Vesicovaginal reflux as a cause of hydrocolpos in prepubertal females: A radiologist’s perspective

Vesicovaginal reflux (VVR) is common in prepubertal females presenting with voiding dysfunction. However, VVR as a cause of gross hydrocolpos is uncommon in clinical practice. The varied clinical presentation and perplexing imaging findings often results in undergoing a battery of clinical and radiological tests before arriving at a definitive diagnosis. In this article we present the classical imaging features of non-obstructive hydrocolpos due to VVR which differentiates it obstructive causes that can present with similar imaging features


[1]Snyder EM, Nguyen RA, Young KJ, Coley BD. Vesicovaginal reflux mimicking Davis obstructive hydrocolpos. J Ultrasound Med. 2007;26(12):1781-4.

[2] LA, Chumley WF. The frequency of vaginal reflux during micturition - its possible importance to the interpretation of urine cultures. Pediatrics. 1966;38(2):293- 4.

[3]Kelalis PP, Burke EC, Stickler GB, Hartman GW. Urinary vaginal reflux inchildren. Pediatrics. 1973;51(5):941-2.

[4]Stannard MW, Lebowitz RL. Urography in the child who wets. AJR Am J Roentgenol. 1978;130(5):959-62.

[5]Capraro VJ, Greenberg H. Adhesions of the labia minora. A study of 5o patients. Obstet Gynecol. 1972;39(1):65-9.

[6]Gassner I, Geley TE. Ultrasound of female genital anomalies. Eur Radiol. 2004;14 Suppl 4:L107-22. Review.

[7]Szabó L, Lombay B, Borbás E, Bajusz I. Videourodynamics in the diagnosis of urinary tract abnormalities in a single center. Pediatr Nephrol. 2004;19(3):326-31.

[8]Saxton HM, Borzyskowski M, Mundy AR, Vivian GC. Spinning top urethra: not a normal variant. Radiology. 1988;168(1):147-50.

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