title: Use of atresic vagina as a urethra to repair iatrogenic incontinence, secondary to a complete longitudinal urethral incision.
abstract: Vaginal atresia is a rare congenital anomaly. Patients with this pathology commonly present with amenorrhea, or an inability to have sexual intercourse. A dorsal urethral wall incision was performed in a woman who complained of difficulty with coitus. Her gynecologist intended to expand the vagina, thinking the diagnosis was a vaginal septum. We report a repair technique for total urinary incontinence following a longitudinal complete urethral incision, which also involved the bladder neck. The vaginal reconstruction consisted of an ileal segment, whereas the urinary incontinence was corrected using a rectus fascial sling. To our knowledge, this is the first case of this kind reported in the literature.
authors.affiliation: Kartal Teaching Hospital, Second Urology Clinic, Kartal-Istanbul, Turkey.
authors.forename: Selami
authors.initials: S
authors.lastname: Albayrak
authors.forename: Cemal
authors.initials: C
authors.lastname: Göktas
authors.forename: Onder
authors.initials: O
authors.lastname: Cangüven
mesh_terms: D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D007049:Iatrogenic Disease; D019651:Plastic Surgery Procedures / Q000379:methods; D014521:Urethra / Q000293:injuries* / Q000601:surgery; D001743:Urinary Bladder / Q000293:injuries* / Q000601:surgery; D014549:Urinary Incontinence / Q000209:etiology* / Q000601:surgery; D013520:Urologic Surgical Procedures / Q000379:methods*; D014621:Vagina / Q000002:abnormalities / Q000601:surgery*