Abstract
A 28 years old female was presented with a foreign body in the bladder for over 8 years. It was associated with a large stone formed around it and a vesicovaginal fistula. Suprapubic removal of the stone as well as the foreign body and transvaginal fistulectomy were performed. The removed object weighed 74 grams and the foreign body was identified as a 8.9cm long read pencil with metalic caps on both ends. These were partially bitten away and one end was sharply penetrated through the vaginal wall that formed a fistula.
