1. Reconstruction of urethrovaginal fistula and vaginal atresia in an adolescent girl after an abdominoperineal-vaginal pull-through procedure
- Author
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Stylianos Michalas, Nikos Kyritsis, Efthimios Deligeoroglou, George Creatsas, and Panagiotis Sakellariou
- Subjects
medicine.medical_specialty ,Adolescent ,Fistula ,medicine.medical_treatment ,Perineum ,Urethrovaginal fistula ,Urethral Diseases ,medicine ,Humans ,Amenorrhea ,Gynecological surgery ,business.industry ,Pelvic pain ,Vaginal Fistula ,Obstetrics and Gynecology ,medicine.disease ,Surgery ,medicine.anatomical_structure ,Vaginal atresia ,Reproductive Medicine ,Atresia ,Vagina ,Female ,medicine.symptom ,business - Abstract
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.
- Published
- 1997