[Sex-change operations in disorders of the reproductive organs].

The authors analyze the experience gained in the surgical treatment of more than 5300 patients aged 2 days to 42 years, suffering from various abnormalities of the reproductive organs. They describe the surgical policy in sex-transforming surgery (masculinizing or feminizing plasty of the genitals) and give recommendations on rehabilitation of the patients with involvement of the reproductive system organs in the postoperative period.

[Rectosigmoid vaginoplasty in children and adolescents].

The authors analyze the results of vaginal plasty with grafts from the rectosigmoid portion of the large intestine, carried out in 279 girls aged 3 to 18 with abnormalities of the genitals and vaginal aplasia, including that with a functioning uterus. They have developed new modifications of such surgery, that facilitate sexual social adaptation of the patients when they reach puberty.

[Modified technique of the Ivanissevich operation for varicocele in children].

On the basis of the results of rheotesticulographic studies in 38 children with left-sided II-III degree varicocele, the impairment in hemodynamics in the testicle at the involved side was established. No suppression of androgen function of the organ was revealed. The expediency to perform in patients of pediatric and young age the Ivanissevich operation, the effectiveness of which is increased in use of intraoperative phlebotesticulography was noted.

[Surgical treatment of diseases of the genitalia and disorders of sexual development].

The experience with the treatment of more than 5140 children at the age of from 2 days to 16 years, and 76 patients at the age of from 15 to 42 years with different diseases of the genital organs and disorders in the sex formation is presented. The indications for surgical treatment are defined. The results of the masculinizing operations, including the phalloplasty and testicular endoprosthesis, and the feminizing ones, including the vaginoplasty with the use of a colonic segment are presented.