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10.4111/icu.2016.57.5.367

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suck abstract from ncbi


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pmid27617320
      Investig+Clin+Urol 2016 ; 57 (5 ): 367-71
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  • An unusual cause of urinary incontinence: Urethral coitus in a case of Mayer-Rokitansky-Kuster-Hauser syndrome #MMPMID27617320
  • Sharifiaghdas F ; Daneshpajooh A ; Sohbati S ; Mirzaei M
  • Investig Clin Urol 2016[Sep]; 57 (5 ): 367-71 PMID27617320 show ga
  • Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome is a rare anomaly in women and is characterized by congenital aplasia of the uterus and vagina, with normal development of secondary sexual characteristics and a normal karyotype. We report a case of a 38-year-old women with MRKH syndrome that had experienced urethral sex for many years. She presented with urinary incontinence and dyspareunia. The patient's secondary sexual characteristics were normal, and examination revealed a widely open incompetent megalourethra and an absent vagina. Laboratory studies confirmed a 46, XX karyotype. Imaging included ultrasonography and magnetic resonance imaging, which indicated bilateral normal ovaries and a rudimental bicornuate uterus. After confirming the diagnosis of MRKH, the patient underwent urethroplasty by urethral plication, antiincontinence surgery by autologous fascial sling of the bladder neck, and the creation of a neo-vagina using a urethral flap. After 3 months, voiding cystourethrography and uroflowmetry confirmed normal voiding. There were no postoperative symptoms of urinary incontinence, and the patient was completely satisfied.
  • |*Coitus [MESH]
  • |46, XX Disorders of Sex Development/*complications/surgery [MESH]
  • |Adult [MESH]
  • |Congenital Abnormalities/surgery [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Mullerian Ducts/*abnormalities/surgery [MESH]
  • |Suburethral Slings [MESH]
  • |Surgically-Created Structures [MESH]
  • |Syndrome [MESH]
  • |Urethra/abnormalities/surgery [MESH]


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