scholarly journals A Case of Congenital Urethrovaginal Fistula in a Female Child with Suspected Imperforate Hymen: A Case Report

2021 ◽  
Vol 8 (2) ◽  
pp. 01-03
Author(s):  
Sule Muhammad Baba
Keyword(s):  
Urinary Incontinence ◽  
Female Child ◽  
Vaginal Agenesis ◽  
Urethrovaginal Fistula ◽  
Vaginal Septum ◽  
Imperforate Hymen ◽  
Urogenital Abnormalities ◽  
Vaginal Orifice ◽  
Peripheral Hospital ◽  
Genitourinary Anomaly

Urethrovaginal fistula is an abnormal communication between the urethra and vagina. Urethrovaginal fistula results in urinary incontinence with urine continually leaking from the vagina. In children congenital anomaly may also be the cause. Congenital Urethrovaginal fistula is an extremely rare genitourinary anomaly. The reported five cases in the literature are all associated with urogenital abnormalities like vaginal septum, vaginal agenesis and imperforate hymen. We present a case of a 7-year-old female that was referred from a peripheral hospital for micturating cystourethrography (MCUG) on account of urinary incontinence and passage of urine from vaginal orifice. Following MCUG the urethra, proximal fistula between the urethra and vagina, distended urinary bladder, contrast opacified uterus and a fallopian tube were all demonstrated. We report this case because of its rarity in the literature.

Recurrent formation of haematocolpos in a young girl with multiple congenital anomalies of the urogenital tract

2021 ◽  
pp. 1-7
Author(s):  
Mehreen Yousaf Rana ◽  
Syeda Hira Naqvi ◽  
Rubina Hussain
Keyword(s):  
Needle Puncture ◽  
Multiple Congenital Anomalies ◽  
Ultrasound Guided ◽  
Imperforate Hymen ◽  
Incision And Drainage ◽  
Renal Ectopia ◽  
Urogenital Abnormalities ◽  
Vaginal Orifice ◽  
Crossed Fused Renal Ectopia ◽  
Definitive Management

Abstract An 11-year-old girl, a known case of left crossed fused renal ectopia and sacral hypoplasia presented to the gynaecological OPD in Karachi, Pakistan, in February 2019 with complaints of abdominal pain. On examination, she was found to have a septum covering her vaginal orifice. She was subsequently diagnosed with haematocolpos secondary to imperforate hymen. Incision and drainage was done. However, despite surgical management, she continued to have recurrent formation of haematocolpos for the next two months secondary to multiple complete and partial transverse vaginal septa and post-operative formation of adhesions. Definitive management was done with ultrasound guided needle puncture and drainage, followed by post-operative tampon use to maintain patency. Keywords: Haematocolpos, urogenital abnormalities, Continuous...

scholarly journals Congenital anomalies causing hemato/hydrocolpos: imaging findings, treatments, and outcomes

2021 ◽  
Author(s):  
Keizo Tanitame ◽  
Nobuko Tanitame ◽  
Saiko Urayama ◽  
Kazuhiro Ohtsu
Keyword(s):  
Correct Diagnosis ◽  
Late Complications ◽  
Diagnosis And Treatment ◽  
Imaging Findings ◽  
Vaginal Septum ◽  
Renal Anomaly ◽  
Imperforate Hymen ◽  
Adequate Knowledge ◽  
Transverse Vaginal Septum ◽  
Urogenital Anomalies

AbstractHemato/hydrocolpos due to congenital urogenital anomalies are rare conditions discovered in neonatal, infant, and adolescent girls. Diagnosis is often missed or delayed owing to its rare incidence and nonspecific symptoms. If early correct diagnosis and treatment cannot be performed, late complications such as tubal adhesion, pelvic endometriosis, and infertility may develop. Congenital urogenital anomalies causing hemato/hydrocolpos are mainly of four types: imperforate hymen, distal vaginal agenesis, transverse vaginal septum, and obstructed hemivagina and ipsilateral renal anomaly, and clinicians should have adequate knowledge about these anomalies. This article aimed to review the diagnosis and treatment of these urogenital anomalies by describing embryology, clinical presentation, imaging findings, surgical management, and postoperative outcomes.

