title: Vesicovaginal fistula due to remote history of vaginal foreign body.
abstract: OBJECTIVE
  To report an interesting case of a young adult girl who developed a vesicovaginal fistula after removal of a vaginal foreign body.
  
  
  METHODS
  A chart review was performed for a single patient from the time of presentation in July 2010 until final follow-up encounter.
  
  
  RESULTS
  A 22-year-old nulliparous woman with a history of removal of a bottle cap from her vagina developed a large vesicovaginal fistula at the bladder neck, which was identified several years later. Closure was via vaginal approach without graft or flap interposition.
  
  
  CONCLUSIONS
  Although fistula formation after foreign body identification is rare, early identification and appropriate surgical approach is important for improved patient outcomes.
authors.affiliation: Department of Female Pelvic Medicine and Reconstructive Surgery, University of Cincinnati, Cincinnati, OH, USA. Janelle.evans@thechristhospital.com
authors.forename: Janelle M
authors.initials: JM
authors.lastname: Evans
authors.forename: Mary M
authors.initials: MM
authors.lastname: South
authors.forename: Mickey M
authors.initials: MM
authors.lastname: Karram
mesh_terms: D005260:Female; D005547:Foreign Bodies / Q000150:complications*; D006097:Granulation Tissue / Q000473:pathology; D006801:Humans; D013997:Time Factors; D014555:Urination Disorders / Q000209:etiology; D014621:Vagina; D014719:Vesicovaginal Fistula / Q000150:complications / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D055815:Young Adult