PMC9453387_01
Preoperative imaging examinations. (A) voiding cystourethrography (VCUG) showed vaginal obstruction (black arrow), vaginal effusion (white arrow) and urethra-vaginal fistula (yellow arrow). (B) VCUG showed bilateral VUR (grade III on right side [black arrow] and grade II on left side [white arrow]). (C) contrast-enhanced voiding urosonography (ceVUS) revealed urethra-vaginal fistula (black arrow). (D) ceVUS revealed vaginal obstruction with vaginal effusion (black arrow). (E) ceVUS revealed bilateral VUR (grade III on right side and grade II on left side) (white arrows).
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Voiding cystourethrography (VCUG) revealed urethra-vaginal fistula, vaginal obstruction with vaginal effusion ( Figure 1A ), and bilateral vesicoureteral reflux (VUR) (grade III on the right side and grade II on the left side) ( Figure 1B ), and this was re-demonstrated on contrast-enhanced voiding urosonography (ceVUS) ( Figures 1C-E ).
Postoperative contrast-enhanced voiding urosonography (ceVUS) results. (A) ceVUS showed bilateral vesicoureteral reflux (VUR) (grade III on right side and grade I on left side) (white arrows) 4 weeks postoperatively. (B) ceVUS revealed grade II VUR on right side (white arrows) and no VUR on left side 8 months after surgery.
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Repeated ceVUS was done 4 weeks postoperatively, which showed bilateral VUR (grade III on the right side and grade I on the left side) and no vaginal orifice obstruction with vaginal effusion ( Figure 2A ). Another repeated ceVUS showed grade II VUR on the right side, no VUR on the left side, and no vaginal orifice obstruction with vaginal effusion 8 months after surgery ( Figure 2B ).