Symptomatic urinary problems in female genital tract anomalies.
Most of urological abnormalities in urogenital anomalies are asymptomatic and need no special treatment; however, a few patients have critical urinary complaints and surgical corrections are required for them. Unfortunately, these coexisting urinary problems are often neglected and failed to be treated. So, it is necessary to delineate the diagnosis and treatment of similar anomalies. Eight typical patients who had urogenital anomalies with urinary discomfort in our institution were excerpted and reported. In this series, the urinary symptoms ranged from cyclical hematuria and urinary incontinence to infection symptom. The involved urological anatomies were generally categorized into three types: abnormal communication of urogenital tracts, malformation of bladder or ectopic ureter, and anomalies of urethral orifice. Surgical corrections were helpful for most cases. For patients with genitalia anomalies, the coexisting urological defects should be highlighted by our gynecologists, especially when they are symptomatic and require surgical correction.
Wang
Shu
S
Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Beijing, China. wangshu219@hotmail.com
Lang
Jing He
JH
Zhou
Hui Mei
HM
D000293:Adolescent; D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures; D006417:Hematuria / Q000209:etiology*; D006801:Humans; D014521:Urethra / Q000002:abnormalities; D001743:Urinary Bladder / Q000002:abnormalities; D014549:Urinary Incontinence / Q000209:etiology*; D014552:Urinary Tract Infections / Q000209:etiology*; D014564:Urogenital Abnormalities / Q000150:complications* / Q000601:surgery; D055815:Young Adult