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

dc.contributor.authorMacedo, Antonio [UNIFESP]
dc.contributor.authorRondon, Atila [UNIFESP]
dc.contributor.authorFrank, Ricardo [UNIFESP]
dc.contributor.authorLeslie, Bruno [UNIFESP]
dc.contributor.authorBacelar, Herick [UNIFESP]
dc.contributor.authorOttoni, Sergio [UNIFESP]
dc.contributor.authorOrtiz, Valdemar [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T14:34:31Z
dc.date.available2016-01-24T14:34:31Z
dc.date.issued2013-10-01
dc.description.abstractObjective: 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.en
dc.description.affiliationUniversidade Federal de São Paulo, Div Urol, BR-01323000 São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Div Urol, BR-01323000 São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent2
dc.identifierhttp://dx.doi.org/10.1016/j.jpurol.2013.02.011
dc.identifier.citationJournal of Pediatric Urology. Oxford: Elsevier B.V., v. 9, n. 5, 2 p., 2013.
dc.identifier.doi10.1016/j.jpurol.2013.02.011
dc.identifier.issn1477-5131
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/36827
dc.identifier.wosWOS:000324027200030
dc.language.isoeng
dc.publisherElsevier B.V.
dc.relation.ispartofJournal of Pediatric Urology
dc.rightsAcesso restrito
dc.rights.licensehttp://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
dc.subjectCloacaen
dc.subjectCloacal anomaliesen
dc.subjectUrogenital abnormalitiesen
dc.subjectUrogenital surgical proceduresen
dc.subjectVaginal reconstructionen
dc.titleTotal urogenital mobilization by posterior sagittal approach and ileal neovaginoplasty in cloacal repair by a common channel of 4 cmen
dc.typeArtigo
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