Rajasekar Prabu Elango, Rajoo Ramachandran, Anupama Chandrasekharan
{"title":"Ephemeral urocolpos: Radiological insights into a rare presentation of vesicovaginal reflux.","authors":"Rajasekar Prabu Elango, Rajoo Ramachandran, Anupama Chandrasekharan","doi":"10.4103/iju.iju_119_26","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p>","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"42 3","pages":"243-245"},"PeriodicalIF":1.0000,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13374944/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Urology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/iju.iju_119_26","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/6/30 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
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.
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