[Female hypospadias diagnosed in an adolescent]

Hypospadias is an exceptional congenital anomaly in females, contrasted with hypospadias in males, which is much more common. In girls, the diagnosis is made only a few months after birth or later. Female hypospadias involves total or partial agenesis of the urethrovaginal septum, resulting in urinary drainage into the genital tract. Rarely isolated, it is usually associated with other urogenital or spinal anomalies. Treatment is based on surgical urethral reconstruction. We report the case of a 13-year-old girl living in a rural area who had no specific medical history. The girl was admitted with anuria, renal failure, and hypertension. After physical examination and investigations, the diagnosis was female hypospadias, with neurogenic bladder due to sacral agenesis. Surgical treatment consisted of urethral meatus apicalization, with meatoplasty for intermittent catheterization via the urethra. Blood pressure and renal function normalized.