Abstract
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.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Li S, Qayyum A, Coakley FV, Hricak H (2000) Association of renal agenesis and Müllerian duct anomalies. J Comput Assist Tomogr 24(6):829–834
Edmonds DK (2003) Congenital malformations of the genital tract and their management. Best Pract Res Clin Obstet Gynaecol 17(1):19–40
Gell JS (2003) Müllerian anomalies. Semin Reprod Med 21(4):375–388
Spence JE (1998) Vaginal and uterine anomalies in the pediatric and adolescent patient. J Pediatr Adolesc Gynecol 11(1):3–11
Vercellini P, Daguati R, Somigliana E, Viganò P, Lanzani A, Fedele L (2007) Asymmetric lateral distribution of obstructed hemivagina and renal agenesis in women with uterus didelphys: institutional case series and a systematic literature review. Fertil Steril 87(4):719–724
O’Neill MJ, Yoder IC, Connolly SA et al (1999) Imaging evaluation and classification of developmental anomalies of the female reproductive system with an emphasis on MR imaging. AJR 173:407–416
Rock J, Johns H (2006) Telinde’s operative gynecology, 9th edn. Lippincott Williams & Wilkins, Philadelphia
Meyers RL (1997) Congenital anomalies of the vagina and their reconstruction. Clin Obstet Gynecol 40(1):168–180
Kirks DR, Currarino G (1997) Imperforate vagina with vaginourethral communication. Am J Roentgenol 129:623–628
Hendren WH, Donahoe PK (1980) Correction of congenital abnormalities of vagina and perineum. J Pediatr Surg 15(6):751–763
Gul A, Yıldırım G, Gedıkbası A, Gungorduk K, Ceylan Y (2008) Prenatal ultrasonographic features of persistent urogenital sinus with hydrometrocolpos and ascites. Arch Gynecol Obstet 278:493–496. doi:10.1007/s00404-008-0598-3
Puhl AG, Steiner E, Krämer WW, Weltzien A, Skala C, Passuello V et al (2008) Fetal urogenital sinus with consecutive hydrometrocolpos because of labial fusion: prenatal diagnostic difficulties and postpartal therapeutic management. Fetal Diagn Ther 23(4):287–292
Guldberg R, Thybo S, Andersen B (2007) Synechia vulva—an unusual cause of urinary symptoms in a 15-year-old girl. Acta Obstet Gynecol Scand 86(2):251–252
Powell DM, Newman KD, Randolph J (1995) A proposed classification of vaginal anomalies and their surgical correction. J Pediatr Surg 30(2):271–276
Chin AI, Rutman M, Raz S (2007) Transverse vaginal septum with congenital vesica-vaginal communication and cyclical hematuria. Urology 69:575e5–575e7
Dolan LM, Easwaran SP, Hilton P (2004) Congenital vesicovagina fistula in association with hypoplastic kidney and uterus didelphys. Urology 63:175i–175iii
Kumar S, Mandal A, Acharya N, Jain V, Kalra J, Singh S (2007) Congenital vesicovaginal fistula with transverse vaginal septum and ectopic ureter opening in proximal vagina: case report and brief review. Int Urogynecol J 18:959–961
Dwyer PL, Rosamilia A (2006) Congenital urogenital anomalies that are associated with the persistence of Gartner’s duct: A review. Am J Obstet Gynecol 195:354–359
Caione P, Silveri M, Capitanucci ML, Capozza N, De Gennaro M (1995) Urinary continence in Müllerian duct anomalies. Panminerva Med 37(1):14–17
Gilanz V, Cleveland RH, Reid BS (1982) Duplication of the Müllerian ducts and genitourinary malformations. Part II: analysis of malformations. Radiology 144(4):797–801
Ozsoy MH, Arslan M (2002) Urethral coitus and urinary incontinence in a case of Mayer–Rokitansky syndrome: an alternative surgical procedure. Eur J Obstet Gynecol Reprod Biol 103:95–96
Taneja PP, Geera D, Gulati SM, Ozsoy MH, Arsian M (1973) Urethral coitus in cases of vaginal agenesis. Br J Urol 45:451
Acién P, Acién M, Sánchez-Ferrer M (2004) Complex malformation of the female genital tract. New types and revision of classification. Hum Reprod 19(10):2377–2384
Humphries PD, Simpson JC, Creighton SM, Hall-Craggs MA (2008) MRI in the assessment of congenital vaginal anomalies. Clin Radiol 63(4):442–448
Acknowledgement
We appreciate the gynecologists at Peking Union Medical College Hospital for their diligent clinical work and precise data recording about the cases we reported in this article.
Conflicts of interest
None.
Author information
Authors and Affiliations
Corresponding author
Additional information
Shu Wang and Jing He Lang contributed equally to this article.
Rights and permissions
About this article
Cite this article
Wang, S., Lang, J.H. & Zhou, H.M. Symptomatic urinary problems in female genital tract anomalies. Int Urogynecol J 20, 401–406 (2009). https://doi.org/10.1007/s00192-008-0783-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00192-008-0783-8