Posterosagital Anorektoplasti Sırasında Vajinal Anomalilere Dikkat

The incidence of urogenital anomaly associated with anorectal anomalies is very high. Two different types of vaginal anomaly associated with anorectal anomalies were presented in here. An 8 months old girl admitted to our department due to anal atresia with rectovestibular fistula. A rectosigmoid colostomy was created due to very narrow fistula. During the definitive operation, two vaginal orifices were seen; vaginal septum excision and vaginoplasty via posterosagital anorectoplasty were done. Another girl admitted to our department anal atresia with rectovestibuler fistula who had one year old. Calibration and dilatation of the fistula had been done until Hegar 15. Patient had been prepared for definitive operation without colostomy; but vaginal orifice was not found in perineal examination and a diverting sigmoid colostomy was created. Chromosomal analysis was found as 46 XX. Prediagnosis was vaginal atresia, because pelvic MR showed a suspicious imagination like an atrophic uterus. Vaginal orifice was absent at cystoscopy. Bifid uterus, right and left tubas, and right and left ovaries were seen at laparoscopy. A neovagina from rectovestibular fistula during the posterosagittal anorectoplasty was created in two years old, and three months later colostomy closed. In conclusion; girls with anorectal anomaly should be examined carefully at the first admission to determine the associated vaginal anomalies and to avoid surprises during the surgery.