PMC7532414_01
PMC7532414_02
IVP with contrast showing agenesis of the bladder and ureters opening to the vagina.
AU2020-2782783.001.jpg
PMC7532414_02_AU2020-2782783.001.jpg
fig1
For further examination, IVP with contrast was performed, showing bilateral ectopic ureters opening directly into the vagina in the absence of the urinary bladder and urethra (Figure 1).
PMC7532414_03
Normal saline passing through the conduit (appendix) after closing catheters of ureters.
AU2020-2782783.002.jpg
PMC7532414_03_AU2020-2782783.002.jpg
fig2
The tip of the appendix was anastomosed to the taeniae coli of the cecum by a flap-valve antireflux mechanism (Figure 2).
Neobladder creation surgery using the cecum and a part of the ascending colon.
AU2020-2782783.003.jpg
PMC7532414_03_AU2020-2782783.003.jpg
fig3
Ureters were dissected from the vagina and attached by an antireflux mechanism (Figure 3).