Case History - 8 years old female child, h/o passing urine via anus and urethral orifice since two months. No previous history of perianal abscess or I&D. Bowel habits - normal. O/E - External genitalia, anus, urethra, bladder - normal. Investigation - MR Urogram or sigmoidoscopy - Normal.

Urine for - urea, creatinine, uric acid - too low. Still patient is having symptoms. Next how to proceed? Kindly suggest.