Rare Presentation of Transverse Vaginal Septum with Menouria Complicated by Congenital Vesicovaginal Fistula

The uncommon presentation of a 28-year-old lady with primary infertility due to a congenital vesicovaginal fistula and transverse vaginal septum is described in this case report. A rare congenital condition called transverse vaginal septum is caused by aberrant Müllerian duct development. Additionally, the patient in this instance had a vesicovaginal fistula, a rare consequence thought to have arisen as a result of pressure from deposited menstrual blood. A micturating cystourethrogram, pelvic ultrasonography, and clinical examination were used to diagnose the patient’s condition. The vaginal septum was surgically removed as part of the treatment. Interestingly, when the septum was removed, the vesicovaginal fistula spontaneously closed. This case emphasises how crucial it is to take into account uncommon congenital abnormalities in women who exhibit cyclical haematuria and infertility. It also highlights the necessity of careful analysis and accuracy. The patient’s condition was diagnosed through a combination of micturating cystourethrogram, pelvic ultrasonography, and clinical examination. As part of the treatment, the vaginal septum was surgically excised. Remarkably, the vesicovaginal fistula closed spontaneously following the removal of the septum. This case underscores the importance of considering rare congenital anomalies in women presenting with cyclical haematuria and infertility. It also highlights the critical need for thorough evaluation and accurate diagnosis before undertaking surgical intervention in patients with complex genitourinary abnormalities.