Vaginal Foreign Body Research Articles

Vaginal Foreign Body Removal

Vaginal Foreign Body Removal

Presence of wood chips as a vaginal foreign body in an excised girl: case report

Recurrent leucorrhoea is common in girls because of the anatomical, physiological and hygienic particularities of this period. However, the presence of an intravaginal foreign body may be an etiology that must be considered in the case of recurrent leucorrhea. We report a case of vaginal foreign body discovered following recurrent leucorrhoea, medically treated without success in a 4-year-old excised girl. The removal of the foreign body was done under general anesthesia and appropriate antibiotic therapy was prescribed. The follow-up was unremarkable. Keywords: leucorrhoea, foreign bodies, pediatrics.

Vaginal Foreign Body Ignored for 25 Years in Postmenopausal Women with Prolapse in India: A Case Report

Vaginal Foreign Body Ignored for 25 Years in Postmenopausal Women with Prolapse in India: A Case Report

129. Urethro-vaginal Fistula in the Setting of a Vaginal Foreign Body - Diagnosis and Treatment

129. Urethro-vaginal Fistula in the Setting of a Vaginal Foreign Body - Diagnosis and Treatment

Vaginal foreign bodies in pediatric population - presentation, diagnostic challenges, and role of vaginoscopy: A case series

Background: Vaginal foreign bodies (VFBs) in the pediatric population pose diagnostic and management challenges. This is due to the usual difficulty in obtaining an appropriate history, difficulty in conducting a vaginal examination, and the fallibility of conventional imaging modalities in picking most of the vaginal foreign bodies. In prepubertal who present with abnormal vaginal discharge or vaginal bleeding, the diagnosis of a vaginal foreign body should be considered, and appropriate care should be provided. Vaginoscopy is an excellent diagnostic and therapeutic modality for these cases. Case series: Between 2018 and 2023, 6 children aged between 3 and 6 years underwent vaginoscopy at our institution, having presented with diverse vaginal symptoms. The mean age was 4.5 years. Three presented with vaginal bleeding, two had recurrent vaginal discharge, and one had a history of trauma to the genitalia. There were no cases suspicious of sexual abuse. All except two had a normal external genital examination, with one having a small excoriation on the labia and the other having superficial perineal injuries due to trauma. All six cases had intact hymens. Vaginoscopy was performed using a 4-mm scope. Vaginal foreign bodies of varying size and consistency were retrieved from three patients. One patient had inflammatory changes on the proximal anterior vaginal wall. Two had normal findings. All 6 children tolerated the procedure well, with an excellent response to treatment. Conclusion: Correct diagnosis and management of pediatric vaginal foreign bodies is challenging compared with the adult population. A high index of suspicion is necessary for any young girl presenting with vaginal bleeding or abnormal vaginal discharge. Vaginoscopy is a safe and efficient diagnostic and therapeutic procedure for vaginal foreign bodies in the pediatric population.

Rectovaginal Fistula Complicated by Retained Vaginal Foreign Body: A Case Report

Foreign bodies in the genital tract are rare but can be found in females of all ages. Objects inserted vaginally may be for therapeutic purposes, accidental placement, and sometimes even for sexual gratification. Non therapeutic objects commonly seen include tampons, bottle caps, sex toys, and, rarely, metallic objects of various shapes and sizes. The authors report a case of a 40-yearold widowed woman, with no living children, presenting with foul-smelling vaginal discharge and passage of stool per vagina. Upon examination, a retained vaginal foreign body was noted intravaginally, complicating as a rectovaginal fistula, necessitating emergency laparotomy and requiring a colostomy. Long-retained objects are known to cause excessive foul-smelling discharge and can lead to serious complications such as lacerations, pelvic inflammatory disease, fistulas, fibrosis, and even death. Therefore, patients should seek medical attention and be treated promptly to prevent any complications.

