Journal of Pediatric and Adolescent Gynecology
Volume 20, Issue 4 , Pages 253-255, August 2007

Vesicovaginal Fistula Due to an Unreported Foreign Body in an Adolescent

  • Nazema Y. Siddiqui, MD
    • ,
  • Marie Fidela R. Paraiso, MD

      Affiliations

    • Corresponding Author InformationAddress correspondence to: Marie Fidela R. Paraiso, MD, Center for Urogynecology and Reconstructive Pelvic Surgery, Desk A81, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, Ohio 44195

Department of Obstetrics and Gynecology, Cleveland Clinic, Cleveland, Ohio, USA

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 5cm 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.

Key Words: Urinary tract infection, Urinary incontinence, Enuresis, Aerosol cap

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 30.00 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.
 

PII: S1083-3188(06)00284-1

doi:10.1016/j.jpag.2006.10.003

Journal of Pediatric and Adolescent Gynecology
Volume 20, Issue 4 , Pages 253-255, August 2007

Article Tools

* Image Usage & Resolution