Vesicovaginal fistula following insertion of a foreign body in the vagina for sexual gratification: could it be catastrophic?

In developing countries such as India, the vesicovaginal fistula (VVF) is a commonly found entity in urogynaecology. VVFs secondary to obstructive labour still remain the most common cause in these countries. We report a very unusual case of a VVF in a young woman that developed due to self-insertion of a plastic box for sexual gratification.