Incidentally discovered vaginal foreign body: Forensic implication

We report the case of a vaginal foreign body accidentally discovered during the examination of a 07-year-old girl victim of a road traffic accident. The unpredicted nature of this discovery has sufficiently raised the medico-legal interest. It was a question for us to determine the circumstances of this intromission by the interrogation of the parents, the study of the mechanism of injury of the accident on the public highway.Physical examination revealed a hymenal tear without other recent vulvar lesions and a closed diaphyseal fracture of the left femur. The treatment consisted firstly of removing the metallic foreign body similar to a spring and secondly of fixing the bone lesion under general anesthesia in the operating room. Short- and medium-term post-operative follow-up was favourable.Faced with the discovery of a vaginal foreign body, a methodical and rigorous analysis is essential.

Alla ricerca delle cause di un sanguinamento urogenitale

Vaginal bleeding in pre-pubertal girls is uncommon and can often be confused with the bleeding from the genital or urinary tract or from the anus. The paper reports the case of a 6-year-old girl with pollakiuria and “dark urine” without pain, which lasted for ten days. On the assumption of macrohematuria, initial evaluations to exclude nephro-urological causes of bleeding were performed and resulted negative. Finally, uroCT showed the presence of inhomogeneous material inside the vaginal lumen. Vaginoscopy enabled to ascertain the vaginal origin of the bleeding and to remove the foreign body: abundant toilet paper! Foreign bodies are the main cause of vaginal bleeding in pre-pubertal girls and toilet paper is the most frequent foreign body found. Vaginoscopy in sedation is an essential tool for diagnosis and treatment. According to literature, psychological evaluation should be offered in case of vaginal foreign body in children, because of possible association with emotional and behavioural problems.

A Foreign Body in Vagina - Unambiguous Elixir Still Practiced for Prolapse

A Foreign Body in Vagina - Unambiguous Elixir Still Practiced for Prolapse

Vaginal discharge in a 2-year-old patient caused by an alkaline battery: A case report

Vaginal foreign bodies are infrequent events; their occurrence due to an alkaline battery is far rarer. This report is about a vaginal discharge in a 2-year-old child due to inserting an alkaline battery into her vagina. A 2-year-old child presented with lower abdominal pain, vaginal pain, and brownish-black vaginal discharge for a duration of 7 hours. A physical examination revealed a soft abdomen, while she had a swollen and erythematous vulva. A pelvic X-ray showed a radiopaque shadow of an alkaline battery in the pelvic region. Vaginoscopy was done under general anesthesia using a 9.5 Fr semi-rigid ureteroscope. The battery was grasped and extracted from the vagina using stone grasping forceps. She was discharged on oral and topical antibiotics. Vaginal FBs are a rare phenomenon, especially in children under three years of age. It is essential to recognize that the differential diagnosis of vaginal discharge in young children can be a vaginal FB.

72. Office Vaginoscopy for Prepubertal Vaginal Foreign Bodies

72. Office Vaginoscopy for Prepubertal Vaginal Foreign Bodies

10. A Petrified Intrauterine Device: Another Consideration for a Vaginal Foreign Body

10. A Petrified Intrauterine Device: Another Consideration for a Vaginal Foreign Body

Vaginal bleeding in children: A retrospective audit at a tertiary paediatric gynaecology service.

