Journal of Medicine and Life Science

  • 제19권3호
  • /
  • Pages.121-124
  • /
  • 2022
  • /
  • 1738-1010(pISSN)
  • /
  • 2671-4922(eISSN)
제주대학교 의과학연구소 (Institute for Medical Science)
권호 표지
DOI QR코드

DOI QR Code

Isolated distal vaginal hypoplasia and megalourethra in a regularly menstruating female treated by pull through procedure

  • Atef M. M. Darwish (Department of Obstetrics and Gynecology, Woman's Health University Hospital) ;
  • Dina A. M. Darwish (Department of Obstetrics and Gynecology, Woman's Health University Hospital) ;
  • Ahmed Dervis (ER department, Istanbul Avcilar Murat Koluk governmental hospital)
  • 투고 : 2022.06.25
  • 심사 : 2022.10.02
  • 발행 : 2022.12.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

This case report describes a case of isolated (not associated with other anomalies) lower vaginal hypoplasia complicated by megalourethra (urethral dilatation) due to frequent urethral sexual intercourse in a regularly menstruating (hypomenorrheic) woman. The patient was a 24-year-old woman who underwent transperineal ultrasonography as well as magnetic resonance imaging followed by sequential cystoscopic and vaginoscopic examinations. Finally, a pull-through procedure was used to create a new vagina. The main outcome measure was patent vagina formation. The procedure successfully corrected isolated lower vaginal hypoplasia. The postoperative course was smooth, with the restoration of regular intercourse in the correct location. It was concluded that all gynecologists should have increased awareness of rare female genital anomalies to avoid serious sequelae, particularly in newly married patients.

키워드

참고문헌

  1. Slaoui A, Benzina I, Talib S, Etber A, Zeraidi N, Lakhdar A, et al. Congenital vaginal atresia: about an uncommon case. Pan Afr Med J 2020;37:69.
  2. Pfeifer SM, Attaran M, Goldstein J, Lindheim SR, Petrozza JC, Rackow BW, et al. ASRM mullerian anomalies classification 2021. Fertil Steril 2021;116:1238-52.
  3. Darwish AMM, Darwish DAM. Simplification of Vaginoscopic surgery using a self-retaining external vulvar sheet (Darwish sheet). J Obstet Gynaecol India 2021;71:406-10.
  4. Slaoui A, Talib S, Kallali A, Rouijel M, Baydada A. Winter syndrome: about an uncommon case report. BMC Womens Health 2020;20:76.
  5. Acien P, Acien MI. The history of female genital tract malformation classifications and proposal of an updated system. Hum Reprod Update 2011;17:693-705.
  6. Darwish AM, Elsaman AM. Extended resectoscopic versus sequential cold knife-resectoscopic excision of the unclassified complete uterocervicovaginal septum: a randomized trial. Fertil Steril 2009;92:722-6.
  7. Ludwin A, Tudorache S, Martins WP. ASRM Mullerian anomalies classification 2021: a critical review. Ultrasound Obstet Gynecol 2022;60:7-21.
  8. Grimbizis GF, Gordts S, Di Spiezio Sardo A, Brucker S, De Angelis C, Gergolet M, et al. The ESHRE-ESGE consensus on the classification of female genital tract congenital anomalies. Gynecol Surg 2013;10:199-212.
  9. Tanitame K, Tanitame N, Urayama S, Ohtsu K. Congenital anomalies causing hemato/hydrocolpos: imaging findings, treatments, and outcomes. Jpn J Radiol 2021;39:733-40.
  10. Rink RC, Adams MC, Misseri R. A new classification for genital ambiguity and urogenital sinus anomalies. BJU Int 2005;95:638-42.
  11. Reamy EJ, Reamy KJ. Marital counseling for the obstetrician-gynecologist [Internet]. London: Glob Libr Women's Med; c2008 [cited 2022 Jun 25]. Available from: https://www.glowm.com/section-view/heading/Marital%20Counseling%20for%20the%20Obstetrician-Gynecologist/item/427#.Y4Ajt3ZByM9
  12. Pushkar P, Rawat SK, Chowdhary SK. Robotic approach to vaginal atresia repair in an adolescent girl. Urol Ann 2015;7:396-8.
  13. Sejati PE, Mufida RT. The effect of sex education on premarital sex among adolescents; literature review. Journal for Quality in Public Health 2021;5:363-6.
  14. Dural O, Ugurlucan FG, Yasa C, Bastu E, Eren H, Yuksel B, et al. A case of distal vaginal agenesis presenting with recurrent urinary tract infection and pyuria in a prepubertal girl. J Pediatr Adolesc Gynecol 2017;30:e7-10.
  15. Ucar MG, Ilhan TT, Kebapcilar AG, Tosun Z, Celik C. Urethral coitus in a case of vaginal agenesis - is only vaginoplasty enough to treat the urinary problems? J Clin Diagn Res 2016;10:QD01-3.
  16. Sarikaya S, Ciftci M, Ozbek R, Senocak C, Bozkurt OF, Extraordinary cause of female urethral dilatation and urinary incontinence: urethral coitus. Revista Internacional de Andrologia 2016;14:101-3.
  17. Di Donato V, Manci N, Palaia I, Bellati F, Perniola G, Panici PB. Urethral coitus in a patient with a microperforate hymen. J Minim Invasive Gynecol 2008;15:642-3.
  18. Underwood PG, Bauer J, Huguelet P, Alaniz VI. Delayed diagnosis of microperforate hymen leading to urethral dilation secondary to coital activity. Obstet Gynecol 2019;133:503-5.
  19. Habek D, Arbanas G, Jukic V. An unusual case of infertility: urethral coitus due to cribriform hymen. Arch Sex Behav 2018;47:811-3.