Accessory phallic urethra in the female patient

Area of Science:

• Embryology
• Urology
• Pediatric Surgery

Background:

• Accessory phallic urethra in females is a rare congenital anomaly.
• Understanding its embryological origins is crucial for diagnosis and management.

Observation:

• The condition is not associated with virilization.
• Abnormal descent of the müllerian ducts appears to be the primary cause.
• This leads to a posterior vaginal introitus and a prominent phallus.

Findings:

• Local embryologic interactions explain the spectrum of observed lesions.
• The accessory urethra forms due to specific developmental pathways.
• The prominent phallus is a consequence of these embryological events.

Implications:

• Genitoplasty is the recommended surgical approach.
• Ablation of the accessory urethra is not necessary for successful genitoplasty.
• Further research into female urogenital development anomalies is warranted.