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VR-11
(VS)
FEMINIZING GENITOPLASTY USING THE UROGENITAL SINUS MOBILIZATION
TECHNIQUE WITH NO CLITOROPLASTY
Waleed DAWOOD, Haytham BADAWY, Ahmed ABULFOTOOH EID, Amr KAMAL, Khaled RIFAAI, Samir SHAABAN and
Ahmed HANNO
Faculty of medicine, university of alexandria, Department of urology, Alexandria, EGYPT
PURPOSE
congenital adrenal hyperplasia is the most common cause of DSD in children. Feminizing genitoplasty depends on the
extent of virilization of the external genitalia, and the length of the urogenital sinus. Herein we present a case of
urogenital sinus anomaly with no clitoromegaly.
MATERIAL AND METHODS
the video describes total urogenital sinus mobilization with no clitoroplasty because of absent clitoromegaly. Inverted U
perineal flap is harvested, mobilization of the sinus until separate urethral orifice and vaginal orifice was reached,
maturation of the flap to post wall of the vagina, maturation of the vestibule.
RESULTS
Perfect cosmetic appearance, good caliber vaginal orifice was maintained with no dilatation, normal urethral orifice and
no urological complaints.
CONCLUSIONS
feminizing genitoplasty should be tailored to the degree of virilization of the genitalia, clitoroplasty is performed
whenever clitoroplasty is present, urogenital sinus mobilization achieves excellent cosmetic outcome.