Urethrovaginal Fistula in a 5-Year-Old Girl

Coulibaly, N.; Sangaré, Ibrahima Séga

doi:10.1155/2015/202059

Cited by 2 publications

(9 citation statements)

References 10 publications

(20 reference statements)

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“…Our patients had history of FGM with is consistent with what was reported by Kiosoglous, et al [2], Webster, et al [3], Meeks, et al [4], and Coulibaly et al [11]. They reported that urethrovaginal fistula in girls can be congenital or post traumatic.…”

Section: Discussionsupporting

confidence: 90%

“…The age of patients of 12 years is higher than the average age reported for FGM of 5-8 years [7]. Coulibaly and Sangare [11]reported 5-year-old girl with urethrovaginal fistula which was suspected to be post traumatic as the traumatic event was not obvious.…”

Section: Discussionmentioning

confidence: 92%

“…The diagnosis of the fistula was difficult as clinical examination was difficult in girls as reported by Coulibaly and Sangare [11].…”

Section: Discussionmentioning

confidence: 99%

“…The diagnosis was established following examination under anaesthesia [11]. Micturating cystourethrogram was not helpful due to the presence of bladder outlet obstruction.…”

Section: Discussionmentioning

confidence: 99%

“…Early presentation with acute urinary retention, and bladder outlet obstruction masking urethrovaginal fistula is rare. There are few reports of urethrovaginal fistula from FGM and none presented with bladder outlet obstruction [11]. We report a case of a 12-year-old girl who presented with bladder outlet obstruction masking traumatic ure-throvaginal fistula from female genital mutilation…”

Section: Introductionmentioning

confidence: 91%

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Traumatic Urethrovaginal Fistula from Female Genital Mutilation Presenting as Bladder Outlet Obstruction: A Rare Case Report

Muhammad¹

2021

AUN

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BackgroundUrethrovaginal fistula is an abnormal communication between urethra and vagina by an epithelialized tract. In girls the cause can be congenital or post traumatic. Female genital mutilation may be associated with urethrovaginal fistula and the predominant presentation is that of continuous urinary incontinence. Presentation with bladder outlet obstruction and inability to pass urine is rare. We report a 12-year old girl with traumatic urethro-vaginal fistula post female genital mutilation who presented with inability to pass urine and bladder outlet obstruction. Case reportThis is a 12-year old girl who presented with urethral bleeding and inability to pass urine following female genital mutilation. She had suprapubic cystostomy due to failed urethral catheterization. Micturating cystourethrogram revealed huge bladder with tight bladder neck. The haemogram, urine microscopy, electrolyte urea and creatinine were within normal limits. She had examination under anaesthesia which revealed urethrovaginal fistula and obliteration of the bladder neck. She had multilayer repair of the fistula via abdominoperineal approach. Urethral catheter was removed after 6 weeks. She developed nocturnal enuresis post operatively which was managed with tolterodine. ConclusionUrethrovaginal fistula from female genital mutilation may present with bladder outlet obstruction. Micturating cystogram may not be diagnostic. Examination under anaesthesia may be necessary for proper diagnosis. Abdominoperineal multilayer repair is associated with good outcome.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 92%

“…The diagnosis of the fistula was difficult as clinical examination was difficult in girls as reported by Coulibaly and Sangare [11].…”

Section: Discussionmentioning

confidence: 99%

“…The diagnosis was established following examination under anaesthesia [11]. Micturating cystourethrogram was not helpful due to the presence of bladder outlet obstruction.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 91%

See 3 more Smart Citations

Traumatic Urethrovaginal Fistula from Female Genital Mutilation Presenting as Bladder Outlet Obstruction: A Rare Case Report

Muhammad¹

2021

AUN

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Vesicovaginal fistula: an uncommon complication of a perineal burn in a 12-year-old girl

Cheikhrouhou¹,

Ben²,

Manar³

et al. 2023

Arch Case Rep

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Perineal burns are a rare finding in children that may cause severe complications. Vesicovaginal fistulas are an uncommon complication of a perineal burn that can be a tragedy for girls suffering from them. Fistula and/or its treatment are a socially debilitating problem with significant medicolegal implications. We present a rare case of a girl with a history of traumatic perineal burns who was diagnosed with a vesicovaginal fistula and repaired through a transvaginal approach.

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Urethrovaginal Fistula in a 5-Year-Old Girl

Abstract: Urethral fistulas are rare in girls. They occur most of the time during trauma. The case presented here is an iatrogenic fistula. The treatment was simple and consisted of a simple dissection and suture of urethra and vagina.

Cited by 2 publications

References 10 publications

Traumatic Urethrovaginal Fistula from Female Genital Mutilation Presenting as Bladder Outlet Obstruction: A Rare Case Report

Traumatic Urethrovaginal Fistula from Female Genital Mutilation Presenting as Bladder Outlet Obstruction: A Rare Case Report

Vesicovaginal fistula: an uncommon complication of a perineal burn in a 12-year-old girl

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