Bilateral Ureterovaginal Fistulas and Vesicovaginal Fistula in Setting of Retained Pessary

Urogenital fistulas in the setting of foreign body are rare. Isolated vesicovaginal fistula is the most common and has been reported in the setting of retained intraureterine device,1,2 neglected pessary3,4 and atypical insertions related mostly to sexual activity or underlying psychiatric disorders...

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Published inUrology (Ridgewood, N.J.) Vol. 141; pp. e11 - e13
Main Authors Rapp, David E., Congleton, J. Yates, Boatman, Kimberly, Karp, Natalie, Krupski, Tracey
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.07.2020
Subjects
Aged
Female
Foreign Bodies - complications
Humans
Pessaries - adverse effects
Ureteral Diseases - etiology
Ureteral Diseases - pathology
Urinary Fistula - etiology
Urinary Fistula - pathology
Vaginal Fistula - etiology
Vaginal Fistula - pathology
Vesicovaginal Fistula - etiology
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Summary:Urogenital fistulas in the setting of foreign body are rare. Isolated vesicovaginal fistula is the most common and has been reported in the setting of retained intraureterine device,1,2 neglected pessary3,4 and atypical insertions related mostly to sexual activity or underlying psychiatric disorders.5-7 Combined vesicovaginal and ureterovaginal fistulas related to foreign body are extremely rare. To our knowledge, we present the first reported case of bilateral ureterovaginal fistula and concurrent vesicovaginal fistula in the setting of retained pessary.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2020.04.049