title: Congenital urethrovaginal fistula with imperforate hymen: a first case report.
abstract: BACKGROUND
  Congenital urethrovaginal fistulas are rare, and all five reported cases have been associated with urogenital abnormalities. We describe a case of congenital urethrovaginal fistula with an imperforate hymen and no other urogenital abnormalities.
  
  
  METHODS
  A 25-year-old female sought medical advice regarding cyclical hematuria, dyspareunia, and infertility of four years' duration. Investigations disclosed a urethrovaginal fistula with an imperforate hymen. The patient was successfully treated with excision of the hymen and closure of the urethrovaginal fistula.
  
  
  CONCLUSIONS
  In this instance, the diagnosis of congenital urethrovaginal fistula was delayed until adulthood because the presence of urinary incontinence, the usual presentation of a urethrovaginal fistula, was concealed by the imperforate hymen. We could find no previously reported case of urethrovaginal fistula with imperforate hymen.
authors.affiliation: Department of Urology, King Edward Memorial Hospital, Mumbai, India.
authors.forename: Jayesh V
authors.initials: JV
authors.lastname: Dhabalia
authors.affiliation: Department of Urology, King Edward Memorial Hospital, Mumbai, India.
authors.forename: Girish G
authors.initials: GG
authors.lastname: Nelivigi
authors.affiliation: Department of Obstetrics and Gynecology, King Edward Memorial Hospital, Mumbai, India.
authors.forename: Meena N
authors.initials: MN
authors.lastname: Satia
authors.affiliation: Department of Urology, King Edward Memorial Hospital, Mumbai, India.
authors.forename: Shal
authors.initials: S
authors.lastname: Kakkattil
authors.affiliation: Department of Urology, King Edward Memorial Hospital, Mumbai, India.
authors.forename: Vikash
authors.initials: V
authors.lastname: Kumar
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D006924:Hymen / Q000002:abnormalities* / Q000601:surgery; D014548:Urinary Fistula / Q000151:congenital* / Q000601:surgery; D014624:Vaginal Fistula / Q000151:congenital* / Q000601:surgery