Vesicovaginal Fistula Due to Remote History of Vaginal Foreign Body

Objectives: 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.