title: Feminizing genital reconstruction, sigmoid vaginal replacement and anorectoplasty as a one-stage procedure for anorectal atresia associated with ambiguous genitalia.
abstract: Anorectal atresia associated with male pseudohermaphroditism presents both diagnostic and surgical challenges. In the past, multiple operations were necessary for feminizing genitoplasty in gender-reassigned children with ambiguous genitalia. We combined the repair of an imperforate anus with a feminizing genitoplasty, including sigmoid vaginal replacement using the posterior sagittal approach in a 3-months-old infant. We conclude that a primary complete reconstruction is advantageous and should be performed in this condition.
authors.affiliation: Department of Pediatric Surgery, Medical School Hannover, Germany.
authors.forename: S
authors.initials: S
authors.lastname: Glüer
authors.forename: H
authors.initials: H
authors.lastname: Mildenberger
mesh_terms: D001006:Anus, Imperforate / Q000150:complications / Q000601:surgery*; D012809:Colon, Sigmoid / Q000601:surgery*; D012734:Disorders of Sex Development / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D019738:Surgically-Created Structures; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery