Complete corporeal preservation clitoroplasty: new insights into feminizing genitoplasty
Q2
- Autores:
-
Fernandez, Nicolas
Chavarriaga, Julian
Perez Niño, Jaime
- Tipo de recurso:
- Article of journal
- Fecha de publicación:
- 2021
- Institución:
- Pontificia Universidad Javeriana
- Repositorio:
- Repositorio Universidad Javeriana
- Idioma:
- eng
- OAI Identifier:
- oai:repository.javeriana.edu.co:10554/63644
- Acceso en línea:
- https://www.scielo.br/j/ibju/a/wNSG8jXLZk67D445gfF8dsr/?lang=en
http://hdl.handle.net/10554/63644
https://doi.org/10.1590/S1677-5538.IBJU.2020.0839
- Palabra clave:
- Surgical procedures
Operative
Adrenal Hyperplasia
Congenital
Clitoris
- Rights
- License
- Atribución-NoComercial 4.0 Internacional
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Complete corporeal preservation clitoroplasty: new insights into feminizing genitoplasty |
| title |
Complete corporeal preservation clitoroplasty: new insights into feminizing genitoplasty |
| spellingShingle |
Complete corporeal preservation clitoroplasty: new insights into feminizing genitoplasty Surgical procedures Operative Adrenal Hyperplasia Congenital Clitoris |
| title_short |
Complete corporeal preservation clitoroplasty: new insights into feminizing genitoplasty |
| title_full |
Complete corporeal preservation clitoroplasty: new insights into feminizing genitoplasty |
| title_fullStr |
Complete corporeal preservation clitoroplasty: new insights into feminizing genitoplasty |
| title_full_unstemmed |
Complete corporeal preservation clitoroplasty: new insights into feminizing genitoplasty |
| title_sort |
Complete corporeal preservation clitoroplasty: new insights into feminizing genitoplasty |
| dc.creator.fl_str_mv |
Fernandez, Nicolas Chavarriaga, Julian Perez Niño, Jaime |
| dc.contributor.author.none.fl_str_mv |
Fernandez, Nicolas Chavarriaga, Julian Perez Niño, Jaime |
| dc.contributor.corporatename.spa.fl_str_mv |
Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Cirugía y Especialidades. Urología |
| dc.contributor.javerianateacher.none.fl_str_mv |
Fernandez, Nicolas Perez Niño, Jaime |
| dc.subject.keyword.spa.fl_str_mv |
Surgical procedures Operative Adrenal Hyperplasia Congenital Clitoris |
| topic |
Surgical procedures Operative Adrenal Hyperplasia Congenital Clitoris |
| description |
Q2 |
| publishDate |
2021 |
| dc.date.created.none.fl_str_mv |
2021-01-10 |
| dc.date.accessioned.none.fl_str_mv |
2023-03-08T20:31:01Z |
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2023-03-08T20:31:01Z |
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Artículo de revista |
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http://purl.org/coar/resource_type/c_6501 |
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http://purl.org/coar/resource_type/c_6501 |
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https://www.scielo.br/j/ibju/a/wNSG8jXLZk67D445gfF8dsr/?lang=en |
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1677-5538 / 1677-6119 (Electrónico) |
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http://hdl.handle.net/10554/63644 |
| dc.identifier.doi.spa.fl_str_mv |
https://doi.org/10.1590/S1677-5538.IBJU.2020.0839 |
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instname:Pontificia Universidad Javeriana |
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reponame:Repositorio Institucional - Pontificia Universidad Javeriana |
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repourl:https://repository.javeriana.edu.co |
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https://www.scielo.br/j/ibju/a/wNSG8jXLZk67D445gfF8dsr/?lang=en http://hdl.handle.net/10554/63644 https://doi.org/10.1590/S1677-5538.IBJU.2020.0839 |
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1677-5538 / 1677-6119 (Electrónico) instname:Pontificia Universidad Javeriana reponame:Repositorio Institucional - Pontificia Universidad Javeriana repourl:https://repository.javeriana.edu.co |
| dc.language.iso.spa.fl_str_mv |
eng |
| language |
eng |
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861 |
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867 |
| dc.relation.ispartofjournal.spa.fl_str_mv |
International Brazilian Journal of Urology |
| dc.relation.citationvolume.spa.fl_str_mv |
47 |
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4 |
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Atribución-NoComercial 4.0 Internacional |
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http://creativecommons.org/licenses/by-nc/4.0/ |
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http://purl.org/coar/access_right/c_abf2 |
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Atribución-NoComercial 4.0 Internacional http://creativecommons.org/licenses/by-nc/4.0/ http://purl.org/coar/access_right/c_abf2 |
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PDF |
