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

다국어 초록 (Multilingual Abstract)

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.

참고문헌 (Reference)

1 Slaoui A, "Winter syndrome : about an uncommon case report" 20 : 76-, 2020

2 Di Donato V, "Urethral coitus in a patient with a microperforate hymen" 15 : 642-643, 2008

3 Uçar MG, "Urethral coitus in a case of vaginal agenesis - is only vaginoplasty enough to treat the urinary problems?" 10 : QD01-QD3, 2016

4 Acién P, "The history of female genital tract malformation classifications and proposal of an updated system" 17 : 693-705, 2011

5 Sejati PE, "The effect of sex education on premarital sex among adolescents; literature review" 5 : 363-366, 2021

6 Grimbizis GF, "The ESHRE-ESGE consensus on the classification of female genital tract congenital anomalies" 10 : 199-212, 2013

7 Darwish AMM, "Simplification of Vaginoscopic surgery using a self-retaining external vulvar sheet(Darwish sheet)" 71 : 406-410, 2021

8 Pushkar P, "Robotic approach to vaginal atresia repair in an adolescent girl" 7 : 396-398, 2015

9 Reamy EJ, "Marital counseling for the obstetrician-gynecologist" Glob Libr Women’s Med

10 Sarıkaya S, "Extraordinary cause of female urethral dilatation and urinary incontinence : urethral coitus" 14 : 101-103, 2016

11 Darwish AM, "Extended resectoscopic versus sequential cold knife-resectoscopic excision of the unclassified complete uterocervicovaginal septum : a randomized trial" 92 : 722-726, 2009

12 Underwood PG, "Delayed diagnosis of microperforate hymen leading to urethral dilation secondary to coital activity" 133 : 503-505, 2019

13 Slaoui A, "Congenital vaginal atresia : about an uncommon case" 37 : 69-, 2020

14 Tanitame K, "Congenital anomalies causing hemato/hydrocolpos: imaging findings, treatments, and outcomes" 39 : 733-740, 2021

15 Habek D, "An unusual case of infertility : urethral coitus due to cribriform hymen" 47 : 811-813, 2018

16 Pfeifer SM, "ASRM müllerian anomalies classification 2021" 116 : 1238-1252, 2021

17 Ludwin A, "ASRM Müllerian anomalies classification 2021 : a critical review" 60 : 7-21, 2022

18 Rink RC, "A new classification for genital ambiguity and urogenital sinus anomalies" 95 : 638-642, 2005

19 Dural O, "A case of distal vaginal agenesis presenting with recurrent urinary tract infection and pyuria in a prepubertal girl" 30 : e7-e10, 2017