The case of a 10 yr old girl with vaginal atresia and associated gynecological, urological, arterial and skeletal anomalies is presented. The urological and arterial anomalies included: retroiliac artery ureters, dysplastic left kidney with partial duplication of dilated ureters, blind ending accessory dilated right ureter, solitary functioning right kidney, reflux into all 3 ureters, high bifurcation of aorta, anomalous left hypogastric artery supplying the 2 arteries to the right kidney and origin of the left external iliac artery from the continuation of the aorta in the right iliac fossa. Treatment consisted of removal of the non functioning parts of the urinary tract. Advantage was taken of the large, left hydroureter attached to an atrophic kidney when the lower dilated portion of the ureter was incorporated into a ureterovaginoplasty. It is believed that this is the first case in which a segment of ureter has been used in vaginoplasty.
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