title: Vesicovaginal fistula: an unexpected consequence of changing sexual practices?
abstract: Vesicovaginal fistula (VVF) is commonly associated with obstetric trauma, but in developed nations it is typically iatrogenic. To date, there have been no published reports of VVF resulting from consensual sexual activity with sex toys. A 19-year-old gravida 0 presented with leakage of clear urine from the vagina following repetitive use of a sex toy with her female partner. The fistula was repaired in the operating room using a vaginal approach and a layered closure. This is the first case report of a VVF caused by consensual sex toy use between same-sex partners. As sex toy use increases, counselling providers will need to be aware of possible adverse sequelae.
authors.affiliation: Department of Obstetrics and Gynaecology, Alpert School of Medicine at Brown University, Women & Infants Hospital, 101 Dudley Street, Providence, RI 02905, USA.
authors.forename: M Alexandra
authors.initials: MA
authors.lastname: Friedman
authors.affiliation: Division of Female Pelvic Medicine and Reconstructive Surgery, Alpert School of Medicine at Brown University, Women & Infants Hospital, 101 Plain Street, Providence, RI 02903, USA.
authors.forename: Jonathan S
authors.initials: JS
authors.lastname: Shaw
authors.affiliation: Department of Internal Medicine, Rhode Island Hospital, 593 Eddy Street, Providence, RI 02903, USA.
authors.forename: Kelly
authors.initials: K
authors.lastname: McGary
authors.affiliation: Division of Female Pelvic Medicine and Reconstructive Surgery, Alpert School of Medicine at Brown University, Women & Infants Hospital, 101 Plain Street, Providence, RI 02903, USA.
authors.forename: Kyle
authors.initials: K
authors.lastname: Wohlrab
mesh_terms: D005260:Female; D006801:Humans; D012725:Sexual Behavior; D014719:Vesicovaginal Fistula / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D055815:Young Adult