It may be the result of a congenital birth condition such as VACTERL association. It is often caused by childbirth (in which case it is known as an obstetric<unk> , when a prolonged labor presses the unborn child tightly against the pelvis, cutting off blood flow to the<unk>  wall. The affected tissue may necrotize (die), leaving a hole. Vaginal<unk> s can also result from particularly violent cases of rape, especially those involving multiple rapists and/or foreign objects. Some health centers in countries such as the Democratic Republic of Congo have begun to specialize in the surgical repair of vaginal<unk> s. It can also be associated with hysterectomy, cancer operations, radiation therapy and cone biopsy.
Vesicovaginal fistula
Rectovaginal fistula
Ureterovaginal fistula
Urogenital fistula
Urethrovaginal fistula
Varicocele
Urethrocele
Rectal prolapse