VESICOVAGINAL FISTULA DUE TO A BETADINE BOTTLE CAP: A CASE REPORT

medical science

Background: Vesicovaginal fistulas (VVFs) are abnormal communications between the bladder and vagina, often resulting in continuous urinary incontinence. While most cases are linked to obstetric or surgical complications, rare causes such as retained foreign bodies have been documented. We present an exceptional case of a vesicovaginal fistula caused by a Betadine bottle cap left behind during a cesarean section. Case Presentation: A 32-year-old woman presented with continuous urinary leakage one month after her third cesarean delivery. Clinical examination revealed a foreign body in the anterior vaginal wall, identified as a Betadine bottle cap. Surgical removal and fistula repair were performed, leading to complete recovery without recurrence. Conclusion: This case underscores the importance of strict intraoperative protocols to prevent retained foreign bodies and subsequent complications. It also highlights the need for heightened awareness among surgical teams to avoid such preventable errors.

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