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Related Concept Videos

External Female Genitals01:15

External Female Genitals

The vulva encompasses the external structures of the female reproductive system. At the forefront is the monpubis, a cushion of fatty tissue atop the pubic bone. Once puberty sets in, this area typically grows hair. Extending from just behind the mons pubis are the labia majora (labia = 'lips'; majora = 'larger'), which are larger skin fs olds coated with hair. Nestled within are the labia minora (labia = 'lips'; minora = 'smaller'), which are thinner, more pigmented, and hairless. While the...

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Feminizing genitoplasty: a proven technique.

Howard M Snyder1

  • 1Division of Urology, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA. snyderh@email.chop.edu

The Journal of Craniofacial Surgery
|January 17, 2013
PubMed
Summary
This summary is machine-generated.

Surgical repair for female infants with adrenogenital syndrome aims to create normal anatomy and function. This includes clitoroplasty, introitus creation, and vaginoplasty, with timing adjusted for vaginal anatomy.

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Area of Science:

  • Pediatric Surgery
  • Endocrinology
  • Genetics

Background:

  • Adrenogenital syndrome (AGS) causes virilization in female infants.
  • Surgical intervention is necessary to address anatomical abnormalities.
  • Masculinization requires reconstructive procedures for normal function and appearance.

Purpose of the Study:

  • To outline surgical goals for female infants with AGS.
  • To describe operative techniques for clitoroplasty, introitus creation, and vaginoplasty.
  • To present the evolution of surgical approaches for AGS.

Main Methods:

  • Surgical reconstruction focusing on three key goals.
  • Preservation of glans innervation for clitoral sensation.
  • Fashioning labia minora from phallic skin and foreskin.
  • Vaginoplasty to establish a perineal vaginal opening.

Main Results:

  • The described surgical approach addresses clitoral reconstruction, introitus creation, and vaginoplasty.
  • Surgical timing is individualized based on vaginal anatomy and its relation to the urogenital sinus.
  • The operative technique aims for normal sensation and appearance.

Conclusions:

  • Comprehensive surgical repair is achievable for female infants with AGS.
  • Individualized timing of vaginoplasty ensures optimal outcomes.
  • The presented techniques represent an evolution in managing congenital adrenal hyperplasia-related virilization.