scholarly journals Management of Urethral Lesions and Urethrovaginal Fistula Formation Following Placement of a Tension-Free Suburethral Sling: Evaluation From a University Continence and Pelvic Floor Centre

2018 ◽  
Vol 78 (10) ◽  
pp. 991-998 ◽  
Author(s):  
Dorit Schöller ◽  
Sara Brucker ◽  
Christl Reisenauer
Keyword(s):  
Urinary Incontinence ◽  
Skin Flap ◽  
Vaginal Surgery ◽  
Mixed Urinary Incontinence ◽  
Fistula Formation ◽  
Anticholinergic Medication ◽  
Two Phase ◽  
Urethrovaginal Fistula ◽  
Tension Free ◽  
Tape Position

Abstract Introduction The complication of tape erosion in the urethra following placement of a retropubic (TVT) or transobturator (TOT) tension-free suburethral vaginal sling or an accidental iatrogenic transurethral tape position can result in the formation of a urethrovaginal or vesicovaginal fistula. The objective of the investigation is the evaluation of the management of such rare complications. Patients and Methods Retrospective analysis of 14 patients who were treated for a urethral lesion or urethrovaginal fistula formation status post TVT/TOT placement between June 2011 and February 2018 in the Tübingen University Department of Gynaecology. Results As surgical therapy, 57.1% (n = 8) cases underwent vaginal fistula closure using a Martius flap of the labium majus and in 21.4% (n = 3) using a vaginal rotation skin flap. In 21.4% (n = 3), exclusively vaginal suture reconstruction of the urethra following excision of the tape running transurethrally or tape erosion was performed. 50% (n = 7) of the patients had lasting continence postoperatively without any further need for therapy. In 28.6% (n = 4), there was ongoing stress urinary incontinence, in 21.4% (n = 3) mixed urinary incontinence. Six of the 7 patients with persistent incontinence underwent new placement of a tension-free suburethral retropubic sling (TVT) an average of 8.8 months (5 – 13 months) postoperatively which was uncomplicated in all patients and achieved satisfactory continence. The 3 patients with mixed urinary incontinence and persistent urgency components additionally received anticholinergic medication. During the time period investigated, there were no long-term complications, in particular no recurrent fistulas. Conclusion The rare but relevant complications of a urethral erosion, transurethral tape position or urethrovaginal fistula formation status post TVT/TOT placement can be successfully managed via vaginal surgery. Persistent postoperative urinary incontinence with the need for a two-phase repeat TVT placement following sufficient wound healing must be preoperatively clarified.

Müllerian Anomalies: A Cause for Primary Amenorrhea

2017 ◽  
Vol 9 (3) ◽  
pp. 221-224
Author(s):  
Anuja V Bhalerao ◽  
Richa Garg
Keyword(s):  
Correct Diagnosis ◽  
Management Strategies ◽  
Androgen Insensitivity Syndrome ◽  
Primary Amenorrhea ◽  
Vaginal Septum ◽  
Imperforate Hymen ◽  
Secondary Sexual Characters ◽  
Transverse Vaginal Septum ◽  
Preservation Of Fertility ◽  
Secondary Sexual

ABSTRACT Introduction Primary amenorrhea is a challenging entity as it affects the reproductive outcome. Primary amenorrhea is an absence of secondary sexual characters until 14 years of age or absence of menstruation with secondary sexual characters until 16 years of age. Aim The aim of this article is to study the frequency, etiologic causes, presentation, diagnosis, and optimal mode of management of primary amenorrhea. Materials and methods All girls who had not attained menarche until 16 years of age in the absence of secondary sexual characters and until 14 years, if no secondary sexual characters, and were willing for follow-up were subjected to investigations and were treated as per the etiology. Results Mayer–Rokitansky–Küster–Hauser (MRKH) syndrome was the most common cause of primary amenorrhea (42.85%) followed by imperforate hymen (28.57%) and transverse vaginal septum (21.42%), one each of low, mid, and high varieties. There was one case of androgen insensitivity syndrome. Conclusion Establishing correct diagnosis is essential for planning treatment and management strategies in primary amenorrhea as treatment goals are preservation of fertility and progression of normal development. How to cite this article Bhalerao AV, Garg R. Müllerian Anomalies: A Cause for Primary Amenorrhea. J South Asian Feder Obst Gynae 2017;9(3):221-224.

