Post-coital urethrovesical rupture in a woman with congenital vaginal atresia and vesicovaginal fistula: A case report

Abstract

Background: Congenital vaginal atresia coexisting with congenital vesicovaginal fistula is a rare occurrence. It could also lead to rare complications including urethral coitus that could result in urethrovesical rupture.

Case presentation: A 21-year-old female presented with a history of cyclic hematuria (menouria) to the
urogynaecology clinic at the Kenyatta National Hospital. She gave a history of urine incontinence following her sexual debut. Examination under anesthesia revealed urethrovesical rupture and vaginal atresia. She was scheduled for a staged reconstructive surgery of the urethra and bladder and vaginoplasty.

Conclusion: Urethrovesical rupture is a possible complication of coitus in women with vaginal atresia. Since these women often present at an early age before coitus, early referrals and management could help avoid coital related complications like urethral coitus and urethrovesical rupture.