Vesicovaginal Fistula Due to an Unreported Foreign Body in an Adolescent

Siddiqui, Nazema Y.; Paraíso, Marie Fidela R.

doi:10.1016/j.jpag.2006.10.003

Cited by 25 publications

(23 citation statements)

References 7 publications

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“…It was removed through a suprapubic transvesical approach with simultaneous repair of the VVF. Siddiqui and Paraiso7 reported a VVF in a 16-year-old girl, due to a 6×4 cm plastic cup in the vagina, which was extracted transvaginally followed by VVF repair 3 months later. Our case is unique by virtue of its unusual presentation (fainting episodes during intercourse).…”

Section: Discussionmentioning

confidence: 99%

Vesicovaginal fistula following insertion of a foreign body in the vagina for sexual gratification: could it be catastrophic?

et al. 2016

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Section: Discussionmentioning

confidence: 99%

Vesicovaginal fistula following insertion of a foreign body in the vagina for sexual gratification: could it be catastrophic?

et al. 2016

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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%

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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“…Vesicovaginal fistulas are usually related to gynecologic surgery, most commonly hysterectomy in developed countries 5 . Recently, some cases have reported that vaginal foreign body 11,12 or cervical cerclage 13 cause vesicovaginal fistulas. Most authors who reported these cases suggest chronic irritation and inflammation, not direct penetration, would cause the complication.…”

Section: Discussionmentioning

confidence: 99%

Vesicovaginal fistula following large‐loop excision of the transformation zone in a chronic systemic glucocorticoid user

Park¹,

Ku²,

Kim³

et al. 2011

J of Obstet and Gynaecol

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A 42-year-old woman with a history of a large-loop excision of transformation zone for cervical intraepithelial neoplasia III four years previously visited our outpatient department for cervical intraepithelial neoplasia I that newly detected by colposcopy-directed punch biopsy. Her other medical conditions include systemic lupus erythematosus on daily prednisolone 15 mg during 19 years. After second large-loop excision of transformation zone, delayed vesicovaginal fistula was confirmed by indigo carmine leakage test, computed tomography scan, and cystoscopy. Fistula was primarily repaired with indwelling double-J catheters with anchoring omentum on suture site.

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Vesicovaginal Fistula Due to an Unreported Foreign Body in an Adolescent

Cited by 25 publications

References 7 publications

Vesicovaginal fistula following insertion of a foreign body in the vagina for sexual gratification: could it be catastrophic?

Vesicovaginal fistula following insertion of a foreign body in the vagina for sexual gratification: could it be catastrophic?

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

Vesicovaginal fistula following large‐loop excision of the transformation zone in a chronic systemic glucocorticoid user

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