Vaginal construction using sigmoid colon in children and young adults

BJU International
Ashok RajimwaleMartin A Koyle

Abstract

To evaluate the age at which patients who required vaginal replacement (an uncommon procedure in children) were diagnosed, and the cause of their anomaly, and to relate these variables to the surgical outcome. Patients who had vaginal replacement at the author's institution between 1990 and 2002 were reviewed retrospectively. Depending on the age at reconstructive surgery, patients were divided into pre- and postpubertal groups. A neovagina was constructed in 23 patients during the study period; sigmoid colon was used in 20 but not in two patients with cloacal exstrophy and in one with Mayer-Rokitansky-Kuster-Hauser syndrome (MRKHS). These cases were excluded from the analysis of outcomes and complications. Group 1 comprised patients diagnosed and treated before puberty and group 2 those diagnosed and/or treated afterward. In group 1 the presenting diagnoses included androgen insensitivity syndrome (AIS) in six patients, MRKHS in two, cloacal exstrophy in two, vaginal tumour in one, Müllerian duct renal aplasia cervicothoracic somite dysplasia, vertebral abnormalities, anal atresia, cardiac anomalies, tracheo-oesophageal fistula, and/or oesophageal atresia, renal abnormalities and limb defects syndromes in one each. In group 2 ...Continue Reading

References

Jan 1, 1976·American Journal of Obstetrics and Gynecology·V J Capraro, M B Gallego
Jan 1, 1992·Journal of Pediatric Surgery·J Martinez-MoraP López Ortiz
Jul 1, 1992·Journal of Pediatric Surgery·J R Wesley, A G Coran
Jun 1, 1991·Gastroenterology·D P FroeseW G Friend
Apr 1, 1990·Human Pathology·C K MaP A Haas
Jul 1, 1989·Mayo Clinic Proceedings·J G Buss, R A Lee
Sep 1, 1972·Clinical Obstetrics and Gynecology·J H Pratt
Aug 1, 1994·The Journal of Urology·W H Hendren, A Atala
Feb 1, 1994·British Journal of Urology·R J Hitchcock, P S Malone
Jan 1, 1997·Journal of Pediatric Surgery·V T Joseph
Nov 5, 1997·Surgery·R LenaghanA M Ledgerwood
Jan 5, 1999·Haemophilia : the Official Journal of the World Federation of Hemophilia·S Schulman
Oct 12, 1999·Annals of Plastic Surgery·C OzekA Cagdas
Apr 12, 2000·BJU International·D FilipasR Hohenfellner
Jun 20, 2001·BJU International·H A SyedR J Hitchcock
Mar 26, 2002·Journal of Pediatric Surgery·J Kellogg ParsonsJohn P Gearhart

❮ Previous
Next ❯

Citations

Jan 5, 2007·International Urogynecology Journal and Pelvic Floor Dysfunction·Helmy M El-SayedKhalil I El-Lamie
Mar 22, 2007·International Urogynecology Journal and Pelvic Floor Dysfunction·Emilio ImparatoArsenio Spinillo
Jul 21, 2004·Journal of Endourology
Oct 29, 2010·International Journal of Pediatric Endocrinology·Ganka DouglasV Reid Sutton
Dec 25, 2010·Journal of Indian Association of Pediatric Surgeons·Jiledar RawatShiv N Kureel
Oct 12, 2013·International Urogynecology Journal·Sarah K McQuillan, Sonia R Grover
Jan 21, 2014·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Suolin LiLin Liu
Jan 1, 2010·Journal of Surgical Technique and Case Report·I A MungadiS Ismail
Oct 15, 2011·The Journal of Sexual Medicine·Miroslav L DjordjevicMarta R Bizic
Apr 5, 2014·The Journal of Sexual Medicine·Mark-Bram BoumanMargriet G Mullender
Jan 17, 2012·Journal of Pediatric Surgery·Gabriel GabarainRobert L Parry
Dec 14, 2011·Journal of Pediatric Urology·Duong TuTerry W Hensle
Nov 25, 2011·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Jesus Pires de SouzaAntonio Macedo
Aug 24, 2010·The Journal of Urology·Claudia GattiGiovanni Casadio
Nov 10, 2009·Journal of Minimally Invasive Gynecology·Xishi LiuSun-Wei Guo
Jul 11, 2009·Journal of Pediatric and Adolescent Gynecology·Meghan B OakesJohn M Park
Sep 18, 2007·The Journal of Urology·John C Thomas, John W Brock
Feb 14, 2007·The Journal of Urology·Naziha Khen-DunlopClaire Nihoul-Fekete
Oct 25, 2008·Journal of Pediatric Urology·Berk BurguDuncan T Wilcox
Nov 16, 2004·BJU International·Melissa C Davies, Sarah M Creighton
Oct 6, 2005·Journal of Pediatric and Adolescent Gynecology·Nafisa Dharamsi, Curtis Sheldon
Aug 22, 2008·The Journal of Urology·J Todd PurvesJohn P Gearhart
Nov 1, 2018·Pediatric Surgery International·Shilpa Sharma, Devendra K Gupta
Jul 4, 2009·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Emmanuel KaluChristopher R J Woodhouse
Jul 20, 2019·Plastic and Reconstructive Surgery. Global Open·Narendra KaushikDevendra K Bhardwaj

❮ Previous
Next ❯

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.

© 2022 Meta ULC. All rights reserved