The aim of this study was to describe the clinical features and investigations of vaginal bleeding in prepubertal children. We performed a retrospective case series of children under the age of 10 who presented with vaginal bleeding to our institution between 2018 and 2019. There were 32 cases identified during the timeframe, with a mean age of 5.5 years (standard deviation 3.2 years, range 5.5 days to 9.6 years). Vulvovaginitis was the most common diagnosis (n=12, 37.5%), followed by precocious puberty (n=5, 15.6%). Uncommon but serious causes were vaginal rhabdomyosarcoma (n=1), and sexual abuse (one patient presenting with gonorrhoea and one with a non-accidental injury). Vaginoscopy was performed in nine patients (28.1%) for various reasons, and a vaginal foreign body was identified in two patients (6.3%). All the patients who had a serious cause of bleeding (neoplasm or sexual assault) or who required specific treatment (precocious puberty, lichen sclerosus, urethral prolapse) presented with red flags on history and/or examination: recurrent episodes of vaginal bleeding, heavy bleeding, associated general symptoms (poor feeding and growth), presence of thelarche, abdominal mass, associated profuse vaginal discharge and abnormal genital examination (skin changes, urethral prolapse or protruding mass from the vagina). A thorough history-taking and clinical examination aiming at identifying red flags may help to discriminate between benign causes of vaginal bleeding, where no further investigations are indicated, and alternative diagnoses with a poor outcome and/or requiring specific treatment and additional investigations.

Complete vaginal atresia caused by long-term foreign body retention: a case report and retrospective analysis of clinical diagnosis and treatment of vaginal foreign body

Complete vaginal atresia caused by long-term foreign body retention: a case report and retrospective analysis of clinical diagnosis and treatment of vaginal foreign body

Case report of vaginal erosion and recurrence of stress urinary incontinence due to shallow placement of tension-free vaginal tape

BackgroundSuburethral sling with tension-free vaginal tape (TVT) has become a popular treatment for stress urinary incontinence (SUI). Erosion of the tape into the vaginal is rare. Very few patients present with vaginal tape erosion and recurrence of SUI.Case presentationA 49-year-old female patient with stress urinary incontinence was treated with a retropubic suburethral TVT sling. 2 months later, recurrent symptoms of SUI developed. 6 months later, the patient complained of repeated vaginal discharge and foreign body sensation. Body physical examination revealed a 1-cm-long tape extrusion at the left anterior vaginal wall beside the midline. Cystourethroscopy revealed no urethral mesh erosion. Surgical removal of the extrusion tape revealed that the left arm of the tape was in the vaginal mucosa layer rather than between the whole thickness of the vaginal mucosa and urethral. The tape around the urethral was dissected and removed. A new retropubic tape was placed simultaneously. At the 8-months follow-up after surgery, the patient was continent without tape vaginal exposure.ConclusionsVaginal mesh erosion should be considered in a patient who presents with sustained vaginal discharge after being treated with a suburethral sling. It is important to place the tape between the whole thickness of the vaginal mucosa and the urethral in SUI surgery. A shallow placement of the tape may lead to vaginal tape erosion and recurrence of SUI. These complications can be avoided by following the correct manipulation procedure and referring to the tissue layer anatomy.

An Embedded Vaginal Sea Sponge: A Complex Case of “Natural” Substance Used for Menstrual Hygiene

Background: Irregular menstrual bleeding is common in young adolescents and is usually due to anovulation and bleeding disorders. A diagnosis of vaginal foreign body may initially be overlooked. We describe a case of an adolescent female presenting with ongoing irregular menstrual spotting, found to have an embedded vaginal sea sponge. The purpose of this case report is to highlight a medical complication due to use of an unconventional material for menstrual hygiene.

Vaginal foreign bodies in six nonhuman primates with underlying pathological conditions.

Four female Japanese macaques (Macaca fuscata) from the same group as well as Wolf's guenon (Cercopithecus wolfi) and a Western lowland gorilla (Gorilla gorilla gorilla) from a second institution presented with vaginal foreign bodies in parallel with diseases of the urogenital tract or with endocrine disorders. These foreign bodies were associated with a mild to marked, diffuse vaginitis in all cases. Underlying pathological conditions consisted of a cavernous uterine hemangioma in a 20-year-old macaque, diffuse endometritis in a 21-year-old macaque, an in situ endometrial carcinoma in a 24-year-old macaque, endometritis and an ovarian cyst-like structure in the 27-year-old Western lowland gorilla, chronic cystitis and chronic renal disease in a 24-year-old macaque, and a history of hypothyroidism with irregular reproductive cycles in the 12-year-old Wolf's guenon. Vaginal foreign bodies have been reported in nonhuman primates used in biomedical research, but their concurrence with underlying conditions has not been explored. In women, vaginal foreign bodies have been linked to serious underlying medical conditions. This case series emphasizes the recommendation to investigate this abnormal behavior for underlying medical or adverse psychosocial conditions in primates under human care.

