Primary cyclical menouria: a rare presentation
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20240148Keywords:
Menouria, Vesicouterine fistula, Cervical agenesisAbstract
Congenital vesicouterine fistula is a rare condition usually seen in association with malformations of the genitourinary tract. We report the case of a 42 yar old nulligravida with complaints of cyclical passage of blood in the urine (menouria) with severe dymenorrhoea. Physical examination revealed well developed breasts and pubic hair with a normal patent vagina but no communication between the vagina and uterus. Cystoscopy revealed the presence of a fistulous tract in the supraishtmic part between the uterus and the bladder. A hysterectomy and uterovesical fistulectomy repair were done which offered symptomatic relief to patient.
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