Vaginal stenosis and hydrometrocolpos: late complication of inadvertent perivaginal placement of an artificial urinary sphincter in prepubertal girls(1).

Abstract:

:Urinary incontinence in pediatric and adolescent patients has been successfully managed with the artificial urinary sphincter for several decades. Placement of the sphincter can be difficult in the preadolescent girl due to poorly developed vaginal tissue that can result in difficulty establishing the surgical plane between the bladder and vagina. We report 2 patients in whom the sphincter was placed around the urethra and vagina, a complication that has been reported in only 1 patient previously. All 3 patients presented with hematometrocolpos and bloody vaginal discharge. All were successfully managed with replacement of the sphincter cuff around the urethra and delayed vaginoplasty.

journal_name

Urology

journal_title

Urology

authors

Cain MP,Rink RC

doi

10.1016/s0090-4295(99)00277-0

subject

Has Abstract

pub_date

1999-11-01 00:00:00

pages

923

issue

5

eissn

0090-4295

issn

1527-9995

pii

S0090429599002770

journal_volume

54

pub_type

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