), or
- The vagina and rectum (called rectovaginal fistula)
It usually happens after a very long and difficult childbirth, especially when emergency help (like C-section) is not available. The baby’s head presses hard on the mother’s pelvic tissues for hours, cutting off blood supply. This damages the tissue and creates a hole.
Women living with obstetric fistula often suffer from:
- Constant leaking of urine or stool from the vagina
- Foul smell, skin infections, and sores
- Emotional trauma, shame, or being excluded socially
Obstetric fistula repair surgery is done to close this hole, stop the leakage, and help the woman live a normal, confident life again. It is usually planned a few weeks to months after childbirth, once the tissues are less inflamed and the woman is nutritionally stable.
How It Works / How It’s Performed?
Step-by-step process:
- Examination: The doctor identifies the type, size, and location of the fistula.
- Anaesthesia: The patient is given spinal or general anaesthesia to prevent pain during surgery.
- Fistula Access: A small incision is made in the vaginal wall to access the fistula.
- Tissue Repair: The edges of the fistula are trimmed, and the hole is closed using fine stitches in multiple layers.
- Catheter Insertion: A urinary catheter is placed for 10–14 days post-surgery to allow healing.
The procedure takes 1 to 3 hours, depending on the complexity. In skilled hands, 80–90% of first-time repairs are successful.
Techniques Used in Obstetric Fistula Repair
- Transvaginal Repair: The most common and preferred approach. The surgeon accesses and repairs the fistula from inside the vagina. This method avoids abdominal cuts and has a quicker recovery.
- Transabdominal Repair: Used when the fistula is very high or complex. The repair is done through a small incision in the lower abdomen.
- Flap or Graft Repair: In complex cases, tissue from nearby muscles (like labia or buttock area) may be used to support healing and reduce tension on stitches.
- Stage-wise Repair: In very severe or neglected fistulas, more than one surgery may be needed to fully restore function.
Each technique is chosen based on the fistula’s size, type, previous surgeries, and overall health of the patient.
Who Is the Ideal Candidate?
You may benefit from obstetric fistula repair if:
- You have leaking of urine or stool through the vagina, especially after a complicated vaginal delivery.
- You cannot control your bladder or bowel movements.
- You had a stillbirth or difficult labour that lasted more than 24 hours.
- You feel isolated, embarrassed, or physically uncomfortable due to wetness, smell, or rashes.
- You have no active infections and are in stable health for surgery.
- You are emotionally ready and understand the procedure, recovery, and possible outcomes.
Fistula repair is not cosmetic – it is a life-restoring medical treatment for women who’ve suffered due to childbirth complications.
What to Expect Before & During the Procedure?
Before the Procedure
- Diagnosis: Through a gentle pelvic exam, dye tests, or imaging scans.
- Medical fitness: Blood tests, urine tests, and anaesthesia check-ups.
- Nutritional support: Iron, protein, or vitamin supplements may be advised.
- Counselling: Our team helps you understand what to expect and address any emotional concerns.
During the Procedure
- You will be given anaesthesia for comfort.
- The surgeon performs the repair (via vagina or abdomen).
- A catheter is inserted into the bladder to help healing.
- You will stay in the hospital for 3–5 days, depending on your condition.
This surgery is done with full respect for privacy and dignity. Many women are surprised at how smooth and pain-free the procedure actually feels.
Recovery Timeline & Post-Op Care
Immediately After Surgery
- You’ll rest in the hospital under observation.
- Pain will be managed with safe medications.
- You’ll have a catheter draining urine for up to 2 weeks.
At Home
- Rest completely for at least 2–3 weeks.
- Avoid lifting heavy things, climbing stairs, or squatting.
- Eat protein-rich foods (dal, eggs, milk, green vegetables) to help healing.
- Keep the area clean and dry – we’ll show you how.
- No sex or vaginal insertion for at least 3 months.
- Return for check-up visits as advised.
Most women feel back to normal within 4–6 weeks, and the fistula repair is usually permanent, if proper care is taken
Important Questions to Ask Your Doctor
Before undergoing obstetric fistula repair, ask your doctor:
- What type of fistula do I have?
- What surgical approach will you use – vaginal or abdominal?
- How successful is this procedure in my case?
- What are the risks or chances of the fistula returning?
- Will I need more than one surgery?
- How long should I rest before resuming work or sex?
- What can I do to improve healing?
- Will I be able to have another baby safely?
- Are there any financial assistance or government schemes available?
- Can I speak to someone who’s undergone the same treatment?
Open, honest conversations help build trust and give you clarity before deciding.
WELCOME TO
Ahalya Cosmetic Gynecology &
Intimate Medicine Clinic
A Specialized Clinic for Female Reproductive & Sexual health
At Ahalya, we understand that women’s intimate health is deeply personal—and often overlooked. Our clinic offers a private, compassionate, and medically advanced space where you can confidently address your concerns related to sexual wellness, aesthetic gynecology, and intimate medicine.
