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Indian J Urol. 2009 Oct-Dec;25(4):534-6. doi: 10.4103/0970-1591.57924.

Menouria due to congenital vesicovaginal fistula associated with complex genitourinary malformation.

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  • 1Department of Urogynecology, Government Kasturba Gandhi, Hospital, Madras Medical College, Triplicane, Chennai - 600 005, Tamil Nadu, India.


Background: Congenital vesicovaginal fistula (VVF) is a very uncommon condition rarely suspected at initial presentation. It is usually seen in association with complex malformations of the genitourinary tract. Case: A bifid insertion of the solitary ureter causing an uretero-VVF was associated with an obstructing transverse vaginal septum manifesting as menouria. Also seen were solitary crossed renal ectopia, bicornuate uterus and skeletal anomalies. Conclusion: In women with menouria without vaginal menstruation, pre-operative evaluation to detect an obstructive vaginal anomaly and unusual uretero-vesicovaginal fistulous communications is necessary before surgical intervention.

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