Vaginal reconstruction for ambiguous genitalia and congenital absence of the vagina: A 27-year experience

Ambiguous genitalia: an overview of 17 years' experience

“…In our series, sex assignment was female in 75% and male in 25%, whereas this ratio appears to be keeping with many other reports [8][9][10][11][12][13]. Contrary to literature, nearly half of the male pseudohermaphrodites consisted of all patients with complete and partial androgen insensitivity syndrome, and 4 patients with a-reductase deficiency were assigned female sex because feminizing genitoplasty, as opposed to masculinizing genitoplasty, requires less surgery to achieve an acceptable outcome [8,9,[14][15][16][17][18][19].…”

Intersex Conditions in Children and Adolescents: Surgical, Ethical, and Legal Considerations

“…11 For the replacement of a completely absent vagina, colovaginoplasty has been reported with good results by some authors. 12 The timing of gonadectomy remains controversial. Arguments that cite the potential for malignant change as reason for early gonadectomy are sometimes counterbalanced by the possibility of better bone maturation and body development in the presence of endogenous sex steroids.…”

Mayer-Rokitansky-Kuster-Hauser (MRKH) Syndrome – A Case ReportRT

“…Ideally neovagina should be located appropriately, be of adequate dimensions, be lined by elastic tissue, neither be constantly moist nor malodorous, be hairless, and be sensitive at least at the introitus 11 . The ideal procedure has been elusive, and there are differences of opinion among various authorities concerning the techniques 5,12,13 . A number of operative procedures have been advocated for creation of the neovagina, including insertion of a skin-covered vaginal mold(Abbe-McIndoe procedure), various fasciocutaneous and myocutaneous flaps vulvovaginal flap, labial flaps using tissue expanders, full thickness skin grafts with vacuum-assisted wound closure and use of amnion and peritoneum [14][15][16][17][18][19][20][21][22][23][24] .…”