I'm not sure how to approach this subject.
Recently, I've discovered that my urine has not been exiting my body through my urethra-- or rather, the urethra that I was born with. I've done some research on this, and have found a case that I believe is very similar to my own:
"We present the case of a 34-year-old woman who presented with a stone fragment stuck near her distal urethra without obstruction of her urinary flow. During an attempt to explore and remove the fragment, she was discovered to have complete urethral duplication with the stone stuck in one of two distal urethral orifices. This represents an extremely rare variant of a very unusual congenital anomaly, even more so as it occurs usually in male patients. Embryology, etiology, and clinical appearance of this rare anomaly are discussed."
Copyright © 2007 S. Karger AG, Basel
[ http://content.karger.com/ProdukteDB/produkte.asp?Doi=96943 ]
The reason that I believe that this case is similar to my own is because I specifically remember a time when I was either 9 or 10 that I was having trouble urinating. A few months or so later, I learned what the word "constipation" meant. I believe that once, I described the feeling to my mother as "constipation, but with number 1 instead of number 2." The problem resolved itself, and I didn't think of it again for a few months. At some point, months later, I realized that I could control my urination in a different way than I had before. I also noticed that urination was significantly easier. At 10, I just figured that whatever might have been blocking my urethra had been cleared away. Now, about 2 months ago, I noticed a second hole located near the top of my vaginal opening. Again, I didn't think much of it. Within the last few days, I've realized that I haven't been urinating out of my original urethra at all. This is where I found another case that seemed to be somewhat similar to my own:
"Urethral duplication is a rare finding in females, with fewer than 40 cases published since 1970. We report a case of urethral duplication in a woman with uterovaginal and rectal prolapse but without other associated congenital anomalies. On urodynamic and cystoscopic evaluation, an accessory urethra was noted to emerge from beneath the clitoral hood. The patient underwent exploratory laparotomy and transabdominal excision of the rudimentary urethral orifice with concurrent transvaginal prolapse repair and rectopexy. At 5-year follow-up, the patient continued to be continent and without prolapse."
[ http://www.springerlink.com/content/j0020222gx488078/ ]
I haven't had any rectal problems, but my "second" urethra seems to be located from underneath the clitoral hood as well. Both of the cases above were seen in women in their early 30's-- I am still considered a teen. It doesn't bother me physically, or mentally-- I just want clarification. I want to make sure that there aren't any life-threatening risks or anything. I figure that when I'm older I'll have it corrected, but as of now, it doesn't interfere with my everyday life. Some of the women with this condition reported urinary leakage-- which I did once have a VERY MINOR problem with. After researching urinary leakage years ago, I stumbled upon Kegel exercises, which eliminated the problem altogether.
I guess what I am really looking for here is more information.
Thanks!
I'd get a consultation with a specialist. My ob-gyn is our hospital system's expert in gynecologic urology, or otherwise I would have never heard this is even a specialty. In your case, I'd try to dig up one of those doctors and have an exam. If you really do have a double urethra and one voids through your vaginal opening, it seems like a question would be whether or not it could increase the bacteria in the vagina. Yet urine is said to be sterile, or nearly so.
If you do learn that you have a double urethra or some kind of urethral opening in the vagina, and decide it is something you want to have attended to surgically, be sure they fix the original stone or whatever had blocked the urethra in the first place, and have it working for a few months, before they do anything to shut off the second opening. The last thing you want to have happen is for them to repair the original block but have the (whatever caused it) continue to be a problem or recur. At least now you can pee through the backup exit. (If that is what is really going on.)
An exam from a specialist will tell you a whole lot. I'd do it.