Abstract
In a girl born with cloaca, both hemivaginae and rectum were located above the bladder
neck, and both ureters were connected to the hemivaginae. After diverting colostomy
and cystovaginoscopy on the second day of life, the repair of cloaca was performed
at 10 months of age by posterior sagittal anorecto vaginoplasty (PSARVP), including
laparotomy and bilateral ureteric reimplantation. Eight months after the surgery,
she developed a vesicovaginal fistula, which was repaired and closed by open surgery
through the bladder. Three months after this procedure, a tiny urethrovaginal fistula
was noticed, which was closed at the age of 2 years using hook diathermy to refresh
the edges and was then closed by Deflux injection. The proper closure of the urethrovaginal
fistula was confirmed by radiology and cystoscopy 3 months after the surgery. This
report shows that injection of Deflux into a tiny urethrovaginal fistula following
refreshing the edges may be a valid treatment option in selected cases.
Keywords
cloaca - urethrovaginal fistula - use of Deflux
