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Menouria due to congenital vesicovaginal fistula associated with complex genitourinary malformation
N Rajamaheshwari1, K Seethalakshmi, Lilly Varghese
1Department of Urogynecology, Government Kasturba Gandhi, Hospital, Madras Medical College, Triplicane, Chennai - 600 005, Tamil Nadu, India.
Background:
Congenital vesicovaginal fistula (VVF) is a very uncommon condition rarely suspected at initial presentation. It is usually seen in association with complex malformations of the genitourinary tract.
Case:
A bifid insertion of the solitary ureter causing an uretero-VVF was associated with an obstructing transverse vaginal septum manifesting as menouria. Also seen were solitary crossed renal ectopia, bicornuate uterus and skeletal anomalies.
Conclusion:
In women with menouria without vaginal menstruation, pre-operative evaluation to detect an obstructive vaginal anomaly and unusual uretero-vesicovaginal fistulous communications is necessary before surgical intervention.
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