An insight into vaginal surgery in a severely masculinized CAH patient

P. Nyírády, Adrian Bianchi, David C S Gough

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Reconstruction and exteriorization of the "high" vagina in girls with congenital adrenal hyperplasia (CAH) is technically challenging. Although current surgical thinking favors correction in infancy the evidence from several long-term studies indicates that many patients will require further surgery in adolescence or adult life. Deferred vaginoplasty has been advocated because the procedure may be technically easier as a consequence of changes in the characteristics of the genital tissues and vaginal anatomy. The role of urogenital mobilization is as yet undetermined but carries promise for the short, high vagina. We describe a patient where the radiological and clinical findings support the argument for deferred vaginoplasty.

Original languageEnglish
Pages (from-to)557-559
Number of pages3
JournalInternational Urology and Nephrology
Volume40
Issue number3
DOIs
Publication statusPublished - Sep 2008

Fingerprint

Congenital Adrenal Hyperplasia
Vagina
Anatomy

Keywords

  • Ambiguous genitalia
  • Congenital adrenal hyperplasia
  • Urogenital sinus mobilization
  • Vaginoplasty

ASJC Scopus subject areas

  • Nephrology
  • Urology
  • Geriatrics and Gerontology

Cite this

An insight into vaginal surgery in a severely masculinized CAH patient. / Nyírády, P.; Bianchi, Adrian; Gough, David C S.

In: International Urology and Nephrology, Vol. 40, No. 3, 09.2008, p. 557-559.

Research output: Contribution to journalArticle

Nyírády, P. ; Bianchi, Adrian ; Gough, David C S. / An insight into vaginal surgery in a severely masculinized CAH patient. In: International Urology and Nephrology. 2008 ; Vol. 40, No. 3. pp. 557-559.
@article{e9f07ac3a5304799a01e71de8a24c9f7,
title = "An insight into vaginal surgery in a severely masculinized CAH patient",
abstract = "Reconstruction and exteriorization of the {"}high{"} vagina in girls with congenital adrenal hyperplasia (CAH) is technically challenging. Although current surgical thinking favors correction in infancy the evidence from several long-term studies indicates that many patients will require further surgery in adolescence or adult life. Deferred vaginoplasty has been advocated because the procedure may be technically easier as a consequence of changes in the characteristics of the genital tissues and vaginal anatomy. The role of urogenital mobilization is as yet undetermined but carries promise for the short, high vagina. We describe a patient where the radiological and clinical findings support the argument for deferred vaginoplasty.",
keywords = "Ambiguous genitalia, Congenital adrenal hyperplasia, Urogenital sinus mobilization, Vaginoplasty",
author = "P. Ny{\'i}r{\'a}dy and Adrian Bianchi and Gough, {David C S}",
year = "2008",
month = "9",
doi = "10.1007/s11255-008-9384-1",
language = "English",
volume = "40",
pages = "557--559",
journal = "International Urology and Nephrology",
issn = "0301-1623",
publisher = "Springer Netherlands",
number = "3",

}

TY - JOUR

T1 - An insight into vaginal surgery in a severely masculinized CAH patient

AU - Nyírády, P.

AU - Bianchi, Adrian

AU - Gough, David C S

PY - 2008/9

Y1 - 2008/9

N2 - Reconstruction and exteriorization of the "high" vagina in girls with congenital adrenal hyperplasia (CAH) is technically challenging. Although current surgical thinking favors correction in infancy the evidence from several long-term studies indicates that many patients will require further surgery in adolescence or adult life. Deferred vaginoplasty has been advocated because the procedure may be technically easier as a consequence of changes in the characteristics of the genital tissues and vaginal anatomy. The role of urogenital mobilization is as yet undetermined but carries promise for the short, high vagina. We describe a patient where the radiological and clinical findings support the argument for deferred vaginoplasty.

AB - Reconstruction and exteriorization of the "high" vagina in girls with congenital adrenal hyperplasia (CAH) is technically challenging. Although current surgical thinking favors correction in infancy the evidence from several long-term studies indicates that many patients will require further surgery in adolescence or adult life. Deferred vaginoplasty has been advocated because the procedure may be technically easier as a consequence of changes in the characteristics of the genital tissues and vaginal anatomy. The role of urogenital mobilization is as yet undetermined but carries promise for the short, high vagina. We describe a patient where the radiological and clinical findings support the argument for deferred vaginoplasty.

KW - Ambiguous genitalia

KW - Congenital adrenal hyperplasia

KW - Urogenital sinus mobilization

KW - Vaginoplasty

UR - http://www.scopus.com/inward/record.url?scp=48549091990&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=48549091990&partnerID=8YFLogxK

U2 - 10.1007/s11255-008-9384-1

DO - 10.1007/s11255-008-9384-1

M3 - Article

VL - 40

SP - 557

EP - 559

JO - International Urology and Nephrology

JF - International Urology and Nephrology

SN - 0301-1623

IS - 3

ER -