A 31-year-old woman with urethral duplication, stress urinary incontinence, uterovaginal prolapse, and rectal prolapse.
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.
Division of Gynecologic Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
John A
JA
Occhino
Andrew J
AJ
Croak
John B
JB
Gebhart
D000328:Adult; D001062:Appendectomy; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal; D012005:Rectal Prolapse / Q000150:complications* / Q000601:surgery; D014521:Urethra / Q000002:abnormalities* / Q000601:surgery; D014550:Urinary Incontinence, Stress / Q000150:complications* / Q000601:surgery; D014596:Uterine Prolapse / Q000150:complications* / Q000601:surgery