title: [A case of urethrovaginal fistula caused by a foreign body in the vagina].
abstract: A 25-year-old woman had a urethrovaginal fistula caused by a foreign body in her vagina. The patient had sought an appointment with a gynecologist for removal of the foreign body in her vagina. However, one day before the scheduled appointment, she developed acute urinary retention and visited the emergency room of our hospital. A urinary catheter inserted into the urethra was found to come out through the vagina. The foreign body, a bottle cap made of polypropylene and measuring 48 x 28 mm in size, was removed. A cystourethroscopic examination confirmed the presence of the urethrovaginal fistula. Repeat cystourethroscopy performed after one month of conservative management showed a persistent urethrovaginal fistula, which had, in fact, increased in size as compared with that at the initial examination. Surgery was undertaken for repair of the fistula ; fistula closure was successfully accomplished by suture in three layers : urethral wall, subcutaneous tissue, and the vaginal wall. This is the second report of a urethrovaginal fistula caused by a foreign body in the vagina.
authors: The Department of Osaka Police Hospital, Osaka, Japan.
authors: Kenichi
authors: K
authors: Kobayashi
authors: Taiyo
authors: T
authors: Otoshi
authors: Keigo
authors: K
authors: Madono
authors: Chikahiro
authors: C
authors: Momohara
authors: Ryoichi
authors: R
authors: Imamura
authors: Shingo
authors: S
authors: Takada
authors: Kiyomi
authors: K
authors: Matsumiya
authors: Masahiro
authors: M
authors: Fujita
authors: Ryo
authors: R
authors: Fukumoto
mesh_terms: D000328:Adult; D005260:Female; D005547:Foreign Bodies / Q000150:complications*; D006801:Humans; D014522:Urethral Diseases / Q000209:etiology* / Q000601:surgery; D014548:Urinary Fistula / Q000209:etiology* / Q000601:surgery; D014621:Vagina; D014624:Vaginal Fistula / Q000209:etiology* / Q000601:surgery