title: Vesicovaginal Fistula in Adolescent Girls: Incidence and Management.
abstract: BACKGROUND
  The purpose of the study was to analyze the incidence, causes, and management of vesicovaginal fistula (VVF) in adolescent girls.
  
  
  METHODS
  Three girls of adolescent age were diagnosed with VVF, caused by a vaginal foreign body (ie, an aerosol spray cap). Transvesical reconstruction was performed in 2 cases. After the diagnosis of VVF, the third girl was discharged home with Foley catheter drainage. Three months later, she presented with pregnancy and was lost to follow-up.
  
  
  CONCLUSIONS
  Evaluation of unusual urinary symptoms in an adolescent should include vaginal examination and/or imaging. Aerosol spray caps remain the most common vaginal foreign body resulting in VVFs in adolescent girls in Lithuania. Transvesical reconstruction is safe and efficient.
authors.affiliation: Children's Surgery Centre, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.
authors.forename: Juozas
authors.initials: J
authors.lastname: Vilimas
authors.affiliation: Department of Obstetrics and Gynecology, Lithuanian University of Health Sciences, Kaunas, Lithuania.
authors.forename: Ingrida
authors.initials: I
authors.lastname: Baseviciene
authors.affiliation: Department of Pediatric Surgery, Lithuanian University of Health Sciences, Kaunas, Lithuania.
authors.forename: Arturas
authors.initials: A
authors.lastname: Kilda
authors.affiliation: Children's Surgery Centre, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.
authors.forename: Albertas
authors.initials: A
authors.lastname: Puzinas
authors.affiliation: Children's Surgery Centre, Faculty of Medicine, Vilnius University, Vilnius, Lithuania. Electronic address: gilvydas@hotmail.com.
authors.forename: Gilvydas
authors.initials: G
authors.lastname: Verkauskas
mesh_terms: D000293:Adolescent; D005260:Female; D005547:Foreign Bodies / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D006801:Humans; D015994:Incidence; D019651:Plastic Surgery Procedures / Q000379:methods*; D014621:Vagina / Q000473:pathology*; D014719:Vesicovaginal Fistula / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery
keywords: Aerosol cap; Transvesical repair; Vaginal foreign body; Vesicovaginal fistula