PFD Week 2016-Case Report: Laparoscopic and Vulvar Resection of a Congenital Prepubic Sinus

Case Report: Laparoscopic and Vulvar Resection of a Congenital Prepubic Sinus

Video Transcription

Video Summary

In this video, a 16-year-old female presented with clitoral and left labial swelling. After being admitted and undergoing imaging, she was diagnosed with a congenital prepubic sinus with an infection. She underwent an ultrasound-guided incision and drainage, but three months later, the swelling and pain recurred. A laparoscopic and vulvar resection was attempted to remove the sinus tract. The procedure went well, with no complications or recurrence postoperatively. Final pathology revealed that the sinus tract had squamous and transitional epithelium with smooth muscle, supporting the theory of dorsal urethral duplication. This video provides insights into the presentation, diagnosis, and treatment of congenital prepubic sinus. No financial disclosures were given. For more information, visit www.fema.gov.

Asset Subtitle

Kavita Mishra, MD

Keywords

16-year-old female

clitoral swelling

labial swelling

congenital prepubic sinus

ultrasound-guided incision and drainage