Single-stage feminizing genitoplasty in aphallia through an anterior saggital approach.
OBJECTIVE
An ideal feminizing genitoplasty in aphallia should achieve good cosmesis and capacious vagina in a single-stage repair. Most of the techniques described in the literature are variations of the posterior sagittal approach with staged repair. We describe a single-stage anterior sagittal approach for feminizing genitoplasty in cases of aphallia.


METHODS
A case of aphallia was operated through an anterior sagittal approach, and a spiral Monti tube of sigmoid colon was used to create a neovagina. Preservation of the skin tag around the urethra and its placement in the perineum gives it the appearance of the clitoris.


RESULTS
The patient has been observed for 7 months. She is continent and has a satisfactory cosmetic appearance and capacious vagina.


CONCLUSIONS
A single-stage operation through an anterior sagittal approach is a good alternative technique for genital reconstruction in the case of aphallia.
Mane
Shivaji B
SB
Department of Pediatric Surgery, JJ Hospital, Grant Medical College, Byculla, Mumbai 400008, India. sbmane2000@yahoo.co.in
Thakur
Ashokanand
A
Dhende
Nitin P
NP
Obaidah
Abu
A
Acharya
Himanshu
H
D000015:Abnormalities, Multiple / Q000601:surgery; D012809:Colon, Sigmoid / Q000601:surgery; D012734:Disorders of Sex Development / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D010413:Penis / Q000002:abnormalities*; D010502:Perineum / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D019738:Surgically-Created Structures; D016896:Treatment Outcome