{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T07:10:07Z","timestamp":1756278607093,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Vesicovaginal fistula (VVF) is a very commonly encountered urogynaecological entity in developing countries such as India. The most common cause of VVF in developing counties is secondary to obstructive labour. We report a very unusual case of VVF in a young woman that developed due to insertion of an unknown vaginal herb for treatment of primary infertility. Cystoscopy showed a single trigonal fistula measuring 3\u00d72\u2005cm just near the bladder neck. Vaginoscopy revealed cicatrised less capacious vagina and unhealthy vaginal mucosa. She was treated with transvaginal VVF repair using Martius flap interposition which leaked on 10th postoperative day. She underwent re-evaluation and another transvaginal fistula repair for small trigonal residual fistula after 3\u2005months. She is doing well during the follow-up of 2\u2005years. She attained sexual activity after 3\u2005months of surgical repair but could not conceive.<\/jats:p>","DOI":"10.1136\/bcr-2013-200563","type":"journal-article","created":{"date-parts":[[2013,10,3]],"date-time":"2013-10-03T06:58:17Z","timestamp":1380783497000},"page":"bcr2013200563","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Vesicovaginal fistula due to vaginal herb for primary infertility: could it be devastating?"],"prefix":"10.1136","volume":"2013","author":[{"given":"Sagorika","family":"Paul","sequence":"first","affiliation":[{"name":"Department of Urology, King George Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vishwajeet","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Urology, King George Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rahul Janak","family":"Sinha","sequence":"additional","affiliation":[{"name":"Department of Urology, King George Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arvind","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Urology, King George Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,10,3]]},"reference":[{"key":"2025082623573251000_2013.oct03_1.bcr2013200563.1","doi-asserted-by":"crossref","first-page":"1108","DOI":"10.1016\/S0002-9378(94)70105-9","article-title":"Surgery for the obstetric vesicovaginal fistula: main complications of VVF surgery are recurrent fistula review of 100 operations in 82 patients","volume":"2013","author":"Elkins","year":"1994","journal-title":"Am J Obstet Gynecol"},{"key":"2025082623573251000_2013.oct03_1.bcr2013200563.2","unstructured":"Report on the South Asia Conference for the Prevention and Treatment of Obstetric Fistula held at Dhaka Bangladesh. 9\u201311 December 2003."},{"key":"2025082623573251000_2013.oct03_1.bcr2013200563.3","first-page":"1734","article-title":"Quality of life following successful repair of vesicovaginal fistula in Nigeria","volume":"2013","author":"Umoiyoho","year":"2011","journal-title":"Rural Remote Health"},{"key":"2025082623573251000_2013.oct03_1.bcr2013200563.4","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1016\/S0022-5347(17)55941-8","article-title":"Vesicovaginal and uretero vaginal fistulas: a summary of 25 years of experience","volume":"2013","author":"Goodwin","year":"1980","journal-title":"J Urol"},{"key":"2025082623573251000_2013.oct03_1.bcr2013200563.5","first-page":"501","article-title":"Observations on prevention and management of vesicovaginal fistula after total hysterectomy","volume":"2013","author":"Tancer","year":"1992","journal-title":"Surg Gynecol Obstet"},{"key":"2025082623573251000_2013.oct03_1.bcr2013200563.6","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1016\/0002-9378(90)91204-P","article-title":"A vesicovaginal fistula and intravesical foreign body: a rare case of the neglected pessary","volume":"2013","author":"Goldstein","year":"1990","journal-title":"Am J Obstet Gynecol"},{"key":"2025082623573251000_2013.oct03_1.bcr2013200563.7","first-page":"280","article-title":"Vesicovaginal of uncommon etiology","volume":"2013","author":"Sharma","year":"1978","journal-title":"J Urol"},{"key":"2025082623573251000_2013.oct03_1.bcr2013200563.8","doi-asserted-by":"crossref","first-page":"1719","DOI":"10.1007\/s00192-008-0652-5","article-title":"Corrosive-induced vesicovaginal fistula with procidentia: a rare occurrence","volume":"2013","author":"Basak","year":"2008","journal-title":"Int Urogynecol J"},{"key":"2025082623573251000_2013.oct03_1.bcr2013200563.9","doi-asserted-by":"crossref","unstructured":"Adaji SE Bature SB Shittu OS . Vaginally inserted herbs causing vesico-vaginal fistula and vaginal stenosis. Int Urogynecol J 2012;1879\u20138.","DOI":"10.1007\/s00192-012-1879-8"},{"key":"2025082623573251000_2013.oct03_1.bcr2013200563.10","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1080\/01443610902878809","article-title":"Vesicovaginal fistula following insertion of herbs in the vagina by a traditional medical practitioner in the Niger delta of Nigeria","volume":"2013","author":"Igberase","year":"2009","journal-title":"J Obstet Gynecol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-200563","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:57:38Z","timestamp":1756277858000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-200563"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,10,3]]},"references-count":10,"alternative-id":["10.1136\/bcr-2013-200563"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-200563","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,10,3]]}}}