Successful management of high urogenital sinus in an adult female: Case report
This case report presents the successful management of high urogenital sinus (UGS) in a 21-year-old female using a modified Anterior Sagittal Transrectal Approach (ASTRA). The patient, with a history of painful cyclic hematuria and delayed menarche, was initially misdiagnosed with a transverse vagin...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | Continence Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S277297452400022X |
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| author | Gamal Ghoniem Nardeen Magdy Samaan Mohamed Samir Muhammed A. Moukhtar Hammad Ashraf G. Fahmy |
| author_facet | Gamal Ghoniem Nardeen Magdy Samaan Mohamed Samir Muhammed A. Moukhtar Hammad Ashraf G. Fahmy |
| author_sort | Gamal Ghoniem |
| collection | DOAJ |
| description | This case report presents the successful management of high urogenital sinus (UGS) in a 21-year-old female using a modified Anterior Sagittal Transrectal Approach (ASTRA). The patient, with a history of painful cyclic hematuria and delayed menarche, was initially misdiagnosed with a transverse vaginal septum. Diagnostic clarity was achieved through cystourethroscopy, revealing a single external meatal opening indicative of UGS. The modified ASTRA technique, including a rectum-sparing approach, was employed to correct the anomaly. Preoperative administration of leuprolide acetate helped reduce the risk of postoperative infections and complications. Postoperative care included serial vaginal dilatations to prevent stenosis, resulting in no complications or need for further surgical interventions at 12-month follow-up. This case highlights the importance of a multidisciplinary approach and the potential of the modified ASTRA technique in managing high UGS in adult patients. Further research to validate these findings in a larger cohort could be difficult because of rarity to miss the diagnosis in adult females. |
| format | Article |
| id | doaj-art-36e0b75751074e8daa9c366411b9296d |
| institution | Kabale University |
| issn | 2772-9745 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Continence Reports |
| spelling | doaj-art-36e0b75751074e8daa9c366411b9296d2024-12-16T05:39:12ZengElsevierContinence Reports2772-97452024-12-0112100068Successful management of high urogenital sinus in an adult female: Case reportGamal Ghoniem0Nardeen Magdy Samaan1Mohamed Samir2Muhammed A. Moukhtar Hammad3Ashraf G. Fahmy4University of California Irvine, Orange, CA, United States; Corresponding author.Nasser Institute for Research and Treatment, Cairo, Egypt 44 https://nasseryouthmovement.net/institute.Armed Forces College of Medicine, Cairo, EgyptUniversity of California Irvine, Orange, CA, United StatesArmed Forces College of Medicine, Cairo, EgyptThis case report presents the successful management of high urogenital sinus (UGS) in a 21-year-old female using a modified Anterior Sagittal Transrectal Approach (ASTRA). The patient, with a history of painful cyclic hematuria and delayed menarche, was initially misdiagnosed with a transverse vaginal septum. Diagnostic clarity was achieved through cystourethroscopy, revealing a single external meatal opening indicative of UGS. The modified ASTRA technique, including a rectum-sparing approach, was employed to correct the anomaly. Preoperative administration of leuprolide acetate helped reduce the risk of postoperative infections and complications. Postoperative care included serial vaginal dilatations to prevent stenosis, resulting in no complications or need for further surgical interventions at 12-month follow-up. This case highlights the importance of a multidisciplinary approach and the potential of the modified ASTRA technique in managing high UGS in adult patients. Further research to validate these findings in a larger cohort could be difficult because of rarity to miss the diagnosis in adult females.http://www.sciencedirect.com/science/article/pii/S277297452400022XUrogenital sinusAnterior Sagittal Transrectal ApproachTransverse vagina septum |
| spellingShingle | Gamal Ghoniem Nardeen Magdy Samaan Mohamed Samir Muhammed A. Moukhtar Hammad Ashraf G. Fahmy Successful management of high urogenital sinus in an adult female: Case report Continence Reports Urogenital sinus Anterior Sagittal Transrectal Approach Transverse vagina septum |
| title | Successful management of high urogenital sinus in an adult female: Case report |
| title_full | Successful management of high urogenital sinus in an adult female: Case report |
| title_fullStr | Successful management of high urogenital sinus in an adult female: Case report |
| title_full_unstemmed | Successful management of high urogenital sinus in an adult female: Case report |
| title_short | Successful management of high urogenital sinus in an adult female: Case report |
| title_sort | successful management of high urogenital sinus in an adult female case report |
| topic | Urogenital sinus Anterior Sagittal Transrectal Approach Transverse vagina septum |
| url | http://www.sciencedirect.com/science/article/pii/S277297452400022X |
| work_keys_str_mv | AT gamalghoniem successfulmanagementofhighurogenitalsinusinanadultfemalecasereport AT nardeenmagdysamaan successfulmanagementofhighurogenitalsinusinanadultfemalecasereport AT mohamedsamir successfulmanagementofhighurogenitalsinusinanadultfemalecasereport AT muhammedamoukhtarhammad successfulmanagementofhighurogenitalsinusinanadultfemalecasereport AT ashrafgfahmy successfulmanagementofhighurogenitalsinusinanadultfemalecasereport |