Urethral Coitus in a Case of Vaginal Agenesis - Is Only Vaginoplasty Enough to Treat the Urinary Problems?

Urethral coitus is an extremely rare condition. Megalourethra and urinary incontinence due to urethral coitus in vaginal agenesis are unusual manifestations because these patients usually present with primary amenorrhea before becoming sexually active and receive treatment. A 24-year-old woman cam...

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Main Authors: Mustafa Gazi Uçar, Tolgay Tuyan Ilhan, Ayse Gül Kebapçilar, Zekeriya Tosun, Çetin Çelik
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2016-08-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/8256/20106_CE[Ra1]_F(GH)_PF1(ROAK)_PFA(AK)_PF2(PAG).pdf
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author Mustafa Gazi Uçar
Tolgay Tuyan Ilhan
Ayse Gül Kebapçilar
Zekeriya Tosun
Çetin Çelik
author_facet Mustafa Gazi Uçar
Tolgay Tuyan Ilhan
Ayse Gül Kebapçilar
Zekeriya Tosun
Çetin Çelik
author_sort Mustafa Gazi Uçar
collection DOAJ
description Urethral coitus is an extremely rare condition. Megalourethra and urinary incontinence due to urethral coitus in vaginal agenesis are unusual manifestations because these patients usually present with primary amenorrhea before becoming sexually active and receive treatment. A 24-year-old woman came to our clinic because of primary amenorrhea, sexual dysfunction, dyspareunia, megalourethra and urinary incontinence five months after her marriage due to urethral coitus. Based on these clinical and radiological findings a diagnosis of Mayer-Rokitansky-Kuster-Hauser Syndrome was made and patient underwent modified McIndoe Vaginoplasty. The elasticity of female urethra permits repeated coitus, together with the physical damage can probably lead to incontinence. In this case, after eliminating the underlying cause of disease with vaginoplasty, no other treatment was required. The integrity of sphincteric function and structural support of urethra might be regained without subjecting the patient to aggressive reconstructive surgical procedures.
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spelling doaj.art-3b4c9354a5354790a79f6bfd775b5bea2022-12-22T03:29:17ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-08-01108QD01QD0310.7860/JCDR/2016/20106.8256Urethral Coitus in a Case of Vaginal Agenesis - Is Only Vaginoplasty Enough to Treat the Urinary Problems?Mustafa Gazi Uçar0Tolgay Tuyan Ilhan1Ayse Gül Kebapçilar2Zekeriya Tosun3Çetin Çelik4Assistant Professor, Urogynecologists, Department of Obstetrics and Gynaecology, Selçuk University Medicine Faculty, Selçuklu, Konya, Turkey.Assistant Professor, Department of Obstetrics and Gynaecology, Division of Oncology, Selçuk University Medicine Faculty, Selçuklu, Konya, Turkey.Associate Professor, Department of Obstetrics and Gynaecology, Selçuk University Medicine Faculty, Selçuklu, Konya, Turkey.Professor, Department of Plastic Reconstructive and Aesthetic Surgery, Selçuk University Medicine Faculty, Selçuklu, Konya, Turkey.Professor, Department of Obstetrics and Gynaecology (Gynecological Oncology), Selçuk University Medicine Faculty, Selçuklu, Konya, Turkey.Urethral coitus is an extremely rare condition. Megalourethra and urinary incontinence due to urethral coitus in vaginal agenesis are unusual manifestations because these patients usually present with primary amenorrhea before becoming sexually active and receive treatment. A 24-year-old woman came to our clinic because of primary amenorrhea, sexual dysfunction, dyspareunia, megalourethra and urinary incontinence five months after her marriage due to urethral coitus. Based on these clinical and radiological findings a diagnosis of Mayer-Rokitansky-Kuster-Hauser Syndrome was made and patient underwent modified McIndoe Vaginoplasty. The elasticity of female urethra permits repeated coitus, together with the physical damage can probably lead to incontinence. In this case, after eliminating the underlying cause of disease with vaginoplasty, no other treatment was required. The integrity of sphincteric function and structural support of urethra might be regained without subjecting the patient to aggressive reconstructive surgical procedures.https://jcdr.net/articles/PDF/8256/20106_CE[Ra1]_F(GH)_PF1(ROAK)_PFA(AK)_PF2(PAG).pdffull-thickness skin graft vaginoplastymayer-rokitansky-kuster-hauser syndromemegalourethraurethral coitus
spellingShingle Mustafa Gazi Uçar
Tolgay Tuyan Ilhan
Ayse Gül Kebapçilar
Zekeriya Tosun
Çetin Çelik
Urethral Coitus in a Case of Vaginal Agenesis - Is Only Vaginoplasty Enough to Treat the Urinary Problems?
Journal of Clinical and Diagnostic Research
full-thickness skin graft vaginoplasty
mayer-rokitansky-kuster-hauser syndrome
megalourethra
urethral coitus
title Urethral Coitus in a Case of Vaginal Agenesis - Is Only Vaginoplasty Enough to Treat the Urinary Problems?
title_full Urethral Coitus in a Case of Vaginal Agenesis - Is Only Vaginoplasty Enough to Treat the Urinary Problems?
title_fullStr Urethral Coitus in a Case of Vaginal Agenesis - Is Only Vaginoplasty Enough to Treat the Urinary Problems?
title_full_unstemmed Urethral Coitus in a Case of Vaginal Agenesis - Is Only Vaginoplasty Enough to Treat the Urinary Problems?
title_short Urethral Coitus in a Case of Vaginal Agenesis - Is Only Vaginoplasty Enough to Treat the Urinary Problems?
title_sort urethral coitus in a case of vaginal agenesis is only vaginoplasty enough to treat the urinary problems
topic full-thickness skin graft vaginoplasty
mayer-rokitansky-kuster-hauser syndrome
megalourethra
urethral coitus
url https://jcdr.net/articles/PDF/8256/20106_CE[Ra1]_F(GH)_PF1(ROAK)_PFA(AK)_PF2(PAG).pdf
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AT aysegulkebapcilar urethralcoitusinacaseofvaginalagenesisisonlyvaginoplastyenoughtotreattheurinaryproblems
AT zekeriyatosun urethralcoitusinacaseofvaginalagenesisisonlyvaginoplastyenoughtotreattheurinaryproblems
AT cetincelik urethralcoitusinacaseofvaginalagenesisisonlyvaginoplastyenoughtotreattheurinaryproblems