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Updated: Jun 18, 2026
Laparoscopic Oocyte Retrieval and Cryopreservation during Vaginoplasty for Treatment of Mayer-Rokitansky-Kuster-Hauser Syndrome
Published on: May 10, 2022
Single-stage feminizing genitoplasty in aphallia through an anterior saggital approach
Shivaji B Mane1, Ashokanand Thakur, Nitin P Dhende
1Department of Pediatric Surgery, JJ Hospital, Grant Medical College, Byculla, Mumbai 400008, India. sbmane2000@yahoo.co.in
Purpose:
An ideal feminizing genitoplasty in aphallia should achieve good cosmesis and capacious vagina in a single-stage repair. Most of the techniques described in the literature are variations of the posterior sagittal approach with staged repair. We describe a single-stage anterior sagittal approach for feminizing genitoplasty in cases of aphallia.
Materials And Methods:
A case of aphallia was operated through an anterior sagittal approach, and a spiral Monti tube of sigmoid colon was used to create a neovagina. Preservation of the skin tag around the urethra and its placement in the perineum gives it the appearance of the clitoris.
Result:
The patient has been observed for 7 months. She is continent and has a satisfactory cosmetic appearance and capacious vagina.
Conclusion:
A single-stage operation through an anterior sagittal approach is a good alternative technique for genital reconstruction in the case of aphallia.
