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Continent cutaneous diversion and external genitalia reconstruction in a child with severe variety urogenital sinus and ambiguous genitalia.

作者信息

Khemchandani Sajni I

机构信息

Consultant Pediatric Urologist, Part Time Professor in Transplantation Surgery, Department of Urology, Institute of Kidney Diseases and Research Center and Dr. H. L. Trivedi Institute of Transplantation Sciences, Civil Hospital Campus, Ahmedabad, Gujarat, India.

出版信息

J Indian Assoc Pediatr Surg. 2015 Apr-Jun;20(2):84-6. doi: 10.4103/0971-9261.151554.

DOI:10.4103/0971-9261.151554
PMID:25829673
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4360461/
Abstract

The diagnosis and management of a child with ambiguous genitalia and severe variety of urogenital sinus with a high vesico-vaginal confluence is challenging. This 4-year-old female child had solitary right kidney with ectopic ureter opening in high variety of urogenital sinus with hypo-plastic urinary bladder and incontinence. We describe genitourinary reconstruction with complete functional rehabilitation in this child. This complex problem was managed with continent urinary diversion with Penn pouch and refashioning of external genitalia, rendering continence and near normal female external genitalia. The child and parents are happy with continence and aesthetically normal external genitalia.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/235e/4360461/e4d37b2f981b/JIAPS-20-84-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/235e/4360461/bcd27245ec98/JIAPS-20-84-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/235e/4360461/70b45001bf80/JIAPS-20-84-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/235e/4360461/e4d37b2f981b/JIAPS-20-84-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/235e/4360461/bcd27245ec98/JIAPS-20-84-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/235e/4360461/70b45001bf80/JIAPS-20-84-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/235e/4360461/e4d37b2f981b/JIAPS-20-84-g003.jpg

相似文献

1
Continent cutaneous diversion and external genitalia reconstruction in a child with severe variety urogenital sinus and ambiguous genitalia.
J Indian Assoc Pediatr Surg. 2015 Apr-Jun;20(2):84-6. doi: 10.4103/0971-9261.151554.
2
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本文引用的文献

1
Continent cutaneous urinary diversion in children: experience with Charleston pouch I.儿童大陆皮肤造口尿液转流术:查尔斯顿贮尿囊I的经验
J Urol. 2007 Jan;177(1):307-10; discussion 310-1. doi: 10.1016/j.juro.2006.08.143.
2
[New approach in the surgical treatment of the urogenital sinus].[泌尿生殖窦外科治疗的新方法]
Cir Pediatr. 2000 Apr;13(2):54-7.
3
Total anatomic urinary tract replacement and renal transplantation: a surgical strategy to correct severe genitourinary anomalies.
J Pediatr Surg. 1998 Apr;33(4):635-8. doi: 10.1016/s0022-3468(98)90332-3.
4
[Continent reconstruction of an extreme urogenital sinus--case report of a so-called high vesicovaginal confluence].
Urologe A. 1988 Jul;27(4):193-7.