Partial urogenital mobilization: A limited proximal dissection

R. C. Rink, P. D. Metcalfe, M. A. Kaefer, A. J. Casale, K. K. Meldrum, M. P. Cain

Research output: Contribution to journalArticle

59 Scopus citations

Abstract

Introduction: The treatment of urogenital sinus malformations is complex and controversial. Despite numerous and significant contemporary surgical advances, the dissection of the urogenital sinus remains technically challenging. Methods: Based on total urogenital mobilization, we describe a technique whereby this dissection is limited to the pubourethral ligament. Our short-term results with partial urogenital mobilization (PUM) performed on 15 patients are retrospectively reviewed. Results: There were no intraoperative complications and the short-term cosmetic results are excellent. No patients have developed voiding dysfunction or urinary tract complications. Conclusions: While total urogenital mobilization is a very effective procedure, we believe that the PUM approach limits potential morbidity in the reconstruction of these complex problems.

Original languageEnglish (US)
Pages (from-to)351-356
Number of pages6
JournalJournal of Pediatric Urology
Volume2
Issue number4
DOIs
StatePublished - Aug 1 2006

Keywords

  • Congenital adrenal hyperpasia
  • Surgical technique
  • Urogenital sinus
  • Vaginoplasty

ASJC Scopus subject areas

  • Urology
  • Pediatrics, Perinatology, and Child Health

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    Rink, R. C., Metcalfe, P. D., Kaefer, M. A., Casale, A. J., Meldrum, K. K., & Cain, M. P. (2006). Partial urogenital mobilization: A limited proximal dissection. Journal of Pediatric Urology, 2(4), 351-356. https://doi.org/10.1016/j.jpurol.2006.04.002