Ephemeral urocolpos: Radiological insights into a rare presentation of vesicovaginal reflux.

IF 1 Q3 UROLOGY & NEPHROLOGY
Indian Journal of Urology Pub Date : 2026-07-01 Epub Date: 2026-06-30 DOI:10.4103/iju.iju_119_26
Rajasekar Prabu Elango, Rajoo Ramachandran, Anupama Chandrasekharan
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引用次数: 0

Abstract

Ephemeral urocolpos, characterized by urine accumulation in the vagina, is a rare presentation of vesicovaginal reflux, often resolving spontaneously. Its transient nature necessitates dynamic pre- and postvoid imaging. Transabdominal ultrasound of an 18-year-old obese female with intermittent postvoid urinary dribbling suggested urocolpos by demonstrating an anechoic fluid collection in the vagina that increased in size postvoid, with subsequent near-complete resolution, highlighting its transient nature. The magnetic resonance imaging corroborated this with postvoid T2-hyperintense (urine signal) vaginal distension. The computed tomography voiding cystourethrogram showed contrast reflux into the vagina during micturition, without structural anomaly or fistulous tract. Conservative management (voiding retraining) led to symptom resolution.

短暂性尿阴道:罕见膀胱阴道反流的影像学表现。
短暂性尿性阴道,其特征是尿液在阴道内积聚,是膀胱阴道反流的一种罕见表现,通常自行消退。它的瞬态性质需要动态的空前和空后成像。18岁肥胖女性,间歇空后尿滴,经腹部超声提示:阴道内无回声液体聚集,空后体积增大,随后几乎完全溶解,突出了其短暂性。磁共振成像证实了这一点,并伴有腔后t2高信号(尿信号)阴道膨胀。计算机断层排尿膀胱尿道造影显示排尿时造影剂返流阴道,无结构异常或瘘道。保守治疗(不进行再培训)导致症状缓解。
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来源期刊
Indian Journal of Urology
Indian Journal of Urology UROLOGY & NEPHROLOGY-
CiteScore
1.90
自引率
0.00%
发文量
62
审稿时长
33 weeks
期刊介绍: Indian Journal of Urology-IJU (ISSN 0970-1591) is official publication of the Urological Society of India. The journal is published Quarterly. Bibliographic listings: The journal is indexed with Abstracts on Hygiene and Communicable Diseases, CAB Abstracts, Caspur, DOAJ, EBSCO Publishing’s Electronic Databases, Excerpta Medica / EMBASE, Expanded Academic ASAP, Genamics JournalSeek, Global Health, Google Scholar, Health & Wellness Research Center, Health Reference Center Academic, Hinari, Index Copernicus, IndMed, OpenJGate, PubMed, Pubmed Central, Scimago Journal Ranking, SCOLOAR, SCOPUS, SIIC databases, SNEMB, Tropical Diseases Bulletin, Ulrich’s International Periodical Directory
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