- Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome is a congenital anomaly of the female genital tract that may require vaginal reconstruction. Laparoscopic sigmoid vaginoplasty allows adequate anatomic and physiologic functions that are essential for sexual well-being. The goal of laparoscopic sigmoid vaginoplasty is a to create a functional self-lubricating vagina via a minimally invasive procedure.
- The creation of a Malone antegrade continence enema (MACE) channel is an option to treat patients with neurologic conditions that result in fecal soiling or intractable constipation. It is typically performed in an open fashion through a midline incision or laparoscopically. The laparoscopic technique typically involves bringing the tip of the appendix to the skin whereas the open technique allows for imbrication of the cecum around the channel, which may improve continence and decrease the risk of perforation.
- Primary epispadias is a rare congenital malformation that afflicts about 1 in 80,000 children. The surgical repair, originally described by Cantwell over 100 years ago, is fundamentally sound and incorporates several important steps to achieve an optimal result.