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

Sule Muhammad Baba

doi:10.31579/2690-4861/145

Abstract

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.

Highlights

Urethrovaginal fistula is a communication between the urethra and the vagina
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
The mainstay of treatment is surgical, this comprise of excision of the transverse vaginal septum and closure of the urethrovaginal fistula [5, 6]. This is a 7-year-old female that was referred from a peripheral hospital for micturating cystourethrography on account of urinary incontinence and passage of urine from vaginal orifice

Summary

Introduction

Urethrovaginal fistula is a communication between the urethra and the vagina. This is the common urethrogenital fistula in female. 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.

Results

Conclusion