Cases reported "Vaginal Fistula"

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1/3. Unilateral renal agenesis associated with vaginal or cervical fistula and anomalous uterine development.

    Two patients with unexplained profuse vaginal discharge were noted to have anomalous uterine development associated with renal agenesis. Fistulous communication between a mesonephric duct remnant and the vagina or cervix was noted as the cause of the discharge. A previous report by one of the authors described two similar cases. physicians should be alert to this syndrome as a cause of leukorrhea.
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2/3. Persistent urogenital sinus: prenatal diagnosis and pregnancy complications.

    prenatal diagnosis of fetal hydrocolpos caused by persistent urogenital sinus is described. The urethrovaginal communication allowed urine to empty from the bladder into the vagina, which subsequently dilated, causing bilateral hydronephrosis, distention of the fetal abdomen, decreased urinary output, oligohydramnios, and abdominal dystocia at delivery.
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3/3. Reconstruction of urethrovaginal fistula and vaginal atresia in an adolescent girl after an abdominoperineal-vaginal pull-through procedure.

    OBJECTIVE: To report a rare case of urethrovaginal communication and vaginal atresia. DESIGN: To reconstruct the communication and the vaginal route. SETTING: Division of Pediatric and adolescent gynecology and Corrective Gynecological Surgery, University of Athens, and "Alexandra" Hospital. PATIENT(S): A 16-year-old girl with cyclic hematuria, periodic pelvic pain, and primary amenorrhea. INTERVENTION(S): Diagnostic studies, followed by an abdominoperineal-vaginal pull-through procedure. MAIN OUTCOME MEASURE(S): Reconstruction of the urethrovaginal fistula and vaginal route. RESULT(S): Normal menstruation through the vaginal route. CONCLUSION(S): A careful examination of every infant's external genitalia should be performed immediately after delivery. A urethrovaginal fistula should be corrected in time to facilitate menstrual flow and improve future reproductive potential.
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