Congenital Urethrovaginal Fistula With Imperforate Hymen: A First Case Report |
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| Affiliation: | 1. Department of Urology, King Edward Memorial Hospital, Mumbai, India;2. Department of Obstetrics and Gynecology, King Edward Memorial Hospital, Mumbai, India;1. Section of Gynecology, Virginia Mason Medical Center, Seattle, WA, USA;2. Division of Research, Women and Infants’ Hospital of Rhode Island, Providence, RI, USA;3. Department of Obstetrics and Gynecology, National University of Rwanda, Kigali, Rwanda;4. Warren Alpert Medical School of Brown University, Providence, RI, USA;5. Department of Obstetrics and Gynecology, Division of Urogynecology and Reconstructive Pelvic Surgery, Women and Infants’ Hospital of Rhode Island, Warren Alpert Medical School of Brown University, Providence, RI, USA |
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| Abstract: | BackgroundCongenital urethrovaginal fistulas are rare, and all five reported cases have been associated with urogenital abnormalities. We describe a case of congenital urethrovaginal fistula with an imperforate hymen and no other urogenital abnormalities.CaseA 25-year-old female sought medical advice regarding cyclical hematuria, dyspareunia, and infertility of four years’ duration. Investigations disclosed a urethrovaginal fistula with an imperforate hymen. The patient was successfully treated with excision of the hymen and closure of the urethrovaginal fistula.ConclusionIn this instance, the diagnosis of congenital urethrovaginal fistula was delayed until adulthood because the presence of urinary incontinence, the usual presentation of a urethrovaginal fistula, was concealed by the imperforate hymen. We could find no previously reported case of urethrovaginal fistula with imperforate hymen. |
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