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

Abstract

In developing countries such as India, the vesicovaginal fistula (VVF) is a commonly found entity in urogynaecology. VVFs secondary to obstructive labour still remain the most common cause in these countries. We report a very unusual case of a VVF in a young woman that developed due to self-insertion of a plastic box for sexual gratification.

Anatomic Explanation for the Presence of Foreign Bodies in Natural Orifices

“…Because they feel embarrassed to report the case to health professionals, women omit important data for carrying out the extraction. Complications include urovaginal fistulas, which present secretion and a foul odor, causing discomfort to the patient [39]; vaginal fibrosis [35]; vulvovaginitis [40]; vesicovaginal fistula [41]; bleeding [42] and rectovaginal fistula [43].…”

Intimate partner violence with vaginal insertion of a partial chili pod (Capsicum annuum): A case report

“… 6 Insertion of foreign bodies into the vagina is a common form of violence and may present with foul‐smelling vaginal discharge, lower abdominal pain and persistent urine leakage, dysuria, vesicovaginal fistula, and recto‐vaginal fistula. 7 We present a case of IPV with insertion of a partial chili pod, Capsicum annuum L, into the vagina in a heterosexual couple in Bhutan. Capsicum annum L is a pungent hot pepper commonly available in the southern districts of Bhutan and the sub‐Himalayan region.…”

“…Intimate partner violence involving genital organs may constitute up to 25% of clinical presentations among women who have access to healthcare 6 . Insertion of foreign bodies into the vagina is a common form of violence and may present with foul‐smelling vaginal discharge, lower abdominal pain and persistent urine leakage, dysuria, vesicovaginal fistula, and recto‐vaginal fistula 7 …”