An unexpected diagnosis in a girl when evaluating vesicoureteral reflux: Congenital vesicovaginal fistula

In this case presentation, we report a case of 13-year-old girl who was referred for treatment with vesicoureteral reflux (VUR), who had complaints of frequent urinary tract infections and urinary incontinence since her birth, and was diagnosed with congenital vesicovaginal fistula (CVVF). In the fistula closure procedure, multilayer repair and uretereneocystostomy with a transtrigonal approach was performed, and the patient did not have any complaints after the treatment. CVVF can usually be seen with other urogenital system anomalies. We aimed to present our unique case because of the challenging in diagnosis and association with VUR.

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[1]Martínez Escoriza JC, Palacios Marqués AM, López Fernández JA, et al. Congenital vesicovaginal fistula with or without menouria: a literature review. Eur J Obstet Gynecol Reprod Biol. 2014 ;175:38-48.

[2]Asanuma H, Nakai H, Shishido S, et al. Congenital vesico vaginal fistula. Int J Urol. 2000;7(5):195-98.

[3]Verhoeven AT. Primary menouria due to congenital vesico vaginal fistula. Obstet Gynecol. 1973;41(4):515-20.

[4]Singh V, Sinha RJ, Mehrotra S. Primary menouria due to a congenital vesico-vaginal fistula with distal vaginal agenesis: a rarity. Int Urogynecol J. 2011;22(8):1031-1033.

[5]Acién P, Acién MI. The history of female genital tract malformation classifications and proposal of an updated system. Hum Reprod Update. 2011;17(5):693-705.

[6]Suarez GM, Burden JJ. Isolated congenital vesicovaginal fistula. J Urol. 1983;129(2):368-370.

[7]Zeineddine HA, Nassif J, El-Hout Y, et al. Congenital vesicovaginal fistula: spontaneous or forced? Two cases and literature review. Int Urogynecol J. 2014;25(9):1167-172.

[8]Kumar S, Mandal A, Acharya N, et al. Congenital vesicovaginal fistula with transverse vaginal septum and ectopic ureteropening in proximal vagina: case report and brief review. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18(8):959-61.

[9]Dolan LM, Easwaran SP, Hilton P. Congenital vesicovaginal fistula in association with hypoplastic kidney and uterus didelphys. Urology. 2004;63(1):175-77.

[10]Wong YS, Tam YH, Pang KKY, et al. Robotic repair of congenital vesicovaginal fistula masquerading as a ureterocele in a 10-year-old girl. Urol Case Rep. 2018;20:48-50.

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