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[Vesicovaginal Reflux and Urocolpos].
María Fernández-Ibieta1, Irene Martínez-Castaño1, María José Guirao-Piñera1
1Sección de Urología Pediátrica. Servicio de Cirugía Pediátrica.
Archivos Espanoles De Urologia
|June 24, 2015
Summary
Vesico-vaginal reflux (VVR) is a condition where urine flows back into the vagina during urination, often causing daytime leaks in young girls. Behavioral modifications and proper voiding techniques are effective treatments for VVR.
Area of Science:
- Pediatric Urology
- Female Lower Urinary Tract Disorders
Background:
- Vesico-vaginal reflux (VVR) is the retrograde flow of urine into the vaginal vault during micturition.
- It is occasionally observed in pre-adolescent girls, typically presenting as post-voiding dribbling.
- Significant urocolpos, or vaginal distension with urine, can occur.
Observation:
- This report details three cases of VVR in pre-adolescent girls presenting with diurnal urinary incontinence.
- Voiding cystourethrograms (VCUG) confirmed VVR and urocolpos in all cases.
- One patient had a history of treated vesicoureteral reflux (VUR).
Findings:
- Two cases were successfully managed with behavioral modifications, including voiding re-education.
- One case experienced recurrence due to non-adherence to therapy, highlighting the importance of consistent management.
- VVR is found in 12-15% of girls referred for urinary incontinence.
Implications:
- VVR often occurs in the absence of anatomical obstruction, linked to voiding mechanics like leg crossing.
- Proper voiding instructions are crucial for VVR management.
- Behavioral modifications, including altered voiding posture, can effectively resolve VVR.
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