A psychosocial rehabilitation approach for a case of persistent urogenital sinus with ambiguous genitalia in a female adult

Authors

  • Seema Chowdhary Department of Obstetrics & Gynaecology Vydehi Institute of Medical Science & Research Centre, Bangalore -66
  • Arvind Kumar Chowdhary Department of Paediatrics, Vydehi Institute of Medical Science & Research Centre, Bangalore
  • Sushma Pandey Department of Obstetrics & Gynaecology, Patna Medical College, Patna

DOI:

https://doi.org/10.3126/ajms.v6i4.10107

Keywords:

Persistent Urogenital Sinus, Ambiguous Genitalia, surgical management, psychiatric evaluation

Abstract

Objective: Urogenital Sinus is a rare congenital deformity which overture to preclude of normal embryonic vaginal progression. We report a case of urogenital sinus with ambiguous genitalia in a female adult.

Case Report:  An unmarried young female aged 26 years presented to our hospital with amenorrhea of 6 months and history of urinary incontinence from childhood. The diagnostic features of this case include normal haemogram with mildly elevated blood urea and creatinine, normal 17 ketosteroids, serum testosterone and DHEA; bilateral moderate hydronephrosis with uterus of size 6.8 x 4.6 x 5.3 cm; urogenital sinus with partial separation of bladder and vagina-vaginal type; bilateral hydrouretronephrosis with mild renal cortical scarring and bicornuate unicollis uterus cervix opening into the urogenital sinus. She was diagnosed with persistent urogenital sinus (Vaginal type) without congenital adrenal hyperplasia, but with associated mullerian anomaly. Treatment option was a U-shaped vaginoplasty with an aim of widening vaginal introitus and advancement of hypospadiac external urethral meatus to prevent micturition into vagina.

Conclusion: Though the possible treatment options were discussed, this case study emphasizes the need of psycho social rehabilitation for the proper treatment of ambiguous genitalia.

DOI: http://dx.doi.org/10.3126/ajms.v6i4.10107

Asian Journal of Medical Sciences Vol.6(4) 2015 89-91

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Author Biographies

Seema Chowdhary, Department of Obstetrics & Gynaecology Vydehi Institute of Medical Science & Research Centre, Bangalore -66

Obstetrics & Gynaecology

Arvind Kumar Chowdhary, Department of Paediatrics, Vydehi Institute of Medical Science & Research Centre, Bangalore

Department of Paediatrics

Sushma Pandey, Department of Obstetrics & Gynaecology, Patna Medical College, Patna

Department of Obstetrics & Gynaecology

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Published

2014-11-29

How to Cite

Chowdhary, S., Chowdhary, A. K., & Pandey, S. (2014). A psychosocial rehabilitation approach for a case of persistent urogenital sinus with ambiguous genitalia in a female adult. Asian Journal of Medical Sciences, 6(4), 89–91. https://doi.org/10.3126/ajms.v6i4.10107

Issue

Vol. 6 No. 4 (2015)

Section

Case Reports

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