Ureterovaginoplasty for vaginal atresia (unique technique in treatment): A case report with description of associated arterial anomalies and retroiliac artery ureters

J. Saalfeld, Patrick Walsh, W. E. Goodwin

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1039-1045
Number of pages7
JournalJournal of Urology
Volume109
Issue number6
StatePublished - 1973
Externally publishedYes

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Ureter
Arteries
Kidney
Aorta
Therapeutics
Iliac Artery
Urinary Tract

ASJC Scopus subject areas

  • Urology

Cite this

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abstract = "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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AU - Walsh, Patrick

AU - Goodwin, W. E.

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AB - 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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