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application/pdf |
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2018-2019 |
| institution |
Pontificia Universidad Javeriana |
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http://repository.javeriana.edu.co/bitstream/10554/63644/1/Complete%20corporeal%20preservation%20clitoroplasty%20new%20insights%20into%20feminizing%20genitoplasty.pdf http://repository.javeriana.edu.co/bitstream/10554/63644/2/license.txt http://repository.javeriana.edu.co/bitstream/10554/63644/3/Complete%20corporeal%20preservation%20clitoroplasty%20new%20insights%20into%20feminizing%20genitoplasty.pdf.jpg |
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Atribución-NoComercial 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_abf2Fernandez, NicolasChavarriaga, JulianPerez Niño, JaimePontificia Universidad Javeriana. Facultad de Medicina. Departamento de Cirugía y Especialidades. UrologíaFernandez, NicolasPerez Niño, Jaime2018-20192023-03-08T20:31:01Z2023-03-08T20:31:01Z2021-01-10https://www.scielo.br/j/ibju/a/wNSG8jXLZk67D445gfF8dsr/?lang=en1677-5538 / 1677-6119 (Electrónico)http://hdl.handle.net/10554/63644https://doi.org/10.1590/S1677-5538.IBJU.2020.0839instname:Pontificia Universidad Javerianareponame:Repositorio Institucional - Pontificia Universidad Javerianarepourl:https://repository.javeriana.edu.coPDFapplication/pdfengComplete corporeal preservation clitoroplasty: new insights into feminizing genitoplastyArtículo de revistahttp://purl.org/coar/resource_type/c_6501Q2Q2Pacientes sometidos a Genitoplastia feminizanteIntroduction: 46,XX Congenital adrenal hyperplasia (CAH) remains the first cause of genital virilization and current surgical techniques aim to restore female aspect of genitalia while preserving dorsal neurovascular bundle but not at the expense of not preserving erectile tissue. We aim to report our experience with a new surgical technique for clitoroplasty, completely preserving corporeal bodies, neurovascular bundles without dismembering the clitoris, in four patients with over a year follow up. Materials and Methods: After IRB approval four patients with 46,XX CAH and Prader 5 and 3 external genitalia, underwent feminizing genitoplasty. Complete preservation of erectile tissue was accomplished without a need to dissect dorsal neurovascular bundle. Glans size allowed no need for glanular reduction and there was no need to dismember the corporeal bodies. Results: Four patients 12 to 24-months-old underwent complete corporeal preservation clitoroplasty (CCPC), mean age was 18.5 months, mean follow up was 10.25 months. Vaginoplasty was performed in all patients with partial urogenital mobilization (PUM) and Urogenital Sinus flap (UF), only one severely virilized patient required a parasagittal pre-rectal approach to mobilize the vagina. We had no complications until last follow up. Conclusion: To our knowledge, we are introducing the concept of CCPC without the need of disassembling the corporeal bodies, neurovascular bundle and glans. It stands as a new alternative for feminizing genitoplasty with complete preservation of erectile tissue and no dissection of neurovascular bundle. Although there is still lacking long-term follow-up, it represents a new step in conservative reconfiguration of the external virilized female genitalia.https://orcid.org/0000-0002-9675-5963https://orcid.org/0000-0003-0363-5485https://orcid.org/0000-0002-2231-4321Revista Internacional - IndexadaBSiSurgical proceduresOperativeAdrenal HyperplasiaCongenitalClitoris861867International Brazilian Journal of Urology474ORIGINALComplete corporeal preservation clitoroplasty new insights into feminizing genitoplasty.pdfComplete corporeal preservation clitoroplasty new insights into feminizing genitoplasty.pdfArtículoapplication/pdf4233320http://repository.javeriana.edu.co/bitstream/10554/63644/1/Complete%20corporeal%20preservation%20clitoroplasty%20new%20insights%20into%20feminizing%20genitoplasty.pdf65f32c6aad02928f9a3df5622f520adeMD51open accessLICENSElicense.txtlicense.txttext/plain; charset=utf-82603http://repository.javeriana.edu.co/bitstream/10554/63644/2/license.txt2070d280cc89439d983d9eee1b17df53MD52open accessTHUMBNAILComplete corporeal preservation clitoroplasty new insights into feminizing genitoplasty.pdf.jpgComplete corporeal preservation clitoroplasty new insights into feminizing genitoplasty.pdf.jpgIM Thumbnailimage/jpeg12506http://repository.javeriana.edu.co/bitstream/10554/63644/3/Complete%20corporeal%20preservation%20clitoroplasty%20new%20insights%20into%20feminizing%20genitoplasty.pdf.jpgacec2bc2e3a0dcd9e03de1147d7cc89bMD53open access10554/63644oai:repository.javeriana.edu.co:10554/636442023-03-09 03:02:03.132Repositorio Institucional - Pontificia Universidad Javerianarepositorio@javeriana.edu.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 |