Prospective Evaluation of Feminizing Genitoplasty Using Partial Urogenital Sinus Mobilization for Congenital Adrenal Hyperplasia

Journal of Urology

Volumn 176, Issue 5, 2006, Pages 2199-2204

  Braga, Luís H P ^a   Lorenzo, Armando J ^a   Tatsuo, Edson S ^b   Silva, Ivani N ^b   Pippi Salle, João L ^a  

^a HOSPITAL FOR SICK CHILDREN   (Canada)

^b FEDERAL UNIVERSITY OF MINAS GERAIS   (Brazil)

Author keywords

adrenal hyperplasia; congenital; pseudohermaphroditism; urethra; urogenital surgical procedures; vagina

Indexed keywords

ADOLESCENT; ADRENAL HYPERPLASIA; ARTICLE; CHILD; CHILD REARING; CLINICAL ARTICLE; CLINICAL EXAMINATION; CONTROLLED STUDY; CYSTOSCOPY; DISEASE CLASSIFICATION; EVALUATION; FEMALE; HUMAN; INFANT; MICTURITION; PRIORITY JOURNAL; PROSPECTIVE STUDY; PUBIC BONE; URETHRA; UROGENITAL SINUS; UROGENITAL TRACT MALFORMATION;

ADOLESCENT; ADRENAL HYPERPLASIA, CONGENITAL; CHILD; CHILD, PRESCHOOL; FEMALE; GYNECOLOGIC SURGICAL PROCEDURES; HUMANS; INFANT; PROSPECTIVE STUDIES; UROLOGIC SURGICAL PROCEDURES;

EID: 33750348635     PISSN: 00225347     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.juro.2006.07.063     Document Type: Article

References (20)

1. Clayton P.E., Miller W.L., Oberfield S.E., Ritzen E.M., Sippell W.G., and Speiser P.W. Consensus statement on 21-hydroxylase deficiency from the Lawson Wilkins Pediatric Endocrine Society and the European Society for Pediatric Endocrinology. J Clin Endocrinol Metab 87 (2002) 4048
2. Donahoe P.K., and Gustafson M.L. Early one-stage surgical reconstruction of the extremely high vagina in patients with congenital adrenal hyperplasia. J Pediatr Surg 29 (1994) 352
3. Farkas A., Chertin B., and Hadas-Halpren I. 1-stage feminising genitoplasty: 8 years of experience with 49 cases. J Urol 165 (2001) 2341
4. Pena A. Total urogenital mobilization-an easier way to repair cloacas. J Pediatr Surg 32 (1997) 263
5. Rink R.C., Pope J.C., Kropp B.P., Smith Jr. E.R., Keating M.A., and Adams M.C. Reconstruction of the high urogenital sinus: early perineal prone approach without division of the rectum. J Urol 158 (1997) 1293
6. Rink R.C., Metcalfe P., Cain M., Kaefer M., Casale A., and Meldrum K. Partial urogenital mobilization: the advantages without the risks. J Pediatr Urol 1 (2005) 232
7. Fortunoff S., Lattimer J.K., and Edson M. Vaginoplasty technique for female pseudohermaphrodites. Surg Gynecol Obstet 118 (1974) 545
8. Passerini-Glazel G. A new 1-stage procedure for clitorovaginoplasty in severely masculinized female pseudohermaphrodites. J Urol 142 (1989) 565
9. Kogan S.J., Smey P., and Levitt S.B. Subtunical total reduction clitoroplasty: a safe modification of existing techniques. J Urol 130 (1983) 746
10. Creighton S.M., Minto C.L., and Steele S.J. Objective cosmetic and anatomical outcomes at adolescence of feminizing surgery for ambiguous genitalia done in childhood (letter to the editor). Lancet 358 (2001) 124
11. Hamza A.F., Soliman H.A., Hay S.A., Kabesh A.A., and Elbehery M.M. Total urogenital sinus mobilization in the repair of cloacal anomalies and congenital adrenal hyperplasia. J Pediatr Surg 36 (2001) 1656
12. Jenak R., Ludwikowski B., and Gonzalez R. Total urogenital sinus mobilization: a modified perineal approach for feminizing genitoplasty and urogenital sinus repair. J Urol 165 (2001) 2347
13. Kryger J.V., and Gonzalez R. Urinary continence is well preserved after total urogenital mobilization. J Urol 172 (2004) 2384
14. Minto C.L., Liao L.M., Woodhouse C.R., Ransley P.G., and Creighton S.M. The effect of clitoral surgery on sexual outcome in individuals who have intersex conditions with ambiguous genitalia: a cross-sectional study. Lancet 361 (2003) 1252
15. Creighton S.M. Long-term outcome of feminization surgery: the London experience. BJU Int 93 suppl. (2004) 44
16. Gonzalez R., and Fernandes E.T. Single stage feminizing genitoplasty. J Urol 143 (1990) 776
17. Krege S., Walz K.H., Hauffa B.P., Korner I., and 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 86 (2000) 253
18. Hendren W.H., and Donahoe P.K. Correction of congenital abnormalities of the vagina and perineum. J Pediatr Surg 15 (1980) 751
19. De Jong T.P., and Boemers T.M. Neonatal management of female intersex by clitorovaginoplasty. J Urol 154 (1995) 830
20. Wisniewski A.B., Migeon C.J., Malouf M.A., and Gearhart J.P. Psychosexual outcome in woman affected by congenital adrenal hyperplasia due to 21-hydroxylase deficiency. J Urol 171 (2004) 2497