Combined vesicovaginal and rectovaginal fistulas associated with a vaginal foreign body

Wakrim, Badreddine; Haouss, A. El; Barjani, F.; Dahami, Z.; Moudouni, M.; Sarf, I.

doi:10.1007/s12301-009-0034-3

Cited by 3 publications

(3 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The timing of presentation (where described) varies greatly but is usually delayed: average of 15 months after insertion (range 2 months to 35 years). Three cases had other associated fistulae: one right ureterovaginal fistula and two rectovaginal [16–18]. Most cases were treated for a suspected urinary tract infection.…”

Section: Resultsmentioning

confidence: 99%

Obstructive Uropathy and Vesicovaginal Fistula Secondary to a Retained Sex Toy in the Vagina

Donaldson

Tait

Rad

et al. 2014

The Journal of Sexual Medicine

View full text Add to dashboard Cite

Introduction Vaginal foreign bodies (FBs) are a rare cause of vesicovaginal, rectovaginal, or urethrovaginal fistulae. Aim The aim of this study was to describe a rare case of vesicovaginal fistula (VVF) and obstructive uropathy and to review the literature. Methods A case is presented. A comprehensive review of the literature was performed (1948–2013). Results A 38-year-old woman presenting with sepsis, obstructive uropathy, and severe emaciation was found to have a sex toy retained in her vagina for 10 years. This had caused a VVF and bilateral hydroureteronephrosis. Bilateral nephrostomies were inserted and she underwent cystoscopy and examination under anesthesia (EUA) with retrieval of FB. A left ureteric stricture was demonstrated. Transabdominal VVF repair with omental flap and left ureteric re-implantation was performed. The VVF recurred, which was successfully re-repaired transvaginally. Seventy-six full text articles were reviewed. There were no previously published cases of VVF following vaginal sex toy insertion. There are four cases of obstructive uropathy secondary to a vaginal FB in the literature: three pessaries and one plastic cap. There are 44 cases of VVF secondary to FB: 22 plastic caps (typically from aerosol bottles, inserted for masturbation or contraception) and 5 pessaries. At least nine were in girls aged ≤18 years. Average presentation is 15 months (range 2 months to 35 years) after FB insertion. Most cases were managed with surgical repair; predominantly transvaginal. Conclusions This case describes an extremely rare but potentially life-threatening case of obstructive uropathy caused by a chronically retained sex toy, and adds to the list of potentially rare causes of a VVF and obstructive uropathy. We advocate urinary diversion, staged removal of FB, upper urinary tract imaging, and EUA with VVF repair and/or ureteric reimplantation if required. Transvaginal is the preferred access for FB-associated VVF repair without concomitant ureteric reimplantation.

show abstract

Section: Resultsmentioning

confidence: 99%

Obstructive Uropathy and Vesicovaginal Fistula Secondary to a Retained Sex Toy in the Vagina

Donaldson

Tait

Rad

et al. 2014

The Journal of Sexual Medicine

View full text Add to dashboard Cite

show abstract

“…Due to social stigmata associated with this condition and denial of any knowledge of existence of foreign body in vagina, presentation in these cases is delayed as happened in our case. At times the increasing encrustations over the foreign body leads to its apparent enlargement, which over a period of time leads to bladder erosion and subsequent ureteric obstruction or can erode into rectum causing rectovaginal fistula [3][4][5].…”

Section: Discussionmentioning

confidence: 99%

Robotic Assisted Laparoscopic Repair of Vesicovaginal Fistula Secondary to a Large Retained Foreign Body

Chhabra¹,

Sabnis²

2014

J Trauma Treat

View full text Add to dashboard Cite

“…1 A review of the current literature reveals that, although rare, intrauterine devices, retained gauze, pessaries, plastic bottle caps, and sexual aids are some of the foreign bodies that have been associated with VVF. [3][4][5][6][7][8][9][10][11][12][13][14] Of note, the materials used in menstrual products, including cotton and rayon (also found in gauze), have been documented as iatrogenic foreign bodies associated with VVF. However, there is a lack of documented cases associating menstrual products, such as tampons, with VVF.…”

mentioning

confidence: 99%

Retained Tampon Fragment as an Unusual Cause of Vesicovaginal Fistula

Seitz,

Davidson

2024

Obstetrics &Amp; Gynecology

View full text Add to dashboard Cite

BACKGROUND: Vesicovaginal fistula (VVF) is an uncommon cause of urinary incontinence (UI). Iatrogenic etiologies, especially abdominal hysterectomy, are most common; however, a minority of VVFs are caused by retained foreign bodies. Objects associated with VVF include intrauterine devices, gauze, pessaries, bottle caps, and sexual aids, but retained tampons or other menstrual products have not been commonly reported. CASE: We present the case of a 53-year-old woman, gravida 0, with no prior pelvic surgery, with 2 months of intermittent UI and hematuria. Although initial diagnostic test results were negative, cystoscopy and vaginoscopy eventually confirmed the diagnosis of VVF associated with a retained foreign body. In the operating room, all debris was removed using vaginoscopy, and the VVF was repaired using a modified Latzko technique. At the patient’s 9-week follow-up appointment, she was found to have complete healing of the VVF and resolution of associated symptoms. CONCLUSION: This is a case of VVF secondary to a retained tampon fragment. In addition to this uncommon etiology, our patient's presenting symptoms were atypical, leading to a delay in diagnosis and treatment for which vaginoscopy was critical.

show abstract

Combined vesicovaginal and rectovaginal fistulas associated with a vaginal foreign body

Cited by 3 publications

References 6 publications

Obstructive Uropathy and Vesicovaginal Fistula Secondary to a Retained Sex Toy in the Vagina

Obstructive Uropathy and Vesicovaginal Fistula Secondary to a Retained Sex Toy in the Vagina

Robotic Assisted Laparoscopic Repair of Vesicovaginal Fistula Secondary to a Large Retained Foreign Body

Retained Tampon Fragment as an Unusual Cause of Vesicovaginal Fistula

Contact Info

Product

Resources

About