title: Combined vesicovaginal-ureterovaginal fistulas associated with a vaginal foreign body.
abstract: A case is presented of vesicovaginal-ureterovaginal fistulas associated with a neglected vaginal foreign body. The patient complained of a foul-smelling vaginal discharge and was found to have a 4-cm hard vaginal mass on examination. Urinary incontinence developed subsequently. Examination under anesthesia was performed, and an aerosol deodorant cap was operatively removed from her posterior vagina/perirectal space. Subsequent work-up demonstrated the presence of both a vesicovaginal fistula and a right ureterovaginal fistula. The patient underwent a combined vaginal repair of the vesicovaginal fistula and abdominal ureteroneocystostomy. The frequency, types, etiology, and treatment of genitourinary fistulas are reviewed with particular attention to those associated with a vaginal foreign body.
authors.affiliation: Regional Division of Gynecologic Oncology and Pelvic Surgery, Kaiser Permanente Medical Center, Los Angeles, California.
authors.forename: M A
authors.initials: MA
authors.lastname: Binstock
authors.forename: N
authors.initials: N
authors.lastname: Semrad
authors.forename: L
authors.initials: L
authors.lastname: Dubow
authors.forename: W
authors.initials: W
authors.lastname: Watring
mesh_terms: D005260:Female; D005402:Fistula / Q000209:etiology*; D005547:Foreign Bodies / Q000150:complications*; D006801:Humans; D008875:Middle Aged; D014515:Ureteral Diseases / Q000209:etiology*; D014549:Urinary Incontinence / Q000209:etiology; D014621:Vagina; D014624:Vaginal Fistula / Q000209:etiology*; D014719:Vesicovaginal Fistula / Q000209:etiology*