Work

Unclassified complex urogenital anomaly in a 3-year-old girl: Diagnostic and surgical challenges

Year: 2026

Type: article

Abstract: Complex urogenital malformations are rare congenital anomalies that often escape existing classification systems due to marked anatomical variability. We describe a previously unreported urogenital malformation. A 3-year-old girl presented with ambiguous genitalia, a single perineal urogenital orifice, bilateral duplicated renal systems with complete vesicoureteral reflux, and vaginal agenesis. Endoscopy revealed a bladder dome diverticulum containing ureteral and cervical orifices. She underwent bilateral ureteral reimplantation and creation of an ileal neovagina with utero-neovaginal anastomosis, with an uneventful postoperative course. This anomaly represents a previously unreported entity and underscores the need for individualized, multidisciplinary management.

Source: Urology Case Reports

DOI: 10.1016/j.eucr.2026.103379

Authors: Ilaria Manghi, Tommaso Gargano, Francesca Ruspi, Michela Maffi, Michele Libri, Marcello Domini

Institutions: IRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola, University of Bologna

Language: English

Topic: Urological Disorders and Treatments

Subfield: Urology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,160