Case Report: Vaginostomy until further reconstruction for the management of hydrocolpos causing hydronephrosis
Journal: Pediatric Urology Case Reports (Vol.7, No. 5)Publication Date: 2020-09-01
Authors : Paarth Kapadia Shreeya Popat Angela G. Mittal;
Page : 116-120
Keywords : Neonatal hydronephrosis; vaginostomy; hydrocolpos; hydrometrocolpos; cloacal abnormality.;
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.
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