Format

Send to

Choose Destination
See comment in PubMed Commons below
J Pediatr Urol. 2007 Aug;3(4):316-20. doi: 10.1016/j.jpurol.2006.09.008. Epub 2006 Dec 22.

Long-term outcome of vaginal reconstruction: comparing techniques and timing.

Author information

1
Great Ormond Street Children's Hospital NHS Trust and Guys Hospital, London, UK. berkburgu@gmail.com

Abstract

OBJECTIVE:

In a retrospective review, to analyse the long-term outcomes of vaginal reconstruction, comparing techniques and timing.

PATIENTS AND METHODS:

We identified 63 patients who underwent a total of 71 vaginoplasties in 1985-2000. The techniques used were posterior skin flap (42), intestinal replacement (21) and pull through (8). The majority of operations were performed before puberty (63%) and as primary procedures (79%). Presenting diagnoses were congenital adrenal hyperplasia (23), cloacal exstrophy (8), true persistent cloaca (12), androgen insensitivity (8), urogenital sinus anomaly (6), mixed gonadal dysgenesis (3), true hermaphroditism (2) and sacrococcygeal teratoma (1).

RESULTS:

The mean age at operation was 83.9 (2-235) and mean follow up was 116.8 (48-232) months. Strictures and discharge were the most common problems. Nine patients underwent revision surgery and a fistula repair was required in two patients. Mucosal prolapse was observed in one ileo- and one colovaginoplasty patient, and diversion colitis occurred after colovaginoplasty in one patient. More complications occurred in operations performed prior to than following puberty.

CONCLUSION:

If vaginoplasty is the only indicated operation, delaying until puberty may minimize complications. When other genital surgery is indicated or in the presence of symptoms pre-pubertal vaginoplasty should be performed, since the second procedure usually involves simple dilatations and is associated with good results.

PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Support Center