Health
Women with VVF can have normal s3xual lives after treatment, say gynaecologists
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By Francesca Hangeior
After proper surgical repair, women who have a vesicovaginal fistula, an abnormal opening between the bladder and the vaginal wall, leading to urine leakage and other complications, can have a pleasurable sexual life, gynaecologists have assured.
They advised such women to wait until 12 weeks after the surgery to allow complete healing and recovery before resuming sexual activities.
The maternal experts, however, stated that the return to normal sexual life depended on the delays before the repair was done and the scarred tissues that were formed, stating that some of the women might experience vagina tightness and pain during sex.
The fertility experts further emphasised the need for counselling and psychotherapy before resuming sexual activity, to ensure that the fear, anxiety, and emotional trauma related to sex and pregnancy were overcome.
According to the seasoned obstetric gynaecologists, women with repaired VVF, who desired more children, could become pregnant and have more babies.
However, they stressed that such delivery must be through a caesarean section and done in a conventional health facility.
VVF is a complication of obstructed labour during delivery. According to the United Nations Population Fund, VVF is a major public health problem with over two million cases, globally.
In Nigeria, there are about 150,000 cases with 12,000 new cases recorded every year.
Many women with VVF in Nigeria battle with stigma, leading to social ostracisation, abandonment, and psychological distress.
Also, a professor of Obstetrics and Gynaecology at the Usmanu Danfodiyo University, Abubakar Panti, stated that after the successful closure of the fistula and complete healing after surgery, normal sexual activity could be restored.
He further stated that to ensure proper healing and recovery time, the recommendation was to avoid sexual activity for at least three months, which is 12 weeks post-surgery to allow complete healing.
The don also stated that before resuming sexual activity, the strength of the pelvic floor must be assessed, as some women may experience vaginal tightness or weakness after prolonged fistula, which could affect sexual comfort.
To resolve this, Panti advised the women to do some pelvic floor exercises, noting that sometimes the help of a physiotherapist was needed.
“When women have lived with VVF for a long time, they know what caused it, they know it’s a pregnancy that caused it, so they may experience fear, anxiety or some form of emotional trauma related to sex, because they would think sex is what brought it in the first place, so they need a lot of counselling or therapy, in that instance psychotherapy may be beneficial.
“Some of these women used to have a lot of terrible experiences, sometimes they are abandoned by their husbands, divorced and other things, so they think every man may be like that.
“The last one probably would be the presence of scarring or vaginal shortening. If extensive damage occurred before repair, some women may have vaginal scarring and then sometimes there will be dryness of the vagina or reduced elasticity.
“Usually, the vagina distends to accommodate, irrespective of the size of the penis that comes into it, so if there is scarring, that distension will not be there, and there will be tightness, so this can also affect comfort during sex. Most of the time we just tell them to apply lubricants and sometimes medical interventions may help,” the fertility expert said.
Panti asserted that with successful surgery, proper healing and emotional support, many women regained a satisfying sexual life.
He advised the women to whenever they had concerns or difficulties, consult their gynaecologist, who would give them tips regarding the repair, sexual health and resuming sexual activity.
Panti emphasised the need for counselling the woman and her husband, “because it needs a lot of patience from the partner, that he has to start slow and of course, he has to listen to her or look at her body language if she’s in any discomfort or experiencing pain so that he can stop, rest and try again.”
The don advised the women to watch out for symptoms like leakage of urine and consult with the gynae if there’s discomfort during sex.
The consultant gynaecologist urged them to focus on their overall wellness by eating well and preventing urinary tract infections.
“With proper healing, patience and emotional support, most of them regain their full sexual life after VVF repair, the key is to slow down, communicate with your partner and seek medical advice where needed,” Panti said.
He further stated subsequent delivery after VVF must be by caesarean section, to prevent a reopening of the repair.
Health
DR Congo Ebola outbreak tops 1,000 cases, kills 254
More than 1,000 Ebola infections have been recorded in the Democratic Republic of Congo, where the latest outbreak has killed more than 250 people, official figures showed Monday.
