
Laparoscopic-assisted vaginal pull-through: A new approach for congenital adrenal hyperplasia patients with high urogenital sinus
Author(s) -
Jacques Birraux,
Faustin Mouafo,
Sophie Dahoun,
Véronique Tardy,
Yves Morel,
Pierre Mouriquand,
Claude Pierrette Le Coultre,
Pierre-Yves Mure
Publication year - 2015
Publication title -
african journal of paediatric surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.163
H-Index - 17
eISSN - 0189-6725
pISSN - 0974-5998
DOI - 10.4103/0189-6725.170191
Subject(s) - medicine , vagina , dissection (medical) , urethra , surgery , perineum , rectum , genitourinary system , urinary incontinence , urinary system , anatomy
To open vaginal cavity to the pelvic floor is part of surgical treatment for urogenital sinus (UGS) in girls with congenital adrenal hyperplasia (CAH). For high UGS, this operative procedure can be challenging and may jeopardise urinary continence. Combined perineal and laparoscopic approaches could be useful to minimise perineal dissection and to facilitate the vaginal lowering.