DRC: Hard to save all women suffering from fistula

'Every quarter, more than a hundred women with fistulas - including many younger than 20 years old - are admitted for surgery in Maniema province,' says nurse Julie Mawazo. 'The number of affected women who don't have the means or awareness to come in must be far greater.' Each year, sexual violence, early marriage and complications in childbirth lead to some 12,000 recorded cases of vaginal fistulas - in which a hole develops between either the rectum and vagina or between the bladder and vagina - according to the Democratic Republic of Congo's Ministry of Public Health.