Urinary Incontinence and Megalourethra Developing After Coitus in a Woman with a Normal Vagina

Abstract Background: Urethral coitus leading to megalourethra in physiologically and anatomically normal women is a very rare phenomenon. Case: A 24-year-old woman, married for 5 years and having a 4-year-old child, presented with urinary incontinence to the urology clinic. She experienced urinary incontinence during sexual intercourse despite urinating beforehand. She also had spontaneous urinary incontinence during the day, for which she used ∼1–2 pads daily. At her urogynecologic examination, no pathology was found in the vagina or cervix. The urethral meatus was noted to be as wide as the vaginal orifice. Results: She was treated successfully by a modified surgical technique based on the Martius technique. Conclusions: This modified surgical technique may be applied successfully in the treatment of megalourethra caused by urethral coitus. (J GYNECOL SURG 28:50)