Vaginal reflux in childhood: Two case report

Vaginal reflux is defined as reflux of urine back into the vaginal vault during voiding. This condition is a type of lower urinary tract dysfunction commonly seen in prepubertal girls without structural abnormalities. The clinical presentation is diverse, varying from asymptomatic bacteriuria to recurrent urinary tract infections, and urinary incontinence. In this case report, we present two cases of vaginal reflux presented with urinary tract infection and urinary incontinence. The first patient was a 9-year-old girl with a complaint of recurrent urinary tract infection. Voiding cystourethrogram demonstrated retrograde filling of the vagina during early voiding phase. The second patient was 10 years old who had urinary incontinance and urinary tract ultrasonography revealed a collection of the vagina that disappeared after voiding. The patients were managed with toilet training, and remained free of symptoms afterwards