Martens Lisanne, Kluivers K B
Radboudumc, afd. Verloskunde en Gynaecologie, Nijmegen.
Contact: L. Martens (
Ned Tijdschr Geneeskd. 2020 Feb 25;164:D4189.
Urethral coitus is rare and can arise in women who were born without a vagina, for instance in the context of Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome.
A 16-year-old girl presented at the general practitioner's surgery with primary amenorrhoea. After a long diagnostic process she was diagnosed with MRKH syndrome and treatment with a vaginal dilator was started. During follow-up the patient reported pain on coitus and that she sometimes lost a lot of fluid during intercourse. It appeared that the patient had dilated her urethra, not her vagina, and that she had had urethral coitus. The patient underwent Davydovvaginoplasty without complications.
In patients with MRKH syndrome who experience urinary incontinence (particularly during and after coitus), recurrent urinary tract infections and dyspareunia urethral coitus should be suspected.
尿道性交很少见，可发生于先天性无阴道的女性，例如在 Mayer-Rokitansky-Küster-Hauser（MRKH）综合征的情况下。
一名 16 岁女孩因原发性闭经就诊于全科医生诊所。经过漫长的诊断过程，她被诊断为 MRKH 综合征，并开始使用阴道扩张器进行治疗。在随访期间，患者报告性交时疼痛，并且有时在性交过程中会流失大量液体。结果发现患者扩张的是尿道而非阴道，她进行的是尿道性交。患者接受了 Davydov 阴道成形术，未出现并发症。
对于患有 MRKH 综合征且出现尿失禁（尤其是在性交期间和之后）、复发性尿路感染和性交困难的患者，应怀疑尿道性交。
