Asymptomatic uretheral intercourse associated with Mayer Rokitansky Küster Hauser syndrome type II: A case with crossed fused renal ectopia and scoliosis

Abstract

Introduction: Urethral coitus is very rare with significant consequences and less than 30 cases were reported in the literature. It is most commonly associated with Mullerian anomalies.

Observation: We report a case of 28 years married woman with Mullerian agenesis and associated anomalies who was engaged in urethral coitus and urethral dilation was detected on examination under anesthesia. The patient did not accept vaginoplasty after she learned that it would not be a cure for her infertility problem.

Conclusions: Urethral coitus is very rare with few cases reported. Woman diagnosed with MRKHS II should be assessed for associated abnormalities especially skeletal and renal ones. Urinary incontinence associated with coitus and dyspareunia with Mullerian anomalies should raise the suspicion of urethral coitus. Follow-up is important to avoid urinary tract infections if the female rejects surgery and is satisfied with intra-urethral coitus. Mullerian anomaly should be corrected to allow vaginal intercourse if possible.

Keywords: Urethral coitus; Mullerian anomalies; CT; Crossed renal ectopia; Scoliosis