Urethral Coitus in a Case of Vaginal Agenesis

Taneja, P. P.; Heera, D.; Gulati, Shilpa; Grover, Namita

doi:10.1111/j.1464-410x.1973.tb12190.x

Cited by 14 publications

(9 citation statements)

References 2 publications

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“…Predisposing factors in urological complications of coitus included forceful and vigorous coitus [3], congenital vaginal anomalies necessitating urethral coitus [4], penovaginal disproportion [5,6], aberrant coital acts or positions [7–9], previous complications [10] and young age [6]. Phimosis and a short frenulum have been held responsible for preputial lacerations [11].…”

Section: Resultsmentioning

confidence: 99%

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Urological complications of coitus

Eke

2002

BJU International

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Objective To ascertain the urological complications of coitus, as the proximity of the lower urinary tract to the organs of coitus exposes the tract to coital trauma. The complications have been termed`faux pas' implying that they are preventable. While the ultimate prevention is abstinence, this is an unrealistic prescription. Therefore, efforts are necessary to identify risk factors to enable preventive strategies. Materials and methods

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Section: Resultsmentioning

confidence: 99%

“…Bladder injuries from coitus are rare but may result in bladder rupture, haemorrhage, urinary extravasation and incontinence and vesicovaginal fistulae [5,6]. Urinary incontinence also resulted from injuries to the urethra [4]. Among children, females sustained vesicovaginal fistulae from coitus [6].…”

Section: Resultsmentioning

confidence: 99%

Urological complications of coitus

Eke

2002

BJU International

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“…Though treatment in the form of vaginoplasty (from either colon loop [3] or dilated urethra itself [4] ) and continence procedure in the form of bladder neck plication [3] or urethrosphincteric reconstruction using bladder flap [4] has been described, in our case we selected McIndoe's vaginoplasty with urethral plication. McIndoe's vaginoplasty is a commonly used method for surgical creation of neovagina, especially by the gynecologists [5] , and our centre has considerable experience with this procedure.…”

Section: Discussionmentioning

confidence: 99%

Single-Stage Correction of Urinary Incontinence and Vaginoplasty in a Case of Urethral Coitus with Vaginal Agenesis

Khattar¹,

Dorairajan²,

Kumar³

et al. 2008

Urol Int

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Urethral coitus is a very rare entity which usually presents as urethral incontinence during intercourse and is most commonly seen with intact vagina. Only about 24 cases have been reported in the literature. A presentation in vaginal agenesis is exceedingly rare and poses the surgical challenge of restoring continence without interfering with sex life. Here we report a case of urethral intercourse with vaginal agenesis presenting with incontinence that we treated with McIndoe’s vaginoplasty and urethral plication in a single stage, with satisfactory result. To the best of our knowledge, this method of reconstruction has not yet been reported for this condition.

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“…About the other group undergone to surgical treatment, there were 76% of patient's satisfaction and 68% of anatomical successful outcome. Regarding the “functional method,” there are two type of complications: urethral coitus [59] and vaginal prolapse [60–62]. …”

Section: Surgical Therapymentioning

confidence: 99%

Mayer-Rokitansky-Kuster-Hauser Syndrome: Embryology, Genetics and Clinical and Surgical Treatment

Pizzo

Laganà

Sturlese

et al. 2013

ISRN Obstetrics and Gynecology

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Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a pathological condition characterized by primary amenorrhea and infertility and by congenital aplasia of the uterus and of the upper vagina. The development of secondary sexual characters is normal as well as that the karyotype (46,XX). Etiologically, this syndrome may be caused by the lack of development of the Müllerian ducts between the fifth and the sixth weeks of gestation. To explain this condition, it has been suggested that in patients with MRKH syndrome, there is a very strong hyperincretion of Müllerian-inhibiting factor (MIF), which would provoke the lack of development of the Müllerian ducts from primitive structures (as what normally occurs in male phenotype). These alterations are commonly associated with renal agenesis or ectopia. Specific mutations of several genes such as WT1, PAX2, HOXA7-HOXA13, PBX1, and WNT4 involved in the earliest stages of embryonic development could play a key role in the etiopathogenesis of this syndrome. Besides, it seems that the other two genes, TCF2 (HNF1B) and LHX1, are involved in the determinism of this pathology. Currently, the most widely nonsurgical used techniques include the “Frank's dilators method,” while the surgical ones most commonly used are those developed by McIndoe, Williams, Vecchietti, Davydov, and Baldwin.

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Urethral Coitus in a Case of Vaginal Agenesis

Cited by 14 publications

References 2 publications

Urological complications of coitus

Urological complications of coitus

Single-Stage Correction of Urinary Incontinence and Vaginoplasty in a Case of Urethral Coitus with Vaginal Agenesis

Mayer-Rokitansky-Kuster-Hauser Syndrome: Embryology, Genetics and Clinical and Surgical Treatment

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