Urethrovaginal reconstruction using a perineal artery axial flap.
A 19-year-old woman was born with a cloacal malformation and a common urogenital sinus. We describe a method of urethral and vaginal reconstruction to correct these anomalous problems. A neourethra was constructed from tubularized anterior vaginal epithelium. A perineal artery based axial flap was used to cover the neourethra plus widen the vaginal orifice.
Nolan
J F
JF
Department of Urology, Naval Hospital, San Diego, California 92134-5000.
Stillwell
T J
TJ
Barttelbort
S W
SW
Sands
J P
JP
D000328:Adult; D002988:Cloaca / Q000002:abnormalities; D005260:Female; D006801:Humans; D008722:Methods; D013524:Surgical Flaps / Q000379:methods*; D014521:Urethra / Q000002:abnormalities / Q000601:surgery*; D014621:Vagina / Q000002:abnormalities / Q000601:surgery*