Surgical Approach to a Late-Diagnosed Coexistence of Megalourethra, Double Vagina and Uterus Didelphys Presenting with Total Urinary Incontinence in an Adolescent Girl
Bilge Türedi Sezer1
, Mehmet Uğur Yılmaz1, Ayşe Parlak2, Sencer Sağlam2, Mehmet Mazhar Utangaç1, Emin Balkan1, Nizamettin Kılıç1
1Uludağ Üniversitesi Tıp Fakültesi, Çocuk Cerrahisi Anabilim Dalı Çocuk Ürolojisi Bilim Dalı, Bursa, Türkiye
2Uludağ Üniversitesi Tıp Fakültesi, Çocuk Cerrahisi Anabilim Dalı, Bursa, Türkiye
Keywords: adolescent, double vagina, megalourethra, urinary incontinence, uterus didelphys
Abstract
Mullerian duct anomalies can sometimes accompany urinary malformations and they can be diagnosed with different symptoms in late childhood. We aimed to present a thirteen year-old adolescent girl with megalourethra, double vagina and uterus didelphys who presented with total urinary incontinence. Her urogenital examination revealed a large orifice of megalourethra in the middle and two symmetric orifices of bifid vagina on both sides. An amorphous bladder with a large urethra was detected at cystoscopic examination. Urethral plication, resection of vaginal septum and reconstruction were performed. Congenital urological malformations associated with mullerian anomalies can be diagnosed with urinary symptoms in adolescence. Combined corrective surgery can be performed safely in a single session.
Cite as: Türedi Sezer B, Yılmaz MU, Parlak A, Sğlam S, Utangaç MM, Balkan E, Kılıç N. Surgical approach to a late-diagnosed coexistence of megalourethra, double vagina and uterus didelphys presenting with total urinary incontinence in an adolescent girl. Çoc. Cer. Derg. 2021;35(3):155-8.