PURPOSE: Urogenital sinus mobilization has facilitated markedly the vaginal reconstruction in cases of @entity154 . Application of the same technique in cases of @entity774 has resulted in cosmetic and functional improvement. METHODS: Total urogenital sinus mobilization was used as a part of the repair in 9 @entity1 : 6 with @entity774 (4 high and 2 mid vaginal confluence), and 3 with @entity154 ; sinus mobilization to the level of the symphesis pubis allowed the vagina to reach the perineum in all cases. Their age ranged from 6 to 8 months, and follow-up ranged from 6 months to 2 years. In the former group, the mobilized sinus was split dorsally and used as an anterior vaginal flap. Cases of cloaca needed weekly dilatation early postoperatively. RESULTS: All @entity1 are below 3 years of age, so urinary control assessment is not yet objective; however, all mothers reported dry intervals. Examination 6 months postoperatively showed wide vagina and excellent cosmetic appearance in all cases. CONCLUSIONS: Total urogenital mobilization provides an easier way for vaginal reconstruction. The improved cosmetic appearance and the absence of vaginal @entity850 provided by this technique is a major advantage in the management of these difficult surgical situations.

Total urogenital sinus mobilization in the repair of XXXX and @entity774 .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity154 :: ('MESH:D000013', 'Disease') :: ['cloacal anomalies'] @entity850 :: ('MESH:D003251', 'Disease') :: ['stenosis'] @entity774 :: ('MESH:D000312', 'Disease') :: ['congenital adrenal hyperplasia']
@entity154 :: (MESH:D000013,Disease) :: ['cloacal anomalies']
