Use of the mobilized sinus with total urogenital mobilization.
OBJECTIVE
The surgical treatment of urogenital sinus anomalies has undergone significant advances in recent years. Total urogenital mobilization, which mobilizes the urogenital sinus, vagina and urethra en bloc toward the perineum, represents one of these advances.


METHODS
We have improved our results with total urogenital mobilization by incorporating the mobilized urogenital sinus tissue into the repair rather than discarding it, as described originally. We have found this a readily available, easily manipulated and well vascularized flap that is a significant aid to reconstruction.


RESULTS
We present our 3 favored means of using the mobilized sinus tissue to create a mucosa lined vestibule, a posterior vaginal wall flap and an anterior vaginal wall flap.


CONCLUSIONS
We believe that our techniques result in a further advancement in the cosmetic and surgical outcomes in these patients, and are beneficial in the reconstructive surgery armamentarium.
Rink
R C
RC
Division of Pediatric Urology, James Whitcomb Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, Indiana 46202, USA.
Metcalfe
P D
PD
Cain
M P
MP
Meldrum
K K
KK
Kaefer
M A
MA
Casale
A J
AJ
D000312:Adrenal Hyperplasia, Congenital / Q000150:complications / Q000601:surgery*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D013524:Surgical Flaps; D014521:Urethra / Q000601:surgery*; D014564:Urogenital Abnormalities / Q000209:etiology / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods; D014621:Vagina / Q000601:surgery*