One stage feminizing genitoplasty: 4 years of experience with 29 cases
| dc.contributor.author | Dr. Jehad M. Abu Daia | |
| dc.date.accessioned | 2017-05-03T09:39:11Z | |
| dc.date.available | 2017-05-03T09:39:11Z | |
| dc.date.issued | 2008-11-16 | |
| dc.description.abstract | <p>Purpose: We retrospectively evaluated the results of one-stag feminizing genitoplasty in children with congenital adrenal hyperplasia (CAH).</p> <p>Patients And Methods: Twenty nine patients with 46XX CVAH (congenital verilized adrenal hyperplasia )patients were referred following complete evaluation of gender, chromosomal and biochemical data by pediatric endocrinologists in 6 year period between 2001 and 2007- at European Gaza Hospitan –Gaza ; 28 patient( new cases 26 + Redo 2)were managed by one-stage feminizing genitoplasty (vaginoplasty-valvoplasty and clitroplasty ),age 3monthes to 12 years.We used the Passerini-Glazel technique, and in 5 patients we mobilize the urogenital sinus en bloc , one female patient underwent gender reversal and was raised as males.</p> <p>Results: Follow up was 3 monthsto 6 years. Preoperative ultrasound plus or minus genitogram<br /> and endoscopy provide the correct data regarding the vaginal and internal genital anatomy in all cases, Operating time ranged between 90 and 180 minutes, average hospitalization period was 4 to 9 days Complications consisted of intraoperative uretheral injury in 1 case wound infection in 2 and stenosis at the suture line in 2 patients -corrected by introitoplasty . All patients have had successful cosmetic results except one need redo clitroplasty for residual clitoromegalia.</p> <p>Conclusion: Most patients with 46XX CVAH are preferably raised as females and require a feminizing genitoplasty . Preoperative investigations and surgical managment of every case on its own merits gives satisfactory primary results , some revision at puberty should be anticipated in some cases.</p> | en |
| dc.description.abstract | <p>Purpose: We retrospectively evaluated the results of one-stag feminizing genitoplasty in children with congenital adrenal hyperplasia (CAH).</p> <p>Patients And Methods: Twenty nine patients with 46XX CVAH (congenital verilized adrenal hyperplasia )patients were referred following complete evaluation of gender, chromosomal and biochemical data by pediatric endocrinologists in 6 year period between 2001 and 2007- at European Gaza Hospitan –Gaza ; 28 patient( new cases 26 + Redo 2)were managed by one-stage feminizing genitoplasty (vaginoplasty-valvoplasty and clitroplasty ),age 3monthes to 12 years.We used the Passerini-Glazel technique, and in 5 patients we mobilize the urogenital sinus en bloc , one female patient underwent gender reversal and was raised as males.</p> <p>Results: Follow up was 3 monthsto 6 years. Preoperative ultrasound plus or minus genitogram<br /> and endoscopy provide the correct data regarding the vaginal and internal genital anatomy in all cases, Operating time ranged between 90 and 180 minutes, average hospitalization period was 4 to 9 days Complications consisted of intraoperative uretheral injury in 1 case wound infection in 2 and stenosis at the suture line in 2 patients -corrected by introitoplasty . All patients have had successful cosmetic results except one need redo clitroplasty for residual clitoromegalia.</p> <p>Conclusion: Most patients with 46XX CVAH are preferably raised as females and require a feminizing genitoplasty . Preoperative investigations and surgical managment of every case on its own merits gives satisfactory primary results , some revision at puberty should be anticipated in some cases.</p> | ar |
| dc.identifier.uri | https://hdl.handle.net/20.500.11888/9923 | |
| dc.title | One stage feminizing genitoplasty: 4 years of experience with 29 cases | en |
| dc.title | One stage feminizing genitoplasty: 4 years of experience with 29 cases | ar |
| dc.type | Other |
Files
Original bundle
1 - 1 of 1
Loading...
- Name:
- one-stage-feminizing-genitoplasty-4-years-experience-29-cases.pdf
- Size:
- 33.54 KB
- Format:
- Adobe Portable Document Format
- Description: