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Mayer-Rokitansky-Kuster-Hauser Syndrome Associated with a Urogenital Sinus Anomaly in a 4-Year-Old Child: Report of a Case
Current Urology, 08/24/09

Adam A et al. – The authors report on its diagnosis in a 4–year–old child presenting with urinary incontinence. Also of interest in the index patient is the presence of a pure urogenital sinus anomaly. This extremely rare association has not been previously diagnosed in childhood.

Exclusive Author Commentary
Ahmed Adam, 09/28/09

The importance of a complete history and examination in children presenting with 'urinary incontinence' can not be underscored enough, as it may have devastating consequences if left neglected. In our index case, the pre-sacral dimple and absence of the urethral meatus on examination prompted further investigation, which subsequently revealed the final diagnosis.

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