Transverse vaginal septum with congenital vesical-vaginal communication and cyclical hematuria.
Cyclical hematuria is an unusual presentation of a müllerian fusion anomaly. We report a patient with transverse vaginal septum and menstruation by way of the lower urinary tract because of a vesical-vaginal communication. A defect of vertical fusion, transverse vaginal septum results from failure of canalization of the vaginal plate. Reconstruction using a transvaginal and transabdominal approach created a direct anastomosis between the proximal vaginal segment and the distal vaginal pouch. Previously described cases are reviewed.
Chin
Arnold I
AI
Department of Urology, University of California, Los Angeles, David Geffen School of Medicine, Los Angeles, California 90095, USA. aichin@ucla.edu
Rutman
Matthew
M
Raz
Shlomo
S
D000328:Adult; D000714:Anastomosis, Surgical; D003558:Cystoscopy; D005260:Female; D006417:Hematuria / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D009095:Mullerian Ducts / Q000002:abnormalities*; D015607:Stents; D001743:Urinary Bladder / Q000601:surgery; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery; D014719:Vesicovaginal Fistula / Q000150:complications* / Q000151:congenital* / Q000601:surgery