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Isolated congenital vesicovaginal fistula: A case report | ||
| Medical Journal of Tikrit | ||
| Article 1, Volume 1, Issue 141, 2012, Pages 57-58 | ||
| Author | ||
| Azzawi M. Hadi | ||
| Abstract | ||
| Four years old girl presented with continuous leak of urine with no history of voiding action dad been noticed since birth. Abdominal ultrasound shows neither abnormality of Kidney nor other abdominal organs and intravenous urography show normal upper urinary tract with visualization of vagina with the cystogram phase. Cystography confirm this finding (Fig. 1A and B). cystoscopy shows that the fistula tract was present just behind the interureteric ridge ( colposcopy not done ). Surgical correction performed via a transvesical abdominal approach. Resection of fistula after stenting of the ureters done followed by closure of the vesical end of the fistula transversely. Mobilization and interposition of the perivesical fat done instead of peritoneum to decrease the risk of recurrence of fistula. The vesical end of the fistula tract closed in double layer longitudinal manner. Post operative days was uneventful, Foley's catheter was kept for 10 days for free drainage of urine then removed with very good bladder capacity and a dry child | ||
| Keywords | ||
| Isolated congenital vesicovaginal fistula | ||
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