To cite: Correia C, Pardal C, Ribeiro B. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2015209303 DESCRIPTION Imperforate hymen is the most common congenital cause of genital outflow obstruction in females, with a reported incidence of 0.014–0.024% in children. This abnormality may not be detected until the onset of menses, when haematocolpos causes symptoms due...

Urethral coitus is a rare condition seen especially in cases with vaginal agenesis or hymen imperforatus. A female patient with sexual dysfunction and primary amenorrhea diagnosed with urethral coitus is presented in this report. These cases present recurrent urinary tract infections, dysuria, and dyspareunia besides primary amenorrhea. There was no megalourethra or vaginal introitus in our cas...

The first three articles in the Clinical Ethics section of this issue of Journal of Medical Ethics address potential conflicting duties of physicians. The first paper, by Niklas Juth and Niels Lynöe (see page 215, Editor’s choice), reports results of an empirical study of Swedish physicians’ attitudes regarding the provision of virginity certificates or hymen restorations requested by women, of...

Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome is a rare congenital abnormality of the female urogenital tract. We reported OHVIRA syndrome in a 15-year-old girl, who was referred to King Faisal Specialist Hospital and Research Centre, due to hematocolpos and an imperforate hymen. The patient was diagnosed as having an absent right kidney since childhood. She presented wi...

Abstract Introduction The vestibule, consisting of the urethral meatus and minor major vestibular glands, is a unique surface endodermal tissue between Hart’s line, at inner aspect labia minora, hymen, just vaginal opening. vestibule releases mucinous lubrication during sexual arousal, achieved, in part, by robust innervation. Although not well studied, this likely consists both somatic (perine...