Transsphinctericanorectal reconstruction of ambiguous genitalia: an innovative approach to neovaginoplasty, pioneer in Brazil

Sao Paulo Medical Journal

Albany Braz¹  Maria Cristina Martoni Andrade¹ 

[1] ,Children's Hospital Darcy Vargas of São Paulo Intersexuality UnitSP ,Brazil

关键词: Ambiguous genitalia;    Pseudohermaphroditism;    Posterior sagittal transsphinctericanorectal approach;    Intersexuality;    Vaginoplasty;   

DOI  :  10.1590/S1516-31801995000600005

来源: SciELO

【 摘 要 】

The authors, based upon previous experience in the treatment of ten children with cloacal abnormalities, among which two with female pseudohermaphroditism with cloaca, hereby present a pioneer experience in Brazil, with the "posterior sagittal transsphinctericanorectalurethrovaginoplasty" a surgical approach to neovaginoplasty described by "Cripps/Peña", which was utilized for the reconstruction of the genitalia of three intersexuated adolescents with protective colostomy, who presented an urogenital sinus, high vaginal implantation and a normal rectum. One patient was an adrenal female pseudohermaphrodite and two were male pseudohermaphrodites. The authors present a brief report on the three cases, describe the surgical procedure, relate on the anatomy of the urogenital sinus and discuss surgical indications, diagnosis and results, comparing them to the reviewed international literature.

【 授权许可】

CC BY   
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