Open AccessManagement of female congenital short patulous urethra with urethral tapering and pubovaginal sling: A report of two cases
Author(s) -
Sumit Gahlawat,
Hemant Goel,
Nikhil Khattar
Publication year - 2018
Publication title -
indian journal of urology/indian journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.333
H-Index - 30
eISSN - 1998-3824
pISSN - 0970-1591
DOI - 10.4103/iju.iju_272_17
Subject(s) - medicine , urethra , vagina , meatus , sling (weapon) , urology , genitourinary system , urinary incontinence , surgery , anatomy
Congenital short patulous urethra is a rare entity and may be associated with developmental anomalies of mullerian ducts or urogenital sinus. We report the management of two cases of congenital short patulous urethra with stress urinary incontinence (SUI). Both the patients presented with SUI; one was diagnosed with Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome and the other had uterus didelphys with longitudinally septated vagina. Both patients were successfully managed by excisional tapering of the urethra and pubovaginal sling placement. SUI with congenital short patulous urethra can be managed with excisional tapering of urethra and pubovaginal sling placement.