Reconstruction of urethrovaginal fistula and vaginal atresia in an adolescent girl after an abdominoperineal-vaginal pull-through procedure.
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.
Creatsas
G
G
First Department of Obstetrics and Gynecology, University of Athens, Greece.
Deligeoroglou
E
E
Sakellariou
P
P
Kyritsis
N
N
Michalas
S
S
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*