The country’s National Institute of Public Health (INSP) confirmed 1,003 cases and 254 deaths, with a fatality rate of 25 percent.
The latest outbreak of the deadly haemorrhagic fever was declared on May 15.
Almost all cases are in Ituri province in the northeast, a conflict-weary region plagued by armed groups.
In total, three provinces have been affected: Ituri, neighbouring North Kivu and South Kivu, home to around 15 million people.
The virus has also spread to neighbouring Uganda, where the World Health Organization has recorded 20 cases and two deaths, though Kampala said the situation was “under control” earlier this month.
The outbreak is caused by the rare Bundibugyo strain of the virus, for which there is no vaccine or specific treatment.
Existing Ebola vaccines, developed between 2018 and 2019, are only effective against the Zaire strain, which caused previous major outbreaks.
The World Health Organization has declared an international public health emergency, warning the outbreak could last months.
“The outbreak was declared around two months after the first suspected deaths were reported… During that time, the disease spread unchecked in ways we still don’t fully understand,” an international aid group representative told AFP, speaking anonymously.
AFP
Health
Fed govt moves to prevent Ebola outbreak, sets up presidential task force
The federal government on Thursday inaugurated a Presidential Task Force on Ebola Virus Disease Preparedness, declaring that Nigeria would not wait for an outbreak before taking action and vowing to prevent a repeat of the 2014 Ebola scare.
Chief of Staff to the President, Femi Gbajabiamila, said the task force was established as a proactive measure to ensure the country is fully prepared against any possible outbreak of the deadly disease, even as he confirmed that no case of Ebola has been reported in Nigeria.
Speaking with State House correspondents after inaugurating the task force at the State House, Abuja, Gbajabiamila said the government’s focus is on prevention rather than response, stressing that authorities were determined not to be caught unprepared.
“We did the inauguration today on the preparedness of Nigeria for the Ebola virus disease. We’ve covered a lot of ground. Right now, there’s no reported case, which is good news, and that’s why all hands have to be on deck to make sure the measures we are taking are preventive, not curative.
“We don’t want to be in the situation we were last time, where we had a carrier in the country and we’re all running helter-skelter”, he said.
He disclosed that the task force had established several subcommittees to coordinate critical areas of preparedness, including surveillance, border control, immigration management and emergency response.
According to him, one of the key lessons from the 2014 outbreak is the need for stronger coordination among all stakeholders, particularly between the Federal Government and states with international points of entry.
Gbajabiamila noted that governors and representatives of states hosting international airports, including Lagos, Rivers, Enugu and the Federal Capital Territory, participated in the meeting, describing the collaboration as essential to preventing the virus from entering the country.
He said special attention was also being given to Nigeria’s extensive land borders, warning that disease transmission through informal migration routes posed a significant risk.
“Normally, when people talk about emergency preparedness and cross-border diseases such as this, they think about airports. But now we’re covering not just airports; we’re placing greater emphasis on land borders.
“We have a lot of cross-migration through the land borders, and the Border Control Development Agency is involved, immigration is involved, and a lot of the border communities are involved”, he said.
The Chief of Staff said the government had drawn valuable lessons from the country’s successful containment of the Ebola outbreak in 2014 and was building stronger structures to eliminate gaps in preparedness.
“What we want is a zero case, as we have now. We want to maintain a zero case”, he added.
Also speaking, Director-General of the Nigeria Centre for Disease Control and Prevention (NCDC), Dr. Jide Idris, said surveillance systems had already been strengthened at major points of entry across the country, particularly airports.
He confirmed that Nigeria currently has no recorded case of Ebola but stressed that preparedness remained critical given recent developments in parts of Africa.
“The focus is to be prepared. We don’t have any Ebola case here now, but we need to be prepared. We need to ensure that we don’t get that Ebola virus here.
“However, just in case one slips in, we want to be prepared nationally to identify and deal with the case”, Idris said.
The NCDC boss explained that existing disease surveillance and emergency response structures were being upgraded and adapted specifically to address Ebola-related threats.
He said the preparedness framework brings together multiple government institutions, including the ministries of health, interior and education, as well as immigration, border control agencies and state governments.
