Unusual Anatomy: Two Urethral Openings Explained - Obstetrics and Gynecology

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I have two urethral openings?


Hello doctor, out of curiosity, I looked at my genital area in the mirror and discovered that I have three openings, not including the anus.
Above the vaginal opening, there are two openings, one on each side.
Is that the urethra? What should I do? Is this abnormal? I'm very anxious.
Thank you.

Xiao Lu, 20~29 year old female. Ask Date: 2005/10/10

Dr. Li Guanghan reply Obstetrics and Gynecology


Hello: There should be only one urethral opening, with a small gland (Skene's gland) opening on each side.
Please seek medical attention promptly.
Hsinchu City Hospital, Department of Obstetrics and Gynecology.

Reply Date: 2005/10/10

More Info


It's understandable to feel anxious upon discovering something unusual about your anatomy. What you're describing sounds like a condition known as "urethral duplication," which is a rare congenital anomaly where there are two urethral openings instead of the typical single opening. In your case, it seems that you have identified two openings above the vaginal canal, which you suspect to be urethral openings.

To clarify, the urethra is the tube that carries urine from the bladder to the outside of the body. In females, the urethra is located just above the vaginal opening. The presence of two urethral openings can be concerning, but it is important to understand that not all anatomical variations indicate a medical problem.
Urethral duplication can vary in its presentation. In some cases, both openings may function normally, while in others, one may be non-functional or associated with other urinary tract anomalies. It is also possible that what you are seeing could be related to the anatomy of the clitoral hood or labia, which can sometimes create the appearance of additional openings.

If you are experiencing any symptoms such as pain, difficulty urinating, recurrent urinary tract infections, or any other unusual symptoms, it is crucial to consult a healthcare provider. They can perform a physical examination and possibly imaging studies to determine the nature of the openings and whether any further evaluation or treatment is necessary.

In terms of what to do next, here are some steps you can take:
1. Schedule an Appointment: Make an appointment with a gynecologist or urologist who can provide a thorough evaluation. They will be able to assess your anatomy and discuss any concerns you may have.

2. Document Symptoms: Keep track of any symptoms you may experience, such as urinary frequency, urgency, pain, or any other changes. This information will be helpful for your doctor.

3. Avoid Self-Diagnosis: While it’s natural to search for answers online, it’s important to avoid jumping to conclusions based on internet searches. Each individual's anatomy can vary significantly, and a healthcare professional can provide the most accurate information.

4. Stay Calm: Many anatomical variations are benign and do not require treatment. It's important to approach this situation with a calm mindset and seek professional advice.

In conclusion, while discovering multiple openings can be alarming, it is essential to consult with a healthcare professional for a proper evaluation. They can provide reassurance, clarify the situation, and discuss any necessary steps moving forward. Remember, your health and peace of mind are paramount, and seeking professional guidance is the best course of action.

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