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Although, Cambodian women developed Fistula or vesico vaginal fistula long time ago, they did not know it is a kind of reproductive disease until lately. The term Fistula or vesico vaginal fistula is not commonly known within the Cambodian culture as people are more familiar with "urine leakage or continuous loss of urine after they have gone through a difficult child delivery".

"These are the consequences that I experienced as a result of having a child", says Mrs. Sah Sin, 58 years old at the Chenda poly-clinic in Phnom Penh. She was referred by the Children's Surgical Center for her follow-up visit. "I am so happy to hear the result from my follow-up visit reconfirming that the urine leakage is completely repaired," she added saying that she would be more confident and open to communicate with her villagers from now on.

Mrs. Sah developed a Fistula since she gave birth to her first stillborn child long ago, sometime in the early 1970s, when the country was  in a civil war. She was mobilized by the Khmer Rouge to live in a camp where a traditional birth attendant (Yeay Morb) delivered her child.