title: Anterior Sagittal Approach and Total Urogenital Mobilization for the Treatment of Persistent Urogenital Sinus in a 2-Year-Old Girl.
abstract: Persistent urogenital sinus (UGS) is a developmental anomaly. It represents one of the most complex problems that a pediatric surgeon may deal with. We report the case of a patient with UGS treated at 3 years of age by anterior sagittal transrectal approach and en bloc sinus mobilization. The procedure was performed with the patient prone with the initial idea of performing an anterior sagittal transrectal approach. The described approach allows an excellent anatomical view with a midline muscle sparing incision, along with an easy identification of the vaginal confluence with the benefit of avoiding dissection between the urethra and vagina.
authors.affiliation: Department of Pediatric Surgery, S. Orsola Malpighi Polyclinic, Bologna, Italy.
authors.forename: Mario
authors.initials: M
authors.lastname: Lima
authors.affiliation: Department of Pediatric Surgery, S. Orsola Malpighi Polyclinic, Bologna, Italy.
authors.forename: Francesca
authors.initials: F
authors.lastname: Destro
authors.affiliation: Department of Pediatric Surgery, S. Orsola Malpighi Polyclinic, Bologna, Italy.
authors.forename: Noemi
authors.initials: N
authors.lastname: Cantone
authors.affiliation: Department of Pediatric Surgery, Tanta University Hospital, Egypt.
authors.forename: Mohamed Mahmoud Abd El-Aleem
authors.initials: MM
authors.lastname: Shalaby
authors.affiliation: Department of Pediatric Surgery, S. Orsola Malpighi Polyclinic, Bologna, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Ruggeri
keywords: pediatric surgery; total urogenital mobilization; urogenital sinus