# Unclassified complex urogenital anomaly in a 3-year-old girl: Diagnostic and surgical challenges

## TL;DR

A 3-year-old girl had a rare and complex urogenital birth defect that didn't fit existing classifications and required specialized surgery.

## Contribution

The paper reports a previously unreported urogenital malformation with unique anatomical features.

## Key findings

- The patient had ambiguous genitalia, a single urogenital orifice, and duplicated renal systems with reflux.
- Surgery included ureteral reimplantation and creation of a neovagina with successful postoperative recovery.
- The case highlights the need for individualized, multidisciplinary approaches in managing such anomalies.

## Abstract

Complex urogenital malformations are rare congenital anomalies that often escape existing classification systems due to marked anatomical variability. We describe a previously unreported urogenital malformation.

A 3-year-old girl presented with ambiguous genitalia, a single perineal urogenital orifice, bilateral duplicated renal systems with complete vesicoureteral reflux, and vaginal agenesis. Endoscopy revealed a bladder dome diverticulum containing ureteral and cervical orifices. She underwent bilateral ureteral reimplantation and creation of an ileal neovagina with utero-neovaginal anastomosis, with an uneventful postoperative course.

This anomaly represents a previously unreported entity and underscores the need for individualized, multidisciplinary management.