Single-stage feminizing genitoplasty in aphallia through an anterior saggital approach.

Abstract:

PURPOSE:An ideal feminizing genitoplasty in aphallia should achieve good cosmesis and capacious vagina in a single-stage repair. Most of the techniques described in the literature are variations of the posterior sagittal approach with staged repair. We describe a single-stage anterior sagittal approach for feminizing genitoplasty in cases of aphallia. MATERIALS AND METHODS:A case of aphallia was operated through an anterior sagittal approach, and a spiral Monti tube of sigmoid colon was used to create a neovagina. Preservation of the skin tag around the urethra and its placement in the perineum gives it the appearance of the clitoris. RESULT:The patient has been observed for 7 months. She is continent and has a satisfactory cosmetic appearance and capacious vagina. CONCLUSION:A single-stage operation through an anterior sagittal approach is a good alternative technique for genital reconstruction in the case of aphallia.

journal_name

J Pediatr Surg

authors

Mane SB,Thakur A,Dhende NP,Obaidah A,Acharya H

doi

10.1016/j.jpedsurg.2009.07.032

subject

Has Abstract

pub_date

2009-11-01 00:00:00

pages

2233-5

issue

11

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(09)00592-2

journal_volume

44

pub_type

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