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2 Results
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Taking “Trans-ano-rectal” out of ASTRA: An anterior sagittal approach without splitting the rectum
Journal of Pediatric UrologyVol. 18Issue 1p96–97Published online: December 21, 2021- Kathy H. Huen
- Sarah A. Holzman
- Carol A. Davis-Dao
- Elias J. Wehbi
- Antoine E. Khoury
Cited in Scopus: 1The anterior sagittal trans-ano-rectal approach (ASTRA) provides excellent exposure to the urethra and vagina for partial or total urogenital sinus mobilization and subsequent reconstruction for patients with urogenital sinus anomalies. It is a frequent approach to reconstruction for children with a high confluence. However, the division of the anterior anal external sphincter and the rectal wall in the ASTRA incurs morbidity, which include fecal incontinence if one veers from the midline, and increased risk of wound infection due to fecal soilage. - Video Bank
Genitoplasty in newborn females with adrenogenital syndrome: Focus on the reconstruction technique and its outcomes
Journal of Pediatric UrologyVol. 14Issue 2p198–199Published online: March 7, 2018- Marjan Waterloos
- Tom Claeys
- Maxime Sempels
- Erik Van Laecke
- Piet Hoebeke
- Anne-Françoise Spinoit
Cited in Scopus: 3The adrenogenital syndrome is an autosomal recessive disorder in which an enzyme defect in the steroid pathway leads to excessive prenatal exposure of androgens. In the female fetus, masculinization of the external genitalia is observed. Surgery aims for functional and aesthetical reconstruction. Many techniques have been described. A video of our modified pull-through reconstruction technique is hereby presented. A retrospective descriptive database was created with patients who underwent genitoplasty for a CAH-associated genital condition.