According to him, emergency preparedness requires a coordinated national response built on teamwork, clearly defined responsibilities and an effective command-and-control structure.
“The bottom line is that the objective is that we do not allow Ebola to come in. If it does come in, we are prepared to rapidly identify and manage the case nationally”, he said.
Idris added that state governments across the federation had already been mobilised as part of the preparedness strategy, with efforts focused on surveillance, early detection, rapid response and public health coordination.
The inauguration of the task force comes amid heightened vigilance across several African countries following renewed concerns over Ebola outbreaks in parts of the continent.
Health
NARD Issues 21-Day Ultimatum To FG Over Attacks On Doctors
The Nigerian Association of Resident Doctors (NARD) has issued a 21-day ultimatum to the Federal Government to start implementing a national framework for the protection of healthcare workers, following a growing wave of attacks on medical personnel across the country.
NARD issued the ultimatum at a press briefing to end its Ordinary General Meeting (OGM), which took place in Kano. It also declared an industrial dispute with the government over 14 unresolved demands affecting the health sector.
According to the union’s president, Mohammad Suleiman, the rising cases of assault, intimidation, harassment and violent attacks on doctors pose a serious threat to Nigeria’s already fragile healthcare system.
“The OGM observed with grave concern the disturbing rise in cases of assault, harassment, intimidation and violent attacks against doctors across the country while discharging their professional duties.”
Suleiman described the trend as “barbaric, unacceptable and a dangerous threat” to the survival of the health system.
As part of its resolutions, the association demanded the immediate investigation, arrest, and prosecution of perpetrators of attacks on health workers, while urging the government and security agencies to strengthen protection for medical personnel and facilities nationwide. He further added that,
“Consequently, the OGM gives the Federal Government a 21-day window to commence concrete actions towards the development and implementation of a National Healthcare Workers Assault Prevention and Response Protocol, as well as the initiation of the necessary legislative process to address this menace.”
These include the immediate release and payment of the 2026 Medical Residency Training Fund (MRTF), which the association noted remains unpaid despite repeated assurances.
“The OGM demands the release and payment of the 2026 Medical Residency Training Fund to all eligible resident doctors nationwide within the next 21 days,” Suleiman said.
The association also demanded payment of outstanding 25/35 per cent CONMESS arrears, settlement of 19 months of unpaid professional allowance arrears, and clearance of salary and promotion arrears across federal and state health institutions.
It called for correction of discrepancies in professional allowance payments made in May 2026 and settlement of all related arrears.
Welfare and Recruitment Concerns
NARD raised concerns over worsening welfare conditions for house officers, including salary delays, unpaid arrears, and challenges in internship placement and onboarding.
It also demanded full implementation of outstanding provisions in the Medical and Health Workers’ Collective Bargaining Agreement (CBA) and urged government action on excessive workload, prolonged call-duty hours, casualisation of doctors, and abusive locum appointments.
Suleiman criticised delays by the Federal Character Commission (FCC) in issuing compliance letters, saying it has stalled recruitment and worsened manpower shortages in the health sector.
“The OGM demands the immediate issuance of a letter of compliance by the Chairperson of the FCC within the next 21 days to facilitate employment of healthcare workers and avert further worsening of the brain drain crisis,” the NARD chief said.
The association also called on federal and state tertiary health institutions to urgently address welfare, remuneration, infrastructure, and staffing challenges.
It specifically highlighted unresolved disputes at the Obafemi Awolowo University Teaching Hospitals Complex (OAUTHC), Ile-Ife, and the Lagos University Teaching Hospital (LUTH), including provision of call meals and alleged victimisation of doctors.
Industrial Dispute Declared
While commending the governors of Osun and Kano states, Ademola Adeleke and Abba Kabir Yusuf, respectively, for interventions in the health sector, NARD warned that failure to meet its demands could trigger further industrial action.
“The Association hereby declares an industrial dispute with the Federal Government on the outlined matters above and cannot guarantee industrial harmony after the 21-day window,” it said.
He added that the association’s National Officers Committee would engage stakeholders during the ultimatum period, after which the National Executive Council would determine the next line of action.
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