Total urogenital mobilization by posterior sagittal approach and ileal neovaginoplasty in cloacal repair by a common channel of 4 cm

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Data
2013-10-01
Autores
Macedo, Antonio [UNIFESP]
Rondon, Atila [UNIFESP]
Frank, Ricardo [UNIFESP]
Leslie, Bruno [UNIFESP]
Bacelar, Herick [UNIFESP]
Ottoni, Sergio [UNIFESP]
Ortiz, Valdemar [UNIFESP]
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Objective: the total urogenital mobilization (TUM) technique avoids dissection of the vagina from the urinary tract. However, in the case of a long common channel, bowel interposition for vaginal replacement may be necessary. We present a video of the TUM technique in cloacal repair with ileal neovaginoplasty.Methods: An 8-month-old female patient with cloaca, presenting a 4-cm common channel, was operated on by the TUM technique, through a perineal sagittal with additional abdominal approach. She had undergone decompressing colostomy at birth. Total urogenital sinus mobilization was performed with ileal neovaginoplasty.Results: the patient had a good postoperative outcome, an endoscopy of all structures reconstructed was performed at PO day 30, and home dilatation of colon and vagina by parents was initiated.Conclusion: TUM with neovaginoplasty bowel interposition is an effective technique for repairing long common channels. (C) 2013 Journal of Pediatric Urology Company. Published by Elsevier B.V. All rights reserved.
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Journal of Pediatric Urology. Oxford: Elsevier B.V., v. 9, n. 5, 2 p., 2013.