Abstract
Female Hypospadias and Urinary Incontinence: Surgical Solution of a Little-Known Entity
Highlights
Female hypospadias is a rare genito-urinary anomaly, often associated with other congenital malformations of the urinary tract.For female hypospadias it is meant a condition in which the external urethral meatus opens high up in the anterior vaginal wall proximal to the hymenal ring; the urethra is obviously shorter than usual.Embryologically, it is thought to be due to an abnormal development of the urogenital sinus or to a lack of differentiation of Wolff’s tissue
It is thought to be due to an abnormal development of the urogenital sinus or to a lack of differentiation of Wolff’s tissue
Even though commons symptoms related to female hypospadias include urinary incontinence, recurrent urinary tract infections and dyspareunia, patients are often diagnosed accidentally during catheterization for other reasons
Summary
Female hypospadias is a rare genito-urinary anomaly, often associated with other congenital malformations of the urinary tract. For female hypospadias it is meant a condition in which the external urethral meatus opens high up in the anterior vaginal wall proximal to the hymenal ring; the urethra is obviously shorter than usual. Even though commons symptoms related to female hypospadias include urinary incontinence, recurrent urinary tract infections and dyspareunia, patients are often diagnosed accidentally during catheterization for other reasons. Treatment can be difficult due to the lack of consistent literature on the topic and because it requires management of the other associated anomalies. We describe the case of a 5-year-old girl presenting incontinence secondary to hypospadias, successfully treated with a 2-step surgical strategy
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