CONGENITAL ANOMALIES OF THE GENITALIA ASSOCIATED WITH UNILATERAL RENAL AGENESIS

Abstract

Since the middle of the last century a number of authors have called attention to the frequent association of congenital anomalies of the genitalia and anomalies of the urinary tract. The numerous reports, however, of cases of genital malformation in which no urologic investigation has been carried out and of cases of congenital renal defect in which adequate study of the genital system has not been made are evidence of the need for reemphasis of the problem. It is my purpose to review the literature and to present 3 illustrative cases; the first is an instance of true uterus unicornis; the second, a case of uterus bicornis bicollis, and the third, an example of uterus bicornis unicollis. In each of these there was total agenesis of one kidney and ureter. True uterus unicornis is an unusual abnormality, and its combination with renal agenesis is a defect of considerable rarity. I