Genitoplasty

Plastic surgery performed on the genitals
Genitoplasty
ICD-9-CM70.64, 70.62, 70.64, 70.94, 70.6, 70.95
MeSHD013509
[edit on Wikidata]

Genitoplasty is plastic surgery to the genitals. Genitoplasties may be reconstructive to repair injuries, and damage arising from cancer treatment, or congenital disorders, endocrine conditions, or they may be cosmetic.[1]

Medical uses

Genitoplasty surgery includes the following:

  • Vaginoplasty
  • Correction of congenital conditions
    • congenital adrenal hyperplasia[2][3][4]
    • microphallus repair[5]
    • hypospadias repair[6][7]
    • pseudovaginal perineoscrotal hypospadias repair[8]
    • androgen insensitivity syndrome repair
    • repair of a urethra that is short[9]
  • labiaplasty
  • vaginal construction[10][11]
  • vaginal reconstruction[10][11]
  • repair of vaginal vault prolapse[12]
  • vaginal suspension and fixation[10][11]
  • operations on cul-de-sac[10][11]
  • repair of cystocele[10][11]
  • repair of rectocele[10][11]
  • genital prolapse
  • retropubic paravaginal repair[12]
  • hymenorrhaphy

The grafts used in genitalplasty can be an allogenic, an autograft, a xenograft, or an autologous material.[13]

Genital reconstruction surgery can correct prolapse of the urinary bladder into the vagina and protrusion of the rectum into the vagina.[2] Female infants born with a 46,XX genotype but have genitalia affected by congenital adrenal hyperplasia may undergo the surgical creation of a vagina.[citation needed] Vaginoplasty is commonly used to treat women with the congenital absence of the vagina.[3] Other reasons for the surgery are to treat adrenal hyperplasia, microphallus, Mayer-Rokitansky-Kustner disorder and for women who have had a vaginectomy after malignancy or trauma. Reconstructive and corrective vaginal surgery restores or creates the vagina.[11]

Surgeries to modify the cosmetic appearance of infants' and children's genitals are controversial due to their human rights implications. There is no clinical consensus about necessity, timing, indications or evaluation.[14]

See also

References

  1. ^ Ruth A. Hannon (2010). Porth pathophysiology : concepts of altered health states (1st Canadian ed.). Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins. p. 128. ISBN 9781605477817.
  2. ^ a b Baggish, Michael (2016). Atlas of pelvic anatomy and gynecologic surgery. Philadelphia, PA: Elsevier. ISBN 9780323225526.
  3. ^ a b Gundeti, Mohan (2012). Pediatric Robotic and Reconstructive Urology a Comprehensive Guide. City: Wiley-Blackwell. ISBN 9781444335538; Access provided by the University of Pittsburgh{{cite book}}: CS1 maint: postscript (link)
  4. ^ Horbach, Sophie E.R.; Bouman, Mark-Bram; Smit, Jan Maerten; Özer, Müjde; Buncamper, Marlon E.; Mullender, Margriet G. (2015). "Outcome of Vaginoplasty in Male-to-Female Transgenders: A Systematic Review of Surgical Techniques". The Journal of Sexual Medicine. 12 (6): 1499–1512. doi:10.1111/jsm.12868. ISSN 1743-6095. PMID 25817066.
  5. ^ Pooler, Charlotte (2009-10-01). Porth Pathophysiology: Concepts of Altered Health States. Lippincott Williams & Wilkins. ISBN 9781605477817.
  6. ^ Entry "hypospadias" in Merriam-Webster Online Dictionary.
  7. ^ OED 2nd edition, 1989 as /hɪpəʊˈspeɪdɪəs/~/haɪpəʊˈspeɪdɪəs/
  8. ^ Eberhard Nieschlag; Hermann M. Behre; Susan Nieschlag (July 2009). Andrology: Male Reproductive Health and Dysfunction. Springer. pp. 328–. ISBN 978-3-540-78354-1.
  9. ^ Hiort, O (2014). Understanding differences and disorders of sex development (DSD. Basel: Karger. ISBN 9783318025590.
  10. ^ a b c d e f "2016 ICD-10-PCS Procedure Code 0UQG0ZZ : Repair Vagina, Open Approach". ICD10Data.com. Retrieved 2016-03-03.
  11. ^ a b c d e f g Hoffman, Barbara (2012). Williams gynecology. New York: McGraw-Hill Medical. ISBN 9780071716727.
  12. ^ a b Baggish, Michael (2016). Atlas of pelvic anatomy and gynecologic surgery. Philadelphia, PA: Elsevier. ISBN 9780323225526; Access provided by the University of Pittsburgh{{cite book}}: CS1 maint: postscript (link)
  13. ^ "Online ICD9/ICD9CM codes". World Health Organization. Retrieved 2016-03-06.
  14. ^ Lee, Peter A.; Nordenström, Anna; Houk, Christopher P.; Ahmed, S. Faisal; Auchus, Richard; Baratz, Arlene; Baratz Dalke, Katharine; Liao, Lih-Mei; Lin-Su, Karen; Looijenga, Leendert H.J.; Mazur, Tom; Meyer-Bahlburg, Heino F.L.; Mouriquand, Pierre; Quigley, Charmian A.; Sandberg, David E.; Vilain, Eric; Witchel, Selma; and the Global DSD Update Consortium (2016-01-28). "Global Disorders of Sex Development Update since 2006: Perceptions, Approach and Care". Hormone Research in Paediatrics. 85 (3): 158–180. doi:10.1159/000442975. ISSN 1663-2818. PMID 26820577.
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