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Case Report: Vaginostomy until further reconstruction for the management of hydrocolpos causing hydronephrosis

Journal: Pediatric Urology Case Reports (Vol.7, No. 5)

Publication Date:

Authors : ;

Page : 116-120

Keywords : Neonatal hydronephrosis; vaginostomy; hydrocolpos; hydrometrocolpos; cloacal abnormality.;

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Abstract

Hydrocolpos is a rare congenital genitourinary anomaly that can cause clinically significant urinary tract obstruction with oligohydramnios and hydronephrosis antenatally and renal failure postnatally. Here, we discuss the management of a neonate with hydrocolpos and renal failure. Vaginostomy tube and bladder catheterization have been described previously. However, in this population, external tubes can be difficult to manage and have a high propensity of failure. Therefore, the patient was managed via creation of a vaginostomy, which allowed for continuous passive drainage of fluid into a diaper and maintained a decompressed urinary tract until further reconstruction could be pursued.

Last modified: 2020-10-18 23:28:05