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A young patient photographed on the Fistual ward of the Aberdeen Womens Centre. The Aberdeen Womens Centre is the only centre for fistula repair in Sierra Leone and is able to treat around 600 women a year. Fistulae are caused by birth complications and/or trauma sustained from rape where a hole (fistula) develops between the vagina and the rectum or the vagina and the bladder, causing chronic incontinence. According to the World Health Organisation, between 2 and 4 million women in Africa are affected by obstetric fistula with around 80% of them developing the condition before they turn 15. ..