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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Investig+Clin+Urol
2016 ; 57
(5
): 367-71
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English Wikipedia
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]