Uterovaginal agenesis associated with rectovestibuler fistula: Report of two cases [Uterovajinal agenezili rektovestibüler fistül: İki olgu sunumu]

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dc.contributor.authorGünel E.
dc.contributor.authorYurtçu M.
dc.date.accessioned2020-03-26T16:55:42Z
dc.date.available2020-03-26T16:55:42Z
dc.date.issued2004
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractA very unusual anorectal defect in two patients, consisting of a rectovestibular fistula and uterovaginal agenesis is presented. The defect can be misdiagnosed as imperforate anus with rectovestibular fistula or imperforate anus without fistula and with normal urethral and vaginal openings. A colostomy was opened at the neonatal period in the patients, and definitive repair of the anorectal anomaly was performed when the patients were 6-month-old. With the posterior sagittal approach, the distal rectum was used to create the neovagina in the patients. The proximal rectum was mobilized and placed within the limits of the sphincter mechanism as described by Pena et al. All patients had normal ovaries, but fallopian tubes gradually became cordlike structures as they approached the midline, and the uterus and vagina were completely absent. One patient, who is 4 years old, is continent of urine and has voluntary bowel movements. The other patient is under 3 years of age and is therefore not old enough to determine a clinical result. We don't have evidence that the neovagina functions as a vagina in the patients to allow sexuall activity. The posterior sagittal approach represents another alternative to treat these defects without the need for laparotomy. It is mandatory to perform a meticulous inspection of the perineum in female patients with anorectal malformations to detect unusual defects.en_US
dc.identifier.endpage41en_US
dc.identifier.issn1016-5142en_US
dc.identifier.issue1en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage39en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12395/19310
dc.identifier.volume18en_US
dc.indekslendigikaynakScopusen_US
dc.language.isotren_US
dc.relation.ispartofPediatrik Cerrahi Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectAnorectal malformationen_US
dc.subjectImperforate anüsen_US
dc.subjectUterovaginal agenesisen_US
dc.subjectVaginal replacementen_US
dc.titleUterovaginal agenesis associated with rectovestibuler fistula: Report of two cases [Uterovajinal agenezili rektovestibüler fistül: İki olgu sunumu]en_US
dc.typeArticleen_US

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