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Posterior Cloacal Variant with Clitorolabial Transposition and a Rectoperineal Fistula.
European J Pediatr Surg Rep
January 2021
Department of Paediatric Surgery, Chris Hani Baragwanath Hospital, Diepkloof, Soweto, Gauteng, South Africa.
We present a case and discuss the management of a posterior cloacal variant not as yet described in the literature. A 5-week-old infant presented to our institution with a posterior cloacal variant and transposition of the clitoris and labia. After initial radiological investigations, staged operative intervention was performed over a 1-year period.
View Article and Find Full Text PDFMale and female aphallia associated with severe urinary tract dysplasia.
J Pediatr Urol
August 2016
Cohen Children's Medical Center, Hofstra Northwell School of Medicine, New Hyde Park, NY, USA.
Introduction: Aphallia is exceedingly rare (1/30 million births). Previous reports have provided limited detail on associated urinary tract findings.
Objective: We reviewed urinary tract anomalies in two boys with aphallia (patients 1 and 2) and a girl with urinary tract dysplasia, a similar external appearance and lack of corporal tissue (patient 3), also consistent with aphallia.
[Reconstructive surgery of the clitoris after sexual mutilation].
Ann Chir Plast Esthet
February 2011
Pôle gynécologie obstétrique, médecine fœtale, reproduction humaine et orthogénie, CHU d'Angers, 4, rue Larrey, 49000 Angers, France.
Ritual sexual mutilations cause gynaecologic, urologic and obstetric complications. Their surgical treatments like clitoris reconstruction or desinfibulation have been well studied. We describe the Dr Pierre Foldes's (2004, 2006a, b) surgical technique of clitoris reconstruction after ritual excision.
View Article and Find Full Text PDFThis article describes a clitoris reconstruction technique after ritual excision. After resection of the scar, the angle and the body of the clitoris are then released by preserving the innervation. A clitoral glans is reconstituted by wedge plasty, then reimplanted in an anatomical position.
View Article and Find Full Text PDFConstruction of a female urethra using the vaginal wall and a buttock flap: experience with 40 cases.
J Pediatr Surg
February 1998
Department of Surgery, Children's Hospital and Harvard Medical School, Boston, MA 02115, USA.
Methods: From 1975 to 1996 a urethra was constructed using tubularized anterior vaginal wall covered with a buttock flap in 40 female patients in whom urinary incontinence was associated with a short or absent urethra. The underlying pathology included bilateral single ectopic ureters, cloacal malformation, urogenital sinus malformation, previous failed surgery of the urethra, severe trauma, myelodysplasia, female hypospadias, ectopic ureterocele with destruction of the urethra, congenital epispadias, bladder exstrophy, and previous hysterectomy and vaginectomy for clear cell carcinoma caused by intrauterine exposure to diethylstilbestrol. Other reconstructive procedures in these patients included bladder neck narrowing from above in 33 patients, ureteral reimplantation in 35, and bladder augmentation in 21.
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