title: [Vesicovaginal fistula associated with a vaginal foreign body: a case report].
abstract: A 14-year-old girl was referred to our hospital with severe pyuria pointed out in a school health check up. An intravenous pyelography and a cystography revealed a foreign body in the pelvic region outside the bladder and pooling of contrast medium in the vagina. Conputed tomography confirmed the foreign body in the vagina. About 1 year earlier, she inserted a hair spray can into the vagina but could not remove its cap. Under the diagnosis of vesicovaginal fistula due to vaginal foreign body, the cap was removed manually and transvaginal repair of the vesicovaginal fistula was performed under general anesthtesia, but it recurred twice. Finally, she underwent successful abdominovaginal repair of fistula. Although a variety of self-introduced objects in the vagina illegally used as a means of sexual gratification have been described, a vesicovaginal complication is very rare.
authors.affiliation: The Department of Urology, Fujisawa Municipal Hospital.
authors.forename: Kotaro
authors.initials: K
authors.lastname: Hirai
authors.forename: Kaoru
authors.initials: K
authors.lastname: Kita
authors.forename: Kunihisa
authors.initials: K
authors.lastname: Mikata
authors.forename: Naoya
authors.initials: N
authors.lastname: Fujikawa
authors.forename: Kazuo
authors.initials: K
authors.lastname: Kitami
mesh_terms: D000293:Adolescent; D005260:Female; D005547:Foreign Bodies / Q000150:complications*; D006801:Humans; D013519:Urogenital Surgical Procedures / Q000379:methods; D014621:Vagina; D014719:Vesicovaginal Fistula / Q000209:etiology* / Q000601:surgery*