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Updated: Jul 16, 2026

Removal of an Intravesical Gellhorn Pessary and Staged Repair of a Residual Large Vesico-Vaginal Fistula
Published on: April 14, 2026
Transverse vaginal septum with congenital vesical-vaginal communication and cyclical hematuria
Arnold I Chin1, Matthew Rutman, Shlomo Raz
1Department of Urology, University of California, Los Angeles, David Geffen School of Medicine, Los Angeles, California 90095, USA. aichin@ucla.edu
Abstract:
Cyclical hematuria is an unusual presentation of a müllerian fusion anomaly. We report a patient with transverse vaginal septum and menstruation by way of the lower urinary tract because of a vesical-vaginal communication. A defect of vertical fusion, transverse vaginal septum results from failure of canalization of the vaginal plate. Reconstruction using a transvaginal and transabdominal approach created a direct anastomosis between the proximal vaginal segment and the distal vaginal pouch. Previously described cases are reviewed.
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