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  • Title: Vesicovaginal fistula due to an unreported foreign body in an adolescent.
    Author: Siddiqui NY, Paraiso MF.
    Journal: J Pediatr Adolesc Gynecol; 2007 Aug; 20(4):253-5. PubMed ID: 17673139.
    Abstract:
    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.
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