[Vesicovaginal fistula associated with a vaginal foreign body: a case report].
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.
Hirai
Kotaro
K
The Department of Urology, Fujisawa Municipal Hospital.
Kita
Kaoru
K
Mikata
Kunihisa
K
Fujikawa
Naoya
N
Kitami
Kazuo
K
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*