Aerosol caps and vesicovaginal fistulas

Fourie, T; Ramphal, S.R.

doi:10.1016/s0020-7292(01)00350-2

Cited by 21 publications

(13 citation statements)

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“…A recent communication described that in some foreign communities it is common practice for girls to masturbate using aerosol canisters, whereas in rural areas, some women use the caps as a type of diaphragm for contraception purposes. 3 This case exemplifies certain difficulties encountered with this type of injury. Persistent urinary leakage is one of the hallmark signs of urogenital fistula formation; despite multiple contacts with health care providers, including telephone encounters in between visits, there was a 3-month delay in diagnosing this patient's fistula.…”

Section: Discussionmentioning

confidence: 80%

Vesicovaginal Fistula Due to an Unreported Foreign Body in an Adolescent

Siddiqui

Paraíso

2007

Journal of Pediatric and Adolescent Gynecology

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Section: Discussionmentioning

confidence: 80%

Vesicovaginal Fistula Due to an Unreported Foreign Body in an Adolescent

Siddiqui

Paraíso

2007

Journal of Pediatric and Adolescent Gynecology

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“…Vesico-vaginal fistulas are treated with both delayed transvaginal (11/29) and transabdominal (10/29) approaches. Where available, success rates seem to be high: in the 6 unsuccessful cases reported in the literature, all patients were successfully retreated (table 1) [5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28]. Pushkar et al [2], moreover, showed a success rate of UVF treatment of 90 and 98% at primary and secondary treatment, respectively; 52% of the patients developed stress urinary incontinence, which was successfully treated with sling procedures.…”

Section: Discussionmentioning

confidence: 99%

“…Foreign bodies may be inserted during sexual intercourse or masturbation [5], with contraceptive purposes [6], as neglected pessaries [7] or, rarely, during rape or as punishment [8]. …”

Section: Introductionmentioning

confidence: 99%

Large Urethro-Vesico-Vaginal Fistula due to a Vaginal Foreign Body in a 22-Year-Old Woman: Case Report and Literature Review

D’Elia

Curti²,

Cerruto³

et al. 2014

Urol Int

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In the non-industrialized countries of Africa and Asia obstetric fistulas are more frequently caused by prolonged labour, whereas in countries with developed healthcare systems they are generally the result of complications of gynaecological surgery or, rarely, benign pathologies like inflammation or foreign bodies. A 22-year-old woman was brought to the gynaecology clinic because of foul-smelling vaginal discharge. On pelvic examination a ring-like foreign body was impacted between the anterior and posterior vaginal wall. MRI scan confirmed the presence of a cylindrical foreign body in the vagina and the patient revealed that she had ‘involuntarily' inserted a plastic bubble bath cap into the vagina. At surgery removal of the cap was difficult and at the end of the manoeuver evidence of a huge urethro-vesico-vaginal fistula occurred. The patient was discharged with bilateral ureteral stents and suprapubic catheter. After 3 months we performed an end-to-end anastomotic urethroplasty to repair the urethral avulsion and restored the bladder/trigonal and vaginal/cervical defects with 3 layers of sutures; 3 months later the patient had no complaints. Complex genital fistulas represent an extremely debilitating morbidity. In our case, a vaginal approach was successful, but the choice between an abdominal or vaginal approach depends on the surgeon's experience and training.

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“…[23456] In these cases foreign bodies in the vagina have been noted to not only cause fistulas, but have also resulted in ureteric obstruction due to formation of bladder stones and ascending infection with possible peritonitis. [4567]…”

Section: Discussionmentioning

confidence: 99%

“…[1] Cases of a foreign body in the vagina have been reported mostly in developed countries. [1234] Foreign body within the vagina can result in major complications if left unmanaged for a long period of time. [56] We present a case of forcefully inserted foreign body within the vagina that resulted in extensive vesico-vaginal fistula.…”

Section: Introductionmentioning

confidence: 99%

Large vesico-vaginal fistula caused by a foreign body

Massinde¹,

Kihunrwa²

2013

Ann Med Health Sci Res

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Foreign body is a rare cause of vesico-vaginal fistula most often reported in developed countries. In developing countries obstructed labor is the commonest cause of fistula. A nulliparous 19-year-old female presented with a 3-week history of a foreign body in the vagina causing urinary incontinence and offensive vaginal discharge. Her guardian allegedly inserted the foreign body after she refused a pre-arranged marriage. A plastic container was removed from the vagina under general anesthesia. A large vesico-vaginal fistula was discovered, which was successfully surgically repaired. We recommend urgent removal of the foreign body, preferably under general anesthesia. However, if the history or physical examination reveals prolonged exposure, repair of the fistula should be delayed to allow for adequate debridement in order to prevent any life-threatening complications.

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Aerosol caps and vesicovaginal fistulas

Cited by 21 publications

References 1 publication

Vesicovaginal Fistula Due to an Unreported Foreign Body in an Adolescent

Vesicovaginal Fistula Due to an Unreported Foreign Body in an Adolescent

Large Urethro-Vesico-Vaginal Fistula due to a Vaginal Foreign Body in a 22-Year-Old Woman: Case Report and Literature Review

Large vesico-vaginal fistula caused by a foreign body

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