Case Series
Volume: 8 | Issue: 4 | Published: May 14, 2024 | Pages: 82 - 88 | DOI: 10.24911/ejmcr.173-1713210939
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
Article Info
Authors
Mohammed Almesaibli
Section of Pediatric Surgery, Department of Surgery, King Saud University Medical City, Riyadh, Saudi Arabia
Tuqa A. AlSinan
Department of Pediatric Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
Abdulrahman Albassam
Section of Pediatric Surgery, Department of Surgery, King Saud University Medical City, Riyadh, Saudi Arabia
Abdullah H. Alghamdi
College of Medicine, Albaha University, Albaha, Saudi Arabia
Sarah W. Alkhonizy
College of Medicine, Alfaisal University, Riyadh, Saudi Arabia
Omar Alshenawy
College of Medicine, King Saud University, Riyadh, Saudi Arabia
Aya Gamil Meqradh
College of Medicine, Alfaisal University, Riyadh, Saudi Arabi
Nawra A. AlSinan
College of Medicine, Alfaisal University, Riyadh, Saudi Arabia
Abdulnasser Alwably
College of Medicine, Dar Al-Uloom University, Riyadh, Saudi Arabia.
Publication History
Received: April 15, 2024
Revised: April 20, 2024
Accepted: April 22, 2024
Published: May 14, 2024
Abstract
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, green
