Urinary ascites due to persistent urogenital sinus: A case report and review of literature

Loganathan, Prakash Kannan; Kamaluddeen, Majeeda; Soraisham, Amuchou

doi:10.3233/npm-1474413

Cited by 7 publications

(6 citation statements)

References 14 publications

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“…This diagnosis should be suspected in any girl with urinary incontinence, urinary tract infections from birth, vaginal swelling or hydrocolpometra and in adults with cyclical menouria and vaginal atresia [ 65 ]. Foetal urinary ascites and hydrometrocolpos might be a consequence of persistent urogenital sinus and result of a vesicovaginal fistula [ 66 , 67 ]. The diagnosis should be based on a high index of suspicion in second trimester US and an MR in the third trimester of pregnancy.…”

Section: Diagnostic Imagingmentioning

confidence: 99%

Diagnostic imaging and cataloguing of female genital malformations

Acién

2016

Insights Imaging

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To help physicians and radiologists in the diagnosis of female genito-urinary malformations, especially of complex cases, the embryology of the female genital tract, the basis for Müllerian development anomalies, the current classifications for such anomalies and the comparison for inclusion and cataloguing of female genital malformations are briefly reviewed. The use of the embryological system to catalogue female genito-urinary malformations may ultimately be more useful in correlations with clinical presentations and in helping with the appropriate diagnosis and treatment. Diagnostic imaging of the different genito-urinary anomalies are exposed, placing particular emphasis on the anomalies within group II of the embryological and clinical classification (distal mesonephric anomalies), all of them associated with unilateral renal agenesis or dysplasia. Similarly, emphasis is placed on cases of cervico-vaginal agenesis, cavitated noncommunicated uterine horns, and cloacal and urogenital sinus anomalies and malformative combinations, all of them complex malformations. Diagnostic imaging for all these anomalies is essential. The best imaging tools and when to evaluate for other anomalies are also analysed in this review.Teaching points• The appropriate cataloguing of female genital malformations is controversial.• An embryological classification system suggests the best diagnosis and appropriate management.• The anomalies most frequently diagnosed incorrectly are the distal mesonephric anomalies (DMAs).• DMAs are associated with unilateral renal agenesis or renal dysplasia with ectopic ureter.• We analyse other complex malformations. Diagnostic imaging for these anomalies is essential.

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Section: Diagnostic Imagingmentioning

confidence: 99%

Diagnostic imaging and cataloguing of female genital malformations

Acién

2016

Insights Imaging

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“…For patients who have a short urethral length (<1.5 cm), postoperative urinary incontinence may occur if the preoperative evaluation is insufficient or an incorrect surgical method is selected. [8] Therefore, preoperative imaging is crucial for the accurate anatomical evaluation of PUG. The diagnosis tended to be based on MRI examination and cystoscopy [2] in PUG reports.…”

Section: Discussionmentioning

confidence: 99%

“…The relationship of the vagina to the bladder neck is the most critical factor for determining the type of vaginoplasty to be performed. For patients who have a short urethral length (<1.5 cm), postoperative urinary incontinence may occur if the preoperative evaluation is insufficient or an incorrect surgical method is selected [8] . Therefore, preoperative imaging is crucial for the accurate anatomical evaluation of PUG.…”

Section: Discussionmentioning

confidence: 99%

Multimodal ultrasound imaging of persistent urogenital sinus with uterus didelphys and double vagina malformation

Wang

2021

Medicine

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Rationale: Persistent urogenital sinus (PUG) with uterus didelphys and double vagina is a rare urogenital anomaly. The diagnosis is based on magnetic resonance examination and cystoscopy. To the best of our knowledge, there is no literature report of PUG diagnosed by ultrasound alone. Patient concern: A 23-year-old woman presented with atypical menstruation and recurrent hematuria for 13 years and recurrent lower abdominal pain for 12 years. Diagnosis: PUG was diagnosed through multiple ultrasound modalities, including transabdominal 2-dimensional ultrasound, transrectal bi-plane high-frequency ultrasound, and contrast-enhanced ultrasound. We diagnosed this malformation preoperatively by accurately measuring the length of urethra and common channel through multimodal ultrasound imaging. Interventions: Urethra separation and reconstruction, vaginal pull-through and artificial vaginoplasty, and bilateral hysterosalpingectomy were performed. Outcomes: The postoperative course was uneventful. She was urinating normally after half a year and used continuous vaginal dilatation to avoid stenosis. Lessons: PUG associated with uterus didelphys and double vagina is an extremely rare malformation of the reproductive system. Multimodal ultrasound imaging can be used to diagnose this malformation preoperatively clearly and to accurately measure the length of urethra and common channel, providing an imaging basis for preparing an operative plan.

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“…UGS malformation is a rare form of urogenital anomaly secondary to failure of urethral-vaginal division, resulting in a common vaginal and urethral opening. 6 The condition of UGS malformation with a huge calculus is complex and rare, and improper care can lead to a series of problems. 1,2 In our patient, there were two major challenges in the early stage of diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Perioperative nursing care of a patient with urogenital sinus malformation who underwent vaginal calculus removal and correction: a case report

Tong

Wang

et al. 2020

J Int Med Res

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Cases of urogenital sinus malformation with a huge calculus are complex and rare. Improper nursing care of these cases can lead to a series of problems. We report here a 23-year-old married woman who was admitted to hospital because of primary amenorrhea and failed sexual intercourse for 5 years. Through combined diagnosis and treatment of radiology, ultrasound, urology, gynecology, and other disciplines, the patient was diagnosed with urogenital sinus malformation, a vaginal calculus, and primary amenorrhea. After full preparation, the patient underwent an operation for extraction of the vaginal calculus, urethroplasty, vaginoplasty, and hysteroscopy. The calculus of the patient was removed and the vagina was returned to its normal anatomy. Patients with urogenital sinus malformation and a huge calculus have complex care requirements and experience a particular state of vulnerability during the diagnostic phase. By establishing good communication with patients and providing proper perioperative nursing, physiological and psychological rehabilitation of these patients can be achieved.

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Urinary ascites due to persistent urogenital sinus: A case report and review of literature

Cited by 7 publications

References 14 publications

Diagnostic imaging and cataloguing of female genital malformations

Diagnostic imaging and cataloguing of female genital malformations

Multimodal ultrasound imaging of persistent urogenital sinus with uterus didelphys and double vagina malformation

Perioperative nursing care of a patient with urogenital sinus malformation who underwent vaginal calculus removal and correction: a case report

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