Anterior deflected urinary stream

Area of Science:

• Pediatric Urology
• Female Voiding Dysfunction
• Congenital Anomalies

Background:

• Meatal abnormalities in female patients are often associated with non-neurogenic bladder dysfunction.
• Anterior deflected urinary stream (ADUS) has been correlated with more severe voiding dysfunction on urodynamics.

Observation:

• This report details a rare case of isolated anterior deflected urinary stream (ADUS) in a female patient, presenting without any dysfunctional voiding symptoms (DV).
• The case illustrates the clinical presentation, surgical management, and relevant literature review for this specific condition.

Findings:

• Previous studies indicate a significant correlation between meatal abnormalities and dysfunctional voiding in girls.
• Surgical correction of meatal anomalies has shown symptom improvement in a subset of patients with dysfunctional voiding.

Implications:

• This case is the first to describe an isolated ADUS without associated dysfunctional voiding, challenging previous assumptions.
• Early surgical intervention for isolated ADUS is recommended to mitigate potential social distress and prevent the future development of voiding dysfunction.