Vaginal Reconstruction with Native Rectovestibular Fistula in an Infant with Vaginal Agenesis and Imperforate Anus

Vaginal agenesis is a congenital anomaly which occurs as isolated developmental defect or as a part of complex anomalies. Vaginal anomalies associated with anorectal malformations are usually diagnosed and repaired in time of surgical correction of anorectal malformations during the infancy period. Herein a case with vaginal agenesis and recto-vestibular fistula, who underwent a neo-vaginal reconstruction with distal segment of fistula during the posterior sagittal anorectoplasty was presented. The use of recto-vestibular fistula as a neo-vagina in cases with vaginal agenesis combined imperforate anus seems to be a feasible and effective approach that has satisfactory anatomical and functional outcomes for vaginal reconstructions.