Congenital Ureterovaginal Fistula Secondary to Ectopic Ureter – A Case Report

Abstract

Urinary incontinence has a negative impact on a woman’s quality of life. Female genital fistula is an important cause of urinary incontinence in developing countries. A congenital malformation such as an ectopic ureter is a rare cause of genital fistula. We present a case of a 20 year-old lady with involuntary leakage of urine from the vaginal from birth. She experienced both nocturnal and daytime incontinence despite having normal normal bladder filling and emptying. On examination, a tiny opening was seen on the anterior vaginal wall spilling urine. Computerized tomography urogram showed a left complete duplex collecting system with upper moiety ectopic ureter inserting into the vagina. A diagnosis of congenital ureterovaginal fistula secondary to an ectopic ureter was made. She had ureteroneocystostomy of the left ectopic ureter and was discharged home continent. An ectopic ureter should be considered in the differential diagnosis of urinary incontinence in a patient with normal bladder filling and emptying. Radiological evaluation is important and best outcomes are achieved using a multidisciplinary approach.