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Removal of an Intravesical Gellhorn Pessary and Staged Repair of a Residual Large Vesico-Vaginal Fistula
Published on: April 14, 2026
Ephemeral urocolpos: Radiological insights into a rare presentation of vesicovaginal reflux
Rajasekar Prabu Elango1, Rajoo Ramachandran1, Anupama Chandrasekharan1
1Department of Radiology, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, India.
Abstract:
Ephemeral urocolpos, characterized by urine accumulation in the vagina, is a rare presentation of vesicovaginal reflux, often resolving spontaneously. Its transient nature necessitates dynamic pre- and postvoid imaging. Transabdominal ultrasound of an 18-year-old obese female with intermittent postvoid urinary dribbling suggested urocolpos by demonstrating an anechoic fluid collection in the vagina that increased in size postvoid, with subsequent near-complete resolution, highlighting its transient nature. The magnetic resonance imaging corroborated this with postvoid T2-hyperintense (urine signal) vaginal distension. The computed tomography voiding cystourethrogram showed contrast reflux into the vagina during micturition, without structural anomaly or fistulous tract. Conservative management (voiding retraining) led to symptom resolution.
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