Korean J Urol.
1998 Nov;39(11):1154-1157.
Congenital Urethrovaginal Fistula Combined with Uterine Didelphia, Vaginovaginal Fistula and Single Kidney
- Affiliations
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- 1Department of Urology, Korea University College of Medicine, Seoul, Korea.
- 2Department of Gynecology, Korea University College of Medicine, Seoul, Korea.
Abstract
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Congenital urethrovaginal fistula is a rare disease. And also, combining with other congenital anomalies such as mesonephric duct defect is extremely rare. Mesonephric duct defect occurs in the 4th week of gestational age which leads to solitary kidney and didelphia with obstruction of the ipsilateral horn of uterus and the vagina. The bulbocavernous fat pad or gracillis myocutaneous flap can be used when second-layer closure of the urethrovaginal fistula is difficult to perform because of location, scarring, and lack of sufficient fascia. However, in this case, we used the anterior wall of occult vagina for second-layer closure of the urethrovaginal fistula. We encountered a case of congenital urethrovaginal fistula combined with double vagina, vaginovaginal fistula and single kidney in a 28-year-old female.