A Novel Surgical Technique in Feminizing Genital Reconstruction: A Prospective Cohort Case Series
Authors: Mohammed Almesaibli, Tuqa A AlSinan, Abdulrahman Albassam, Abdullah H Alghamdi, Sarah W Alkhonizy, Omar Alshenawy, Aya Gamil Meqradh, Nawra A AlSinan, Abdulnasser Alwably
Background: Disorders of Sexual Development (DSD) encompass congenital conditions with inconsistencies between sex chromosomes, gonads, and sexual anatomy. This study aimed to evaluate the outcomes of a genitoplasty technique in DSD patients, focusing on functionality and cosmetics. Methods: A prospective cohort case series was conducted at a university hospital in Riyadh, Saudi Arabia. Ten DSD patients underwent genitoplasty procedures with excision of urogenital membrane and use of local flap of labia minora for reconstruction. Data, including demographic information, operative findings, immediate and delayed postoperative information, were collected. Results: The single-stage genitoplasty technique demonstrated improved delayed cosmetic outcomes. Patients undergoing single-stage genitoplasty with excision of urogenital membrane and use of local flap of labia minora for reconstruction. This approach yielded superior long-term aesthetic outcomes, eliminating the need for additional surgeries. Conclusion: The new novel technique showed delayed satisfactory cosmetic outcomes compared to the previous one. Additionally, the new technique significantly reduced the need for subsequent interventions, such as second genitoplasty. These findings support the potential benefits of the new novel technique in improving long-term outcomes for individuals with DSD.
Keywords: Genitoplasty. Feminizing Reconstruction. Prospective Cohort. Pediatric Surgery.
Authors
Correspondence to:
Mohammed AlMesaibli, Section of Pediatric Surgery, Department of Surgery, King Saud University Medical City, Riyadh, Saudi Arabia medosurg@gmail.com
Publication history:
Revised 20 Apr 2024
Accepted 22 Apr 2024
Published online 14 May 2024
Published in print 18 May 2024
Almesaibli M, AlSinan TA, Albassam A, Alghamdi AH, Alkhonizy SW, Alshenawy O, Meqradh AG, AlSinan NA, Alwably A. A Novel Surgical Technique in Feminizing Genital Reconstruction: A Prospective Cohort Case Series. EJMCR. 2024; 8(4): 82-88. doi:
10.24911/ejmcr.173-1713210939
Almesaibli M, AlSinan TA, Albassam A, Alghamdi AH, Alkhonizy SW, Alshenawy O, Meqradh AG, AlSinan NA, Alwably A. A Novel Surgical Technique in Feminizing Genital Reconstruction: A Prospective Cohort Case Series. https://www.ejmcr.com/?mno=302657595 [Access: July 03, 2024]. doi:
10.24911/ejmcr.173-1713210939
Almesaibli M, AlSinan TA, Albassam A, Alghamdi AH, Alkhonizy SW, Alshenawy O, Meqradh AG, AlSinan NA, Alwably A. A Novel Surgical Technique in Feminizing Genital Reconstruction: A Prospective Cohort Case Series. EJMCR. 2024; 8(4): 82-88. doi:
10.24911/ejmcr.173-1713210939
Almesaibli M, AlSinan TA, Albassam A, Alghamdi AH, Alkhonizy SW, Alshenawy O, Meqradh AG, AlSinan NA, Alwably A. A Novel Surgical Technique in Feminizing Genital Reconstruction: A Prospective Cohort Case Series. EJMCR. (2024), [cited July 03, 2024]; 8(4): 82-88. doi:
10.24911/ejmcr.173-1713210939
Almesaibli, M., AlSinan, . T. A., Albassam, . A., Alghamdi, . A. H., Alkhonizy, . S. W., Alshenawy, . O., Meqradh, . A. G., AlSinan, . N. A. & Alwably, . A. (2024) A Novel Surgical Technique in Feminizing Genital Reconstruction: A Prospective Cohort Case Series. EJMCR, 8 (4), 82-88. doi:
10.24911/ejmcr.173-1713210939
Almesaibli, Mohammed, Tuqa A. AlSinan, Abdulrahman Albassam, Abdullah H. Alghamdi, Sarah W. Alkhonizy, Omar Alshenawy, Aya Gamil Meqradh, Nawra A. AlSinan, and Abdulnasser Alwably. 2024. A Novel Surgical Technique in Feminizing Genital Reconstruction: A Prospective Cohort Case Series. European Journal of Medical Case Reports, 8 (4), 82-88. doi:
10.24911/ejmcr.173-1713210939
Almesaibli, Mohammed, Tuqa A. AlSinan, Abdulrahman Albassam, Abdullah H. Alghamdi, Sarah W. Alkhonizy, Omar Alshenawy, Aya Gamil Meqradh, Nawra A. AlSinan, and Abdulnasser Alwably. "A Novel Surgical Technique in Feminizing Genital Reconstruction: A Prospective Cohort Case Series." European Journal of Medical Case Reports 8 (2024), 82-88. doi:
10.24911/ejmcr.173-1713210939
Almesaibli, Mohammed, Tuqa A. AlSinan, Abdulrahman Albassam, Abdullah H. Alghamdi, Sarah W. Alkhonizy, Omar Alshenawy, Aya Gamil Meqradh, Nawra A. AlSinan, and Abdulnasser Alwably. "A Novel Surgical Technique in Feminizing Genital Reconstruction: A Prospective Cohort Case Series." European Journal of Medical Case Reports 8.4 (2024), 82-88. Print. doi:
10.24911/ejmcr.173-1713210939
Almesaibli, M., AlSinan, . T. A., Albassam, . A., Alghamdi, . A. H., Alkhonizy, . S. W., Alshenawy, . O., Meqradh, . A. G., AlSinan, . N. A. & Alwably, . A. (2024) A Novel Surgical Technique in Feminizing Genital Reconstruction: A Prospective Cohort Case Series. European Journal of Medical Case Reports, 8 (4), 82-88. doi:
10.24911/ejmcr.173-1713210939