Journal of Pediatric Urology
Volume 4, Issue 5 , Pages 352-358 , October 2008

Perineal mobilization of the common urogenital sinus for surgical correction of high urethrovaginal confluence in patients with intersex disorders

  • Miguel Podesta

      Affiliations

    • Corresponding Author InformationCorresponding author. Unidad de Urología Hospital de Niños “Ricardo Gutiérrez”, Department of Surgery, Urology Unit, Gallo 1330, 1425 Buenos Aires, Argentina. Tel./fax: +54 11 4962 3762.
    • ,
  • Javier Urcullo

Received 10 December 2007 ,Accepted 28 February 2008.

References 

  1. Hendren WH, Crawford JD. Adrenogenital syndrome: the anatomy of the anomaly and its repair. Some new concepts. J Pediatr Surg. 1969;4:49–58
  2. Passerini-Glazel G. A new 1-stage procedure for clitoroplasty in severely masculinized female pseudohermaphrodites. J Urol. 1989;142:565–568
  3. Peña A. Total urogenital mobilization-an easier way to repair cloacas. J Pediatr Surg. 1997;32:263–268
  4. Rink CR, Pope JC, Kropp BP, Smith ER, Keating MA, Adams MC. Reconstruction of the high urogenital sinus: early perineal prone approach without division of the rectum. J Urol. 1997;158:1293–1297
  5. Ludwikowski B, Oesch Hayward I, Gonzalez R. Total urogenital sinus mobilization: expanded applications. BJU Int. 1999;83:820–822
  6. Gozalbez R, Castellan M, Ibrahim E, DiSandro M, Labbie A. New concepts in feminizing genitoplasty – is the Fortunoff flap obsolete?. J Urol. 2006;174:2350–2353
  7. Rink RC, Metcalf PD, Kaefer MA, Casale AJ, Meldrum KK, Cain MP. Partial urogenital mobilization: a limited proximal dissection. J Pediatr Urol. 2006;2:351–356
  8. de Jong TPVM, Boemers TML. Neonatal management of female intersex by clitorovaginoplasty. J Urol. 1995;154:830–832
  9. Kryger JV, Gonzalez R. Urinary continence is well preserved alter total urogenital mobilization. J Urol. 2004;172:2384–2386
  10. Hendren WA, Atala A. Repair of the high vagina in girls with severely masculinized anatomy from the adrenogenital syndrome. J Pediatr Surg. 1995;30:91–94
  11. Krege S, Walz KH, Hauffa BP, Korner I, Rubben H. Long-term follow-up of female patients with congenital adrenal hyperplasia from 21-hydroxylase deficiency, with special emphasis on the results of vaginoplasty. BJU Int. 2000;86:251–259
  12. Braga LHP, Lorenzo AJ, Tatsuo ES, Silva IN, Pippi Salle JL. Prospective evaluation of feminizing genitoplasty using partial urogenital sinus mobilization for congenital adrenal hyperplasia. J Urol. 2006;176:2199–2204
  13. Creighton SM, Minto CL, Steele SJ. Objective cosmetic and anatomical outcomes at adolescence of feminizing surgery for ambiguous genitalia done in childhood. Lancet. 2001;358:124–125
  14. Mollard P, Juskiewenski S, Sarkissian J. Clitoroplasty in intersex: a new technique. Br J Urol. 1981;53:371–373
  15. Alizai NK, Thomas DFM, Lilford RJ, Batchelor AGG, Johnson N. Feminizing genitoplasty for congenital adrenal hyperplasia: what happens at puberty?. J Urol. 1999;161:1588–1591

PII: S1477-5131(08)00285-4

doi: 10.1016/j.jpurol.2008.02.009

Journal of Pediatric Urology
Volume 4, Issue 5 , Pages 352-358 , October 2008

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