Congenital vaginal fistula from a single system ectopic ureter: A case report.

Abstract

BACKGROUND: Vaginal fistulae particularly vesico-vagina fistula, is a common urogynaecologic problem in Sub-Saharan Africa. Majority of these cases are acquired and congenital fistulas are rare. We here report a case of congenital vaginal fistula secondary to an ectopic ureter in 15 year old Nigerian female. METHOD: The case records of a 15 year old female who presented to the obstetrics and gynaecological unit of the Federal Medical centre Azare and a Review of literature on the subject was used. RESULT: A 15-old-girl presented with continuous leakage of urine from the vaginal since birth despite the establishment of normal voiding habit. Examination revealed urine leaking from a pinhole fistula in the vestibule. Intravenous urography showed delayed excretion of the right kidney with a normal single ureter (single system) and normal left kidney. Ureteric implantation into the bladder was performed with good postoperative outcome. CONCLUSION: In an environment with scarce resources, managing ectopic ureter in the female is quiet challenging. Multidisciplinary approach involving the urologist, paediatric surgeon, radiologist and the gynaecologist will yield the best outcome.