SURGICAL CORRECTION OF THE HIGH UROGENITAL SINUS IN GIRLS WITH CONGENITAL ADRENAL HYPERPLASIA USING THE ANTERIOR SAGITTAL TRANSANORECTAL APPROACH

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Abstract

Surgical correction of the high urogenital sinus (UGS) is still a complex task. The use of complete urogenital mobilization or mobilization using a single block in the high UGS is inconsistent. We prefer to separate the vagina from the UGS with its subsequent bringing down to the perineum. The anterior sagittal transrectal approach ensures an optimal review of the uretrovaginal fusion and promotes the vaginal displacement and its separation from the urethra in these cases. The method generates an increasing interest. Thus, we describe the procedure and announce the initial results of its usage in the treatment of children with the high UGS.

About the authors

I. M. Kagantsov

Republican Children’s Clinical Hospital;
Syktyvkar State University named after Pitirim Sorokin

Author for correspondence.
Email: ilkagan@rambler.ru

Dr.Sci (med), Department of Surgical Diseases, Pitirim Sorokin SSU,

Syktyvkar

Russian Federation

N. D. Shiryaev

North State Medical University of the Ministry of Health of Russia

Email: nikshir@yandex.ru

Dr.Sci (med),

Arkhangelsk

Russian Federation

Roberto de Castro

Hospital CdC Petrucciani

Email: decastro1610@gmail.com

Prof.,

Lecce

Italy

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Copyright (c) 2018 Kagantsov I.M., Shiryaev N.D., de Castro R.

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