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 sagit...
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| Veröffentlicht in: | Journal of pediatric surgery 2009-11, Vol.44 (11), p.2233-2235 |
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| container_title | Journal of pediatric surgery |
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| creator | Mane, Shivaji B Thakur, Ashokanand Dhende, Nitin P Obaidah, Abu Acharya, Himanshu |
| description | 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. |
| doi_str_mv | 10.1016/j.jpedsurg.2009.07.032 |
| format | Article |
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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.</description><identifier>ISSN: 0022-3468</identifier><identifier>EISSN: 1531-5037</identifier><identifier>DOI: 10.1016/j.jpedsurg.2009.07.032</identifier><identifier>PMID: 19944240</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Abnormalities, Multiple - surgery ; Anterior sagittal approach ; Aphallia ; Colon, Sigmoid - surgery ; Disorders of Sex Development - surgery ; Female ; Feminizing genitoplasty ; Humans ; Male ; Pediatrics ; Penis - abnormalities ; Perineum - surgery ; Reconstructive Surgical Procedures - methods ; Surgery ; Surgically-Created Structures ; Treatment Outcome</subject><ispartof>Journal of pediatric surgery, 2009-11, Vol.44 (11), p.2233-2235</ispartof><rights>Elsevier Inc.</rights><rights>2009 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c422t-a6e1b1e46a2611b9773511fdcba424c61fc1bbe3c50605009b32da2f75e031753</citedby><cites>FETCH-LOGICAL-c422t-a6e1b1e46a2611b9773511fdcba424c61fc1bbe3c50605009b32da2f75e031753</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpedsurg.2009.07.032$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19944240$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mane, Shivaji B</creatorcontrib><creatorcontrib>Thakur, Ashokanand</creatorcontrib><creatorcontrib>Dhende, Nitin P</creatorcontrib><creatorcontrib>Obaidah, Abu</creatorcontrib><creatorcontrib>Acharya, Himanshu</creatorcontrib><title>Single-stage feminizing genitoplasty in aphallia through an anterior saggital approach</title><title>Journal of pediatric surgery</title><addtitle>J Pediatr Surg</addtitle><description>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.</description><subject>Abnormalities, Multiple - surgery</subject><subject>Anterior sagittal approach</subject><subject>Aphallia</subject><subject>Colon, Sigmoid - surgery</subject><subject>Disorders of Sex Development - surgery</subject><subject>Female</subject><subject>Feminizing genitoplasty</subject><subject>Humans</subject><subject>Male</subject><subject>Pediatrics</subject><subject>Penis - abnormalities</subject><subject>Perineum - surgery</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Surgery</subject><subject>Surgically-Created Structures</subject><subject>Treatment Outcome</subject><issn>0022-3468</issn><issn>1531-5037</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUU1v1DAUtBCIbhf-QpUbp6Tv2YlDLghUlQ-pUg9tuVqO85J18CbBdpCWX49XuwiJS0-2RvPevJlh7AqhQEB5PRbjQl1Y_VBwgKaAugDBX7ANVgLzCkT9km0AOM9FKd9fsMsQRoAEA75mF9g0ZclL2LDvD3YaHOUh6oGynvZ2sr8TlA002TgvTod4yOyU6WWnnbM6izs_r8Mu0wmbInk7-yzoYbBRu8Ra_KzN7g171WsX6O353bKnz7ePN1_zu_sv324-3eWm5DzmWhK2SKXUXCK2TV2LCrHvTKvTeUZib7BtSZgKJFTJZyt4p3lfVwQC60ps2bvT3iT7c6UQ1d4GQ87pieY1qFqUKLlIxrdMnpjGzyF46tXi7V77g0JQx0jVqP5Gqo6RKqhVijQNXp0l1nZP3b-xc4aJ8PFEoGT0lyWvgrE0GeqsJxNVN9vnNT78t8K4VITR7gcdKIzz6qcUo0IVuAL1cCz22Cs0AFWT_n8AeWig5A</recordid><startdate>20091101</startdate><enddate>20091101</enddate><creator>Mane, Shivaji B</creator><creator>Thakur, Ashokanand</creator><creator>Dhende, Nitin P</creator><creator>Obaidah, Abu</creator><creator>Acharya, Himanshu</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20091101</creationdate><title>Single-stage feminizing genitoplasty in aphallia through an anterior saggital approach</title><author>Mane, Shivaji B ; Thakur, Ashokanand ; Dhende, Nitin P ; Obaidah, Abu ; Acharya, Himanshu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c422t-a6e1b1e46a2611b9773511fdcba424c61fc1bbe3c50605009b32da2f75e031753</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Abnormalities, Multiple - surgery</topic><topic>Anterior sagittal approach</topic><topic>Aphallia</topic><topic>Colon, Sigmoid - surgery</topic><topic>Disorders of Sex Development - surgery</topic><topic>Female</topic><topic>Feminizing genitoplasty</topic><topic>Humans</topic><topic>Male</topic><topic>Pediatrics</topic><topic>Penis - abnormalities</topic><topic>Perineum - surgery</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Surgery</topic><topic>Surgically-Created Structures</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mane, Shivaji B</creatorcontrib><creatorcontrib>Thakur, Ashokanand</creatorcontrib><creatorcontrib>Dhende, Nitin P</creatorcontrib><creatorcontrib>Obaidah, Abu</creatorcontrib><creatorcontrib>Acharya, Himanshu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mane, Shivaji B</au><au>Thakur, Ashokanand</au><au>Dhende, Nitin P</au><au>Obaidah, Abu</au><au>Acharya, Himanshu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Single-stage feminizing genitoplasty in aphallia through an anterior saggital approach</atitle><jtitle>Journal of pediatric surgery</jtitle><addtitle>J Pediatr Surg</addtitle><date>2009-11-01</date><risdate>2009</risdate><volume>44</volume><issue>11</issue><spage>2233</spage><epage>2235</epage><pages>2233-2235</pages><issn>0022-3468</issn><eissn>1531-5037</eissn><abstract>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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>19944240</pmid><doi>10.1016/j.jpedsurg.2009.07.032</doi><tpages>3</tpages></addata></record> |
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| subjects | Abnormalities, Multiple - surgery Anterior sagittal approach Aphallia Colon, Sigmoid - surgery Disorders of Sex Development - surgery Female Feminizing genitoplasty Humans Male Pediatrics Penis - abnormalities Perineum - surgery Reconstructive Surgical Procedures - methods Surgery Surgically-Created Structures Treatment Outcome |
| title | Single-stage feminizing genitoplasty in aphallia through an anterior saggital approach |
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