ABSTRACT
The Mayer-Rokitansky-Kuster-Hauser is a rare congenital anomaly characterized by lack of vaginal and uterine development variable and normal ovaries. It results from agenesis or hypoplasia Müller duct system. Cervicovaginal agenesis as part of the complex syndrome, is even rarer. We report two cases: adolescent patient with primary amenorrhea, cervicovaginal agenesis and chronic pelvic pain, and a 28-year-old patient with primary amenorrhea, congenital absence of uterus and vagina.
Subject(s)
Abnormalities, Multiple/pathology , Amenorrhea/etiology , 46, XX Disorders of Sex Development , Abnormalities, Multiple/diagnostic imaging , Abnormalities, Multiple/embryology , Abnormalities, Multiple/epidemiology , Abnormalities, Multiple/surgery , Adolescent , Adult , Congenital Abnormalities , Endometriosis/etiology , Female , Humans , Hysterectomy , Incidence , Kidney/abnormalities , Kidney/diagnostic imaging , Kidney/embryology , Kidney/pathology , Kidney/surgery , Mullerian Ducts/abnormalities , Mullerian Ducts/diagnostic imaging , Mullerian Ducts/embryology , Mullerian Ducts/pathology , Mullerian Ducts/surgery , Pelvic Pain/etiology , Phenotype , Somites/abnormalities , Somites/diagnostic imaging , Somites/embryology , Somites/pathology , Somites/surgery , Spine/abnormalities , Spine/diagnostic imaging , Spine/embryology , Spine/pathology , Spine/surgery , Surgically-Created Structures , Ultrasonography , Uterus/abnormalities , Uterus/diagnostic imaging , Uterus/embryology , Uterus/pathology , Uterus/surgery , Vagina/abnormalities , Vagina/diagnostic imaging , Vagina/embryology , Vagina/pathology , Vagina/surgeryABSTRACT
Leiomyomas of the bladder and urethra are extremely rare. Depending on their location and size, they can produce diverse clinical manifestations. At urethral level in particular, formed near the vaginal wall, symptoms include recurrent urinary tract infections, voiding dysfunction, foreign body sensation, heaviness and dyspareunia. We present two cases of urethral leiomyomas, one expressed during pregnancy, which resolved successfully with surgical resection without damage to the urinary tract and no recurrence so far.
