RECONSTRUCTION OF URETHROVAGINAL FISTULA AND VAGINAL ATRESIA IN AN ADOLESCENT GIRL AFTER AN ABDOMINOPERINEAL-VAGINAL PULL-THROUGH PROCEDURE

Objective: To report a rare case of urethrovaginal communication and v aginal atresia. Design: To reconstruct the communication and the vagin al route. Setting: Division of Pediatric and Adolescent Gynecology and Corrective Gynecological Surgery, University of Athens, and ''Alexand ra'' Hospital. Patient(s): A 16-year-old girl with cyclic hematuria, p eriodic pelvic pain, and primary amenorrhea. Intervention(s): Diagnost ic studies, followed by an abdominoperineal-vaginal pull-through proce dure. Main Outcome Measure(s): Reconstruction of the urethrovaginal fi stula and vaginal route. Result(s): Normal menstruation through the va ginal route. Conclusion(s): A careful examination of every infant's ex ternal genitalia should be performed immediately after delivery. A ure throvaginal fistula should be corrected in time to facilitate menstrua l flow and improve future reproductive potential. (C) 1997 by American Society for Reproductive Medicine.