Congenital vesicovaginal fistula with menouria: an anomaly of the urogenital sinus

Escoriza, Juan Carlos Martínez; Lobato, Juan; Lorda, Elena; Vera, Mónica De; Moya, António Morales; Ramírez, Romina; Sánchez, Oscar Piñero

doi:10.1016/j.ejogrb.2011.09.008

Cited by 8 publications

(3 citation statements)

References 6 publications

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“…HSG will show a normal endometrial cavity and 3D-US and especially MR allow the right diagnosis. Anomalies of the cloaca and urogenital sinus (including congenital vagino-vesical fistulas) : This category includes cases as simple as the imperforate hymen due to a persistent urogenital membrane together with blind hemibladder [ 54 ], bladder duplication [ 55 , 56 ], bilateral single system ectopic ureters opening into the vestibule or a vaginalised urogenital sinus with bladder agenesis or hypoplastic bladder [ 57 – 59 ] or congenital vesico-vaginal or vesico-uterine fistulas (pseudofistula with menuria [ 60 , 61 ]) and cloacal exstrophy [ 62 , 63 ] (Fig. 8 ).…”

Section: Diagnostic Imagingmentioning

confidence: 99%

Diagnostic imaging and cataloguing of female genital malformations

Acién

2016

Insights Imaging

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To help physicians and radiologists in the diagnosis of female genito-urinary malformations, especially of complex cases, the embryology of the female genital tract, the basis for Müllerian development anomalies, the current classifications for such anomalies and the comparison for inclusion and cataloguing of female genital malformations are briefly reviewed. The use of the embryological system to catalogue female genito-urinary malformations may ultimately be more useful in correlations with clinical presentations and in helping with the appropriate diagnosis and treatment. Diagnostic imaging of the different genito-urinary anomalies are exposed, placing particular emphasis on the anomalies within group II of the embryological and clinical classification (distal mesonephric anomalies), all of them associated with unilateral renal agenesis or dysplasia. Similarly, emphasis is placed on cases of cervico-vaginal agenesis, cavitated noncommunicated uterine horns, and cloacal and urogenital sinus anomalies and malformative combinations, all of them complex malformations. Diagnostic imaging for all these anomalies is essential. The best imaging tools and when to evaluate for other anomalies are also analysed in this review.Teaching points• The appropriate cataloguing of female genital malformations is controversial.• An embryological classification system suggests the best diagnosis and appropriate management.• The anomalies most frequently diagnosed incorrectly are the distal mesonephric anomalies (DMAs).• DMAs are associated with unilateral renal agenesis or renal dysplasia with ectopic ureter.• We analyse other complex malformations. Diagnostic imaging for these anomalies is essential.

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Section: Diagnostic Imagingmentioning

confidence: 99%

Diagnostic imaging and cataloguing of female genital malformations

Acién

2016

Insights Imaging

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“…If there is ectopic sprouting of the ureteral bud, renal hypoplasia could result in renal agenesis along with the appearance of an open ectopic ureter in the blind vagina. Additionally, if this blind vagina is associated with some anomaly in urogenital sinus development, a congenital vesicovaginal fistula (pseudofistula with menouria) may result 1 2…”

Section: Discussionmentioning

confidence: 99%

“…It is our recommendation that the diagnostic study must be thorough and carefully conducted due to the fact that this condition usually involves young patients who are not sexually active 2. The study should include an ultrasound, vaginoscopy, MRI, an examination under anaesthesia and sometimes a laparoscopy.…”

Section: Introductionmentioning

confidence: 99%