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29 year old Seraphine Nyanzira got married in 2006. In December 2007 she gave birth to her first child, but the delivery was problematic. After spending a day at a local health centre she was transported to the provincial capital Ruyigi. One day later they transported her even further to the city of Gitega. By that time her child had died and she had developed a fistula, a hole in her birth canal. Without a child and while leaking urine Seraphine was too frightened to return to her husband. Now she lives with her parents and her husband has married another woman. Left untreated, fistula can lead to chronic medical problems, including ulcers and kidney disease. A simple surgical procedure can normally repair the injury, but the problem in Burundi is that there is no-one trained to perform the operation. Seraphine's operation was possible thanks to an initiative of Handicap International and Gynecologie Sans Frontieres.