Titlebook: Surgical Correction of Intersexual Genitalia and Female Genital Malformation; Waldemar Ch. Hecker Book 1985 Springer-Verlag Berlin Heidelb

DEFER

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FLIP

Procedure for Subtotal Vaginal AplasiaIn about 5% of female subjects with AGS, contrast radiographs and endoscopy fail to demonstrate a vagina. If a uterus is found on ultrasonography, it is very likely that at least a rudimentary vagina is present. In these cases we proceed as follows:

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Synechia of the Labia MinoraSynechia of the labia minora is occasionally confused with hymenal atresia. Most cases involve labial adhesions secondary to “diaper rash,” and most are easily released with a dissecting forceps or probe. With proper anogenital hygiene and 1 week’s treatment of the vulva with Progynon ointment, recurrences are rare.

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Surgical Enlargement of Contracted IntroitusWhile uncommon, contraction of the distal vagina or introitus is possible following a vaginal pullthrough or introitoplasty in patients with urogenital sinus malformation. It may result from wound infection, impaired blood flow to the distal vagina, or premature removal of the vaginal stent.

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Forms of Intersexuality Caused by Chromosomal AbnormalitiesChromosome abnormalities are confirmed by karyography. The most common gonosomal aberrations, Klinefelter’s syndrome (47 XXY), with a prevalence of 1:1000, and Ullrich-Turner syndrome (45 XO), with a prevalence of 1:2500, are of no importance in this context, because they are not associated with ambiguous genitals.

Exhilarate

Principal Endocrinologic, Genetic, and Radiologic Examination Methodsedalon, Primogonyl, Pregnesin) is to differentiate between bilateral anorchism and abdominal cryptorchidism. It is also used to detect disturbances of testosterone biosynthesis in prepubertal children.

Ligament

Hypertrophy of the Labia Minora latitudes. Whether the hypertrophy is primary or secondary, correction is always indicated (Fig. 18). The enlarged labia are grasped with mosquito clamps, surgically reduced, and the wound edges sutured with 7–0 Vicryl and sealed with bucrylate.

Congestion

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