title: Urinary Incontinence in Puberty: A Rare Clinical Presentation of the Herlyn-Werner-Wunderlich Syndrome.
abstract: BACKGROUND
  We report on an unusual presentation of Herlyn-Werner-Wunderlich syndrome in two 11-year-old girls within a year of menarche. The setting was a training and research hospital.
  
  
  METHODS
  We present two patients in the pubertal period with cyclic abdominal pain and urinary incontinence who received hysteroscopic septal resection. Menstrual flow was resumed and the complaints of incontinence were eliminated after the hysteroscopic resection of the vaginal septum.
  
  
  CONCLUSIONS
  Overflow incontinence was completely resolved after septum resection in two patients. The risk of stricture is high in Herlyn-Werner-Wunderlich syndrome if the septum is partially excised to open the obstruction, whereas the risk of stricture is low if a complete or wide excision is performed. In the presence of abdominal pain and urinary incontinence in puberty, Herlyn-Werner-Wunderlich syndrome must be considered in the differential diagnosis, and a detailed evaluation of the urinary system and pelvic anatomy must be performed.
authors: Department of Obstetrics and Gynecology, Tepecik Training and Research Hospital, Izmir, Turkey. Electronic address: askindoganmd@gmail.com.
authors: Askin
authors: A
authors: Dogan
authors: Department of Obstetrics and Gynecology, Tepecik Training and Research Hospital, Izmir, Turkey.
authors: Ibrahim
authors: I
authors: Uyar
authors: Department of Obstetrics and Gynecology, Tepecik Training and Research Hospital, Izmir, Turkey.
authors: Gulsah Selvi
authors: GS
authors: Demirtas
authors: Department of Obstetrics and Gynecology, Tepecik Training and Research Hospital, Izmir, Turkey.
authors: Atalay
authors: A
authors: Ekin
authors: Department of Obstetrics and Gynecology, Tepecik Training and Research Hospital, Izmir, Turkey.
authors: Ibrahim
authors: I
authors: Gulhan
authors: Department of Obstetrics and Gynecology, Tepecik Training and Research Hospital, Izmir, Turkey.
authors: Ibrahim E
authors: IE
authors: Ertas
authors: Department of Obstetrics and Gynecology, Tepecik Training and Research Hospital, Izmir, Turkey.
authors: Mehmet
authors: M
authors: Ozeren
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D000015:Abnormalities, Multiple / Q000601:surgery*; D002648:Child; D000013:Congenital Abnormalities / Q000601:surgery*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D007668:Kidney / Q000002:abnormalities* / Q000601:surgery; D007674:Kidney Diseases / Q000150:complications / Q000151:congenital* / Q000601:surgery; D008572:Menarche; D013577:Syndrome; D014549:Urinary Incontinence / Q000209:etiology*; D014564:Urogenital Abnormalities / Q000150:complications / Q000601:surgery*; D014621:Vagina / Q000002:abnormalities / Q000601:surgery
keywords: Herlyn-Werner-Wunderlich syndrome; Müllerian anomaly; Puberty; Urinary incontinence