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Urethrovaginal reflux: case report

Ljerka Banožić ; Opća županijska bolnica, Požega
Goran Roić ; Klinika za dječje bolesti Zagreb
Andrea Šimić Klarić ; Opća županijska bolnica, Požega
Vlado Drkulec ; Opća županijska bolnica, Požega
Andrea Cvitković Roić ; Poliklinika Helena

Puni tekst nije dostupan.

The aim of this article is to draw attention to urethrovaginal refl ux as a possible and quite common cause of daily incontinence in
school-age girls. Our patient was a nine-year-old girl with recurrent vulvitis, recurrent bacteriuria and daily incontinence. Until
defi nitive diagnosis had been established, she was treated with oral antibiotics and local antimycotics. Kidney and bladder ultrasound
and urofl ow were normal. Second ultrasound showed the bladder occupied with a retrovesical tubular structure of 4.8x2.6x6.8
cm that matched to the vagina. After voiding, the structure was not evacuated. Applying abdominal pressure, there was fl ow of the
urine in spite of the empty bladder. This fi nding pointed to urethrovaginal refl ux. Magnetic resonance was performed to exclude the
possibility of vesicovaginal fi stula and to confi rm the diagnosis of urethrovaginal refl ux.

Ključne riječi
child; urinary incontinence; vulvitis; vesico-ureteral reflux

Hrčak ID: 120006



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