Single-Stage Correction of Urinary Incontinence and Vaginoplasty in a Case of Urethral Coitus with Vaginal Agenesis

2008 ◽  
Vol 81 (3) ◽  
pp. 364-366 ◽  
Author(s):  
Nikhil Khattar ◽  
L.N. Dorairajan ◽  
Santosh Kumar ◽  
S. Soundararaghavan ◽  
Bipin Chandra Pal
Keyword(s):  
Urinary Incontinence ◽  
Single Stage ◽  
Vaginal Agenesis ◽  
Urethral Coitus

scholarly journals Congenital vaginal obstruction in young girls: need for standard post-operative dilatation protocol

2018 ◽  
Vol 6 (1) ◽  
pp. 207
Author(s):  
Philemon E. Okoro ◽  
Sukarime S. Eli
Keyword(s):  
Analytical Study ◽  
Vaginal Septum ◽  
Imperforate Hymen ◽  
Young Girls ◽  
Transverse Vaginal Septum ◽  
Vaginal Tract ◽  
Outcome Duration ◽  
Age Range ◽  
Active Can

Background: Congenital vaginal obstruction is a rare disorder in which there is blockage of the vaginal tract during the developmental stage and subsequently leading to accumulation of secretions and or menstrual blood. Surgical relief of obstruction is an effective treatment. Ensuring patency of the tract following surgery in young girls not sexually active can be challenging.Methods: This is a 10-years retrospective analytical study of cases of congenital vaginal obstruction in young girls seen in two centres from February 2007 to January 2017. Data retrieved from the case notes included age at presentation, presenting features, prior intervention, diagnosis, surgery performed, vaginal dilatations, outcome, duration of follow-up. Data was subjected to simple statistical analysis.Results: Eight patients met the inclusion criteria. The age range was 7 to 15years with a median of 12years. The cause of obstruction was transverse vaginal septum in 5 cases, imperforate hymen 2, vaginal hypoplasia 1. Three of the patients had no dilatation post operatively and of these, two came back with recurrent obstruction and hematometra. The third one was a case of imperforate hymen and did not develop stenosis despite not being dilated. There were no mortalities.Conclusions: The occurrence of recurrent obstruction following surgical treatment of congenital vaginal obstruction is high. Post-operative dilatation reduces incidence of recurrence.

scholarly journals An interesting rare case of spontaneous pregnancy with imperforate hymen and high transverse vaginal septum with bicornuate uterus

2016 ◽  
Vol 6 (1) ◽  
pp. 341
Author(s):  
Bharathi KR ◽  
Vijayalakshmi S. ◽  
Divya Alamelu N.
Keyword(s):  
Reproductive Tract ◽  
Genetic Mutation ◽  
Interesting Case ◽  
Female Reproductive Tract ◽  
Vaginal Septum ◽  
Imperforate Hymen ◽  
Bicornuate Uterus ◽  
Spontaneous Pregnancy ◽  
Transverse Vaginal Septum ◽  
Huge Impact

Congenital anatomic disorders of the female reproductive tract may result from genetic mutation, developmental arrest and abnormal hormonal exposure during embryonic development. These anomalies have a huge impact on the woman’s menstrual, sexual and reproductive functions. Pregnancy with these anatomic disorders is quite challenging. Here we present a rare interesting case of spontaneous pregnancy with multiple anatomic disorders namely- imperforate hymen, high transverse vaginal septum and bicornuate uterus.

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