Skip to main content
Top
Published in: International Urogynecology Journal 4/2010

01-04-2010 | Case Report

A 31-year-old woman with urethral duplication, stress urinary incontinence, uterovaginal prolapse, and rectal prolapse

Authors: John A. Occhino, Andrew J. Croak, John B. Gebhart

Published in: International Urogynecology Journal | Issue 4/2010

Login to get access

Abstract

Urethral duplication is a rare finding in females, with fewer than 40 cases published since 1970. We report a case of urethral duplication in a woman with uterovaginal and rectal prolapse but without other associated congenital anomalies. On urodynamic and cystoscopic evaluation, an accessory urethra was noted to emerge from beneath the clitoral hood. The patient underwent exploratory laparotomy and transabdominal excision of the rudimentary urethral orifice with concurrent transvaginal prolapse repair and rectopexy. At 5-year follow-up, the patient continued to be continent and without prolapse.
Literature
1.
go back to reference Ramon J, Mekras JA, Webster GD (1990) Accessory phallic urethra in adult female. Urology 36:280–282CrossRefPubMed Ramon J, Mekras JA, Webster GD (1990) Accessory phallic urethra in adult female. Urology 36:280–282CrossRefPubMed
2.
go back to reference Bonney WW, Young HH 2nd, Levin D, Goodwin WE (1975) Complete duplication of the urethra with vaginal stenosis. J Urol 113:132–137PubMed Bonney WW, Young HH 2nd, Levin D, Goodwin WE (1975) Complete duplication of the urethra with vaginal stenosis. J Urol 113:132–137PubMed
3.
go back to reference Liu KW, Fitzgerald RJ (1988) An unusual case of complete urethral duplication in a female child. Aust N Z J Surg 58:587–588CrossRefPubMed Liu KW, Fitzgerald RJ (1988) An unusual case of complete urethral duplication in a female child. Aust N Z J Surg 58:587–588CrossRefPubMed
4.
go back to reference Perez-Brayfield MR, Clarke HS, Pattaras JG (2002) Complete bladder, urethral, and vaginal duplication in a 50-year-old woman. Urology 60:514CrossRefPubMed Perez-Brayfield MR, Clarke HS, Pattaras JG (2002) Complete bladder, urethral, and vaginal duplication in a 50-year-old woman. Urology 60:514CrossRefPubMed
5.
go back to reference Cost NG, Lucas SM, Baker LA, Wilcox DT (2008) Two girls with urethral duplication. Urology 72:800–802CrossRefPubMed Cost NG, Lucas SM, Baker LA, Wilcox DT (2008) Two girls with urethral duplication. Urology 72:800–802CrossRefPubMed
Metadata
Title
A 31-year-old woman with urethral duplication, stress urinary incontinence, uterovaginal prolapse, and rectal prolapse
Authors
John A. Occhino
Andrew J. Croak
John B. Gebhart
Publication date
01-04-2010
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 4/2010
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-009-1022-7

Other articles of this Issue 4/2010

International Urogynecology Journal 4/2010 Go to the issue