Vesicovaginal fistula due to an unreported foreign body in an adolescent.

Journal Article (Journal Article)

BACKGROUND: In the United States, vesico-vaginal fistula formation is most commonly associated with prior gynecologic surgery, and only rarely with severe pressure necrosis. CASE: A 16-year-old girl presented with continuous urinary leakage and malodorous discharge. Examination revealed an incarcerated plastic cup in the vagina with a 5 cm vesico-vaginal fistula at the bladder neck. After trans-vaginal repair, the patient underwent full recovery with an intact continence mechanism. CONCLUSION: Evaluation of unusual urinary symptoms in an adolescent should include pelvic examination and/or imaging. An undisclosed vaginal foreign body is a rare, but well described entity, contributing to vesico-vaginal fistula formation.

Full Text

Duke Authors

Cited Authors

  • Siddiqui, NY; Paraiso, MFR

Published Date

  • August 2007

Published In

Volume / Issue

  • 20 / 4

Start / End Page

  • 253 - 255

PubMed ID

  • 17673139

International Standard Serial Number (ISSN)

  • 1083-3188

Digital Object Identifier (DOI)

  • 10.1016/j.jpag.2006.10.003


  • eng

Conference Location

  • United States