Isolated congenital vesicovaginal fistula.

Vesicovaginal fistula is a recognized complication in patients with antecedent surgical trauma or pelvic organ malignancy and as a sequela to radiation in this area. A review of the literature failed to document a case of isolated congenital vesicovaginal fistula with no other associated organ dysgenesis. We report on a 4-year-old child with incontinence resulting from an idiopathic vesicovaginal fistula.