Cook Anthony J, Farhat Walid A, Cartwright Lisa M, Khoury Antoine E, Pippi Salle Joao L
Department of Urology, Hospital for Sick Children, Toronto, Ontario, Canada.
J Urol. 2005 Jun;173(6):2117-20. doi: 10.1097/01.ju.0000157687.37406.d8.
Long-term data suggest that a significant number of women with the exstrophy-epispadias complex (EEC) report dissatisfaction with the cosmetic appearance of the genitalia. We developed a new technique of mons plasty in an attempt to improve the overall cosmetic appearance of the external genitalia in females with EEC.
Nine consecutive females with a mean age of 6.4 years (range 2 days to 12.2 years) previously diagnosed with EEC underwent simplified mons plasty concomitantly with various other urological reconstructive procedures. Briefly, a simplified mons plasty was performed by approximating the bifid hemiclitoris and subsequently incising the lateral sulci between the labia majora and minora, which allowed the superomedial rotation of the labia majora and underlying peripubic adipose tissue, thus, recreating the mons.
There were no perioperative complications. With a mean followup of 6 months (range 4 to 12) all patients had improved cosmesis with respect to a more prominent mons, more appropriately situated labia and adequately recessed introitus.
Simplified mons plasty improves cosmesis in females with external genital abnormalities secondary to EEC. Although our followup is admittedly short, we believe that this technique should be considered in the armamentarium of the reconstructive surgeon during the operative treatment of this complex group of patients.
长期数据表明，相当数量的膀胱外翻-尿道上裂复合畸形（EEC）女性对其生殖器的外观不满意。我们开发了一种新的阴阜整形技术，试图改善EEC女性患者外生殖器的整体外观。
9例先前诊断为EEC的连续女性患者，平均年龄6.4岁（范围2天至12.2岁），在进行各种其他泌尿外科重建手术的同时接受了简化阴阜整形术。简要地说，通过将裂开的半阴蒂靠拢，随后切开大阴唇和小阴唇之间的外侧沟，进行简化阴阜整形术，这使得大阴唇和耻骨周围的脂肪组织向上内侧旋转，从而重建阴阜。
无围手术期并发症。平均随访6个月（范围4至12个月），所有患者的美容效果均有改善，阴阜更突出，阴唇位置更合适，阴道口凹陷适度。
简化阴阜整形术可改善因EEC继发外生殖器异常的女性患者的美容效果。尽管我们承认随访时间较短，但我们认为在对这一复杂患者群体进行手术治疗时，重建外科医生的技术储备中应考虑这种技术。