Led by Dr. Jay Mehta—an expert in cosmetic gynecology in mumbai and minimally invasive surgery—Ahalya Clinic brings world-class expertise to Ghatkopar with a focus on discretion, dignity, and holistic care. Whether it’s vaginal rejuvenation, labiaplasty, or hormone-based wellness support, our clinic offers tailored treatments designed to help you feel confident and comfortable in your own body.
| FACTORS | AHALYA CLINIC | OTHER GYNAECOLOGY CLINICS |
|---|---|---|
| Specialization | Dedicated to cosmetic gynecology & intimate medicine | Broad focus on pregnancy, delivery, and general gynecology |
| Expertise | Led by Dr. Jay Mehta, a renowned expert in cosmetic gynecology & minimally invasive surgery | May lack advanced training in female aesthetic or sexual health care |
| Privacy & Comfort | Designed for discreet consultations and personalized care | Often lacks privacy-centric infrastructure for intimate concerns |
| Technology & Techniques | Equipped with latest USFDA-approved lasers, PRP, and minimally invasive tools | Traditional setups with limited access to modern med-tech |
| Personalised Care | Each treatment is tailored to the patient’s intimate concerns, lifestyle, and recovery goals | Often follows a one-size-fits-all approach |
| Focus on Sexual Health & Wellness | Treats issues like vaginal laxity, libido concerns, post-birth changes with empathy & depth | Often does not prioritize sexual wellness as a clinical focus |
| Holistic, Aesthetic Outcomes | Results that go beyond medical treatment—restoring confidence, intimacy, and quality of life | Focus is usually only on medical resolution, not holistic well-being |
Ready to Take Control of Your Intimate Wellness?
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OUR PROCESS
360 Holistic Approach
Thorough Evaluation & Consultation
Realistic Goal
Setting
Procedure
Planning
Post-Op
Care
At Ahalya Cosmetic Gynecology & Intimate Medicine Clinic in Mumbai, we follow a 360° Holistic Approach that places your comfort, care, and confidence at the center of everything we do.
It begins with a thorough, judgment-free consultation where your concerns, medical history, and goals are carefully understood. We then help you set realistic expectations, ensuring you feel empowered and informed.
Each procedure is precisely planned using advanced techniques and tailored timelines. Finally, our dedicated post-op care ensures smooth recovery, emotional support, and long-term wellness—because your journey doesn’t end at treatment, it begins with trust.
What precautions should I take after fistula repair to prevent recurrence?
Avoid strenuous physical activity, heavy lifting, and sexual intercourse for at least 3 months or as advised. If you become pregnant again, plan for a C-section. Also, ensure follow-ups with your doctor to monitor healing
Can fistula cause long-term fertility problems?
In some cases, repeated obstructed labor or multiple surgeries may affect fertility, especially if there’s uterine or cervical damage. However, many women are still able to conceive and carry a pregnancy with proper medical care
I had a failed fistula repair. What are my options now?
Don’t lose hope—secondary or staged repair surgeries are available and often successful. Consult a surgeon experienced in complex or recurrent fistula cases. Supportive therapies like physiotherapy and nutritional rehab can also help optimize outcomes before retrying surgery
Can I resume sexual activity after fistula repair, and will it feel normal?
Yes, you can resume sexual activity once your doctor confirms complete healing, usually after 2–3 months. Some women may experience anxiety or slight discomfort initially, but this usually improves over time. Open communication with your partner and pelvic floor therapy (if needed) can help restore comfort and confidence.
Are there any diet changes that can support my healing after fistula repair?
Yes. Eating a fiber-rich diet helps avoid constipation, which reduces pressure on healing tissues. Staying hydrated, maintaining personal hygiene, avoiding strenuous activity, and wearing loose cotton undergarments can all support faster recovery and prevent infection
For any query or doubt, get in touch with us
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PATIENTS SPEAK
Words Of satisfaction
Dr Jay Mehta Is Rated Excellent On Google & Practo
(4.9 out of 5 based on google & practo reviews )
I lived with obstetric fistula for almost 3 years after a complicated childbirth. It affected every part of my life—I had to quit my job, stopped meeting people, and lost my confidence. When I came to the clinic, Dr. Jay Mehta and his team treated me with so much dignity. The surgery was successful, and for the first time in years, I feel clean, confident, and pain-free. Thank you for giving me my life back.
From the first consultation to the final follow-up, the experience has been seamless. Dr. Mehta answered every silly and serious question I had without judgment. Post-surgery recovery was smooth, and I received regular check-ins from the clinic. The personal attention I got made me feel like more than just a patient.
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