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Complete corporeal preservation clitoroplasty: new insights into feminizing genitoplasty

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dc.contributor.authorFernandez, Nicolas
dc.contributor.authorChavarriaga, Julian
dc.contributor.authorPerez Niño, Jaime
dc.contributor.corporatenamePontificia Universidad Javeriana. Facultad de Medicina. Departamento de Cirugía y Especialidades. Urologíaspa
dc.contributor.javerianateacherFernandez, Nicolas
dc.contributor.javerianateacherPerez Niño, Jaime
dc.coverage.temporal2018-2019
dc.date.accessioned2023-03-08T20:31:01Z
dc.date.available2023-03-08T20:31:01Z
dc.date.created2021-01-10
dc.description.abstractenglishIntroduction: 46,XX Congenital adrenal hyperplasia (CAH) remains the first cause of genital virilization and current surgical techniques aim to restore female aspect of genitalia while preserving dorsal neurovascular bundle but not at the expense of not preserving erectile tissue. We aim to report our experience with a new surgical technique for clitoroplasty, completely preserving corporeal bodies, neurovascular bundles without dismembering the clitoris, in four patients with over a year follow up. Materials and Methods: After IRB approval four patients with 46,XX CAH and Prader 5 and 3 external genitalia, underwent feminizing genitoplasty. Complete preservation of erectile tissue was accomplished without a need to dissect dorsal neurovascular bundle. Glans size allowed no need for glanular reduction and there was no need to dismember the corporeal bodies. Results: Four patients 12 to 24-months-old underwent complete corporeal preservation clitoroplasty (CCPC), mean age was 18.5 months, mean follow up was 10.25 months. Vaginoplasty was performed in all patients with partial urogenital mobilization (PUM) and Urogenital Sinus flap (UF), only one severely virilized patient required a parasagittal pre-rectal approach to mobilize the vagina. We had no complications until last follow up. Conclusion: To our knowledge, we are introducing the concept of CCPC without the need of disassembling the corporeal bodies, neurovascular bundle and glans. It stands as a new alternative for feminizing genitoplasty with complete preservation of erectile tissue and no dissection of neurovascular bundle. Although there is still lacking long-term follow-up, it represents a new step in conservative reconfiguration of the external virilized female genitalia.spa
dc.description.comunidadPacientes sometidos a Genitoplastia feminizantespa
dc.description.esciSispa
dc.description.indexingRevista Internacional - Indexadaspa
dc.description.orcidhttps://orcid.org/0000-0002-9675-5963spa
dc.description.orcidhttps://orcid.org/0000-0003-0363-5485spa
dc.description.orcidhttps://orcid.org/0000-0002-2231-4321spa
dc.description.publindexBspa
dc.description.quartilescopusQ2spa
dc.description.quartilewosQ2spa
dc.formatPDFspa
dc.format.mimetypeapplication/pdfspa
dc.identifierhttps://www.scielo.br/j/ibju/a/wNSG8jXLZk67D445gfF8dsr/?lang=enspa
dc.identifier.doihttps://doi.org/10.1590/S1677-5538.IBJU.2020.0839spa
dc.identifier.instnameinstname:Pontificia Universidad Javerianaspa
dc.identifier.issn1677-5538 / 1677-6119 (Electrónico)spa
dc.identifier.reponamereponame:Repositorio Institucional - Pontificia Universidad Javerianaspa
dc.identifier.repourlrepourl:https://repository.javeriana.edu.cospa
dc.identifier.urihttp://hdl.handle.net/10554/63644
dc.language.isoengspa
dc.relation.citationendpage867spa
dc.relation.citationissue4spa
dc.relation.citationstartpage861spa
dc.relation.citationvolume47spa
dc.relation.ispartofjournalInternational Brazilian Journal of Urologyspa
dc.rights.coarhttp://purl.org/coar/access_right/c_abf2spa
dc.rights.licenceAtribución-NoComercial 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.subject.keywordSurgical proceduresspa
dc.subject.keywordOperativespa
dc.subject.keywordAdrenal Hyperplasiaspa
dc.subject.keywordCongenitalspa
dc.subject.keywordClitorisspa
dc.titleComplete corporeal preservation clitoroplasty: new insights into feminizing genitoplastyspa
dc.type.coarhttp://purl.org/coar/resource_type/c_6501spa
dc.type.hasversionhttp://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.localArtículo de revistaspa

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