{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T09:58:19Z","timestamp":1756461499718,"version":"3.41.2"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,6,8]],"date-time":"2024-06-08T00:00:00Z","timestamp":1717804800000},"content-version":"vor","delay-in-days":159,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Obstetrics and Gynecology"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p><jats:bold>Introduction:<\/jats:bold> Mayer\u2013Rokitansky\u2013K\u00fcster\u2010Hauser (MRKH) syndrome is a female congenital disorder characterized by an underdeveloped or absent vagina and uterus. The first\u2010line treatment to create a neovagina is patient\u2010performed vaginal dilatation. We report here the rare case of an MRKH patient who presented with urethral dilatation and was successfully treated with Davydov vaginoplasty.<\/jats:p><jats:p><jats:bold>Case Report:<\/jats:bold> Seventeen\u2010year\u2010old patient with known single kidney was consulted by a gynaecologist, and a diagnosis of MRKH syndrome was established. As the patient had urethral dilatation\u2014resulting from repetitive intraurethral intercourse\u2014neovaginal creation by means of self\u2010performed vaginal dilatation was precluded. Rather, the Davydov vaginoplasty was successfully performed; there were no postoperative complications, and the patient was fully continent postsurgery.<\/jats:p><jats:p><jats:bold>Conclusion:<\/jats:bold> MRKH patients and healthcare providers should be educated on the damaging consequences of intraurethral intercourse. More cases need to be reported to establish the best treatment options for a normal sexual life.<\/jats:p>","DOI":"10.1155\/2024\/9498667","type":"journal-article","created":{"date-parts":[[2024,6,8]],"date-time":"2024-06-08T10:17:41Z","timestamp":1717841861000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Davydov Vaginoplasty in Mayer\u2013Rokitansky\u2013K\u00fcster\u2013Hauser Syndrome Patient Presenting With Urethral Dilatation"],"prefix":"10.1155","volume":"2024","author":[{"given":"Jurgis","family":"Vitols","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5688-2247","authenticated-orcid":false,"given":"Lasma","family":"Lidaka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,8]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_12_1_2","DOI":"10.1186\/s13023-020-01491-9"},{"key":"e_1_2_12_2_2","first-page":"657","article-title":"The embryological landscape of Mayer-Rokitansky-Kuster-Hauser syndrome: genetics and environmental factors","volume":"94","author":"Kyei-Barffour I.","year":"2021","journal-title":"The Yale Journal of Biology and Medicine"},{"doi-asserted-by":"publisher","key":"e_1_2_12_3_2","DOI":"10.1016\/j.ajog.2018.07.015"},{"doi-asserted-by":"publisher","key":"e_1_2_12_4_2","DOI":"10.1093\/humupd\/dmu024"},{"key":"e_1_2_12_5_2","article-title":"Urethral coitus due to congenital abnormality of the genitalia","volume":"164","author":"Martens L.","year":"2020","journal-title":"Nederlands Tijdschrift voor Geneeskunde"},{"doi-asserted-by":"publisher","key":"e_1_2_12_6_2","DOI":"10.1016\/j.esxm.2022.100534"},{"key":"e_1_2_12_7_2","first-page":"1343","article-title":"Intra urethral intercourse: a report of two cases","volume":"11","author":"Zargham M.","year":"2014","journal-title":"Urology Journal"},{"doi-asserted-by":"publisher","key":"e_1_2_12_8_2","DOI":"10.1055\/s-0030-1268703"},{"volume-title":"Pediatric and Adolescent Gynecology","year":"2012","author":"Emans S. 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