Vaginal foreign bodies in children: a single-center retrospective 10-year analysis.

To evaluate the clinical features and outcome in girls with a vaginal foreign body. The clinical data of 97 girls with a vaginal foreign body were collected between 2010 and 2020. The descriptive analysis was used to summarize the clinical characteristics. The patients were aged between 1.5 and 14.8years, and the age of peak incidence was shown to be 3-10years, which accounted for 88% of the cases. Blood-stained vaginal discharge or vaginal bleeding was the most common symptom (48%). The most common foreign bodies were small hard objects (57%), followed by bits of cloth or toilet tissue (22%). The patient whose foreign object was a disk battery had the most severe symptoms. When an injury of the vaginal mucosal was suspected, antibiotics were used to prevent infection, with full recovery of all patients without any additional treatment after removal of the foreign object. If there is no damage to the vaginal mucosa, no additional treatment is needed after the foreign body is removed. When a vaginal foreign body is suspected to be a battery, emergency surgery is needed to prevent further damage.

Small spherical foreign bodies in the genitourinary tract and their management

BackgroundUrogenital small foreign bodies (FBs) have rarely been reported in children, and their management is still challenging. This study aimed to describe the characteristics and treatment of spherical FBs no larger than 0.6 cm in the children’s genitourinary tracts. Methods The clinical data of spherical FBs removed in our hospital from June 2013 to June 2020 were recorded and retrospectively analyzed, including demographics, location, symptoms, imaging examinations and treatment methods. Results A total of 10 patients were enrolled: 6 girls and 4 boys. Their ages ranged from 5.1 to 16.8 years old, with a mean age of 9.2 years. The course of the disease ranged from 3 h to 1 year, and symptoms recurred in some cases. Their imaging characteristics were reviewed and analyzed, 6 patients underwent color Doppler ultrasonography, 1 patient was suspected to have an FB in the vagina, 7 patients underwent an X-ray examination, and FBs were revealed in 6 patients. All FBs were removed under endoscopic minimally invasive surgery. Six vaginal FBs were successfully retrieved via vaginoscopy, and in the other four cases, removal by transurethral cystoscopy failed because of mutual attraction, which was eliminated by laparoscopy under pneumovesicum. Postoperative recovery was uneventful; in a follow-up of 3 months to 2 years, there was no perforation or fistula formation, and there were no urethral strictures in boys. Conclusion Small spherical FBs are clinically rare; they are sometimes difficult to detect by imaging examinations and can be easily overlooked. Minimally invasive endoscopy remains the first-line approach for the diagnosis and removal of genitourinary spherical FBs.

Vesico-Vaginal and Recto-Vaginal Fistula and Death Caused by a Vaginal Foreign Body in a Body-Packer

Foreign body retained for long duration sometimes causes vesico-vaginal and recto-vaginal fistula. We report a 60-year-old woman with vaginal foreign body causing vesico-vaginal and recto-vaginal fistula; she died after foreign body removal due to septic shock. The patient had vaginal purulent discharge, abdominal pain, and a septic shock. A fragment of stone (limestone) was present in the vagina, which was removed. The patient developed urinary incontinence and fecal incontinence after removal of the foreign body. The examination demonstrated the presence of vesico-vaginal and recto-vaginal fistula. The patient died four days after removal of the foreign body due to septic shock and multi-visceral failure. During the extraction foreign body, bacteria could be disseminated into the systemic circulation and might cause septic shock. Thus, wide-spectrum antibiotic therapy must be used before the procedure, which may decrease the chance of septic shock.