title: Reconstruction of urethrovaginal fistula and vaginal atresia in an adolescent girl after an abdominoperineal-vaginal pull-through procedure.
abstract: OBJECTIVE
  To report a rare case of urethrovaginal communication and vaginal atresia.
  
  
  METHODS
  To reconstruct the communication and the vaginal route.
  
  
  METHODS
  Division of Pediatric and Adolescent Gynecology and Corrective Gynecological Surgery, University of Athens, and "Alexandra" Hospital.
  
  
  METHODS
  A 16-year-old girl with cyclic hematuria, periodic pelvic pain, and primary amenorrhea.
  
  
  METHODS
  Diagnostic studies, followed by an abdominoperineal-vaginal pull-through procedure.
  
  
  METHODS
  Reconstruction of the urethrovaginal fistula and vaginal route.
  
  
  RESULTS
  Normal menstruation through the vaginal route.
  
  
  CONCLUSIONS
  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.
authors.affiliation: First Department of Obstetrics and Gynecology, University of Athens, Greece.
authors.forename: G
authors.initials: G
authors.lastname: Creatsas
authors.forename: E
authors.initials: E
authors.lastname: Deligeoroglou
authors.forename: P
authors.initials: P
authors.lastname: Sakellariou
authors.forename: N
authors.initials: N
authors.lastname: Kyritsis
authors.forename: S
authors.initials: S
authors.lastname: Michalas
mesh_terms: D000293:Adolescent; D000568:Amenorrhea / Q000601:surgery; D005260:Female; D005402:Fistula / Q000601:surgery*; D006801:Humans; D010502:Perineum; D014522:Urethral Diseases / Q000601:surgery*; D014621:Vagina / Q000002:abnormalities*; D014624:Vaginal Fistula / Q000601:surgery*