Erhaltung des Gefäßnervenbündels bei der Klitorisreduktionsplastik

Bartsch, G.; Schachtner, W.; Marberger, H

doi:10.1055/s-2008-1061429

Cited by 2 publications

(1 citation statement)

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“…Adrenogenital syndrome -Plastic genital correction -Sparing of nerves kosmetischen Aspekt der rekonstruierten Vulva ist der Funktionserhalt der Klitoris das angestrebte Operationsziel (7,31 Nach den Rezessionsplastiken sind die kosmetischen Ergebnisse nur bei müßiger Klitorishyperplasie gut ( 18,43); nicht aber bei penifo r mer Klito rishyper plasie ( 1,45); selbst wenn die Glans du rch eine Keilexzision ver kleinert wurd e (19 ). Eine Klitorisreduktio nsplastik mit Glanserhalt ist stets an wendbar und wird dah er von za hlreichen Autoren bevo rzugt, beso nders seit es gelang, das dorsale neurovaskul äre Bündel zu erhalten (3,4,5,6,25,26,30,40,44,47). Nur sehr vereinzelt wird d ie Corpo ra -cavernosa-Rcsektion prinzip iell abge lehnt ( 10).…”

Section: Introductionunclassified

Nervenerhaltende, schaftresezierende Feminisierungsoperation zur Korrektur des virilisierten Genitales: Erfahrungsbericht über 25 Kinder mit adrenogenitalem Syndrom

Homoki²

1989

Eur J Pediatr Surg

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The reconstruction of the virilized genitalia in females with adrenogenital syndrome (AGS) is carried out sparing the dorsal neurovascular bundle either through clitoral recession or reduction with simultaneous vaginoplasty and clitoroplasty. Within seven years, 25 girls aged 6 months to 16 years (mean 2 1/2 years) with AGS had a nerve-sparing genital reconstruction with resection of the clitoral shaft in one session as described by Praetorius. 23 children had a C21-defect and 1 a C11 beta-hydroxylase defect; one child had an external virilisation. All children were followed over an average period of 50 months: 21 had a good cosmetic result, the glans had a normal blood supply and was sensitive to a prick test; in 2 girls nerve integrity was demonstrated by somato-sensory evoked potentials. 2 children had small disturbing skin folds of the newly created labia and 2 girls had a somewhat scrotal appearance of the labia. The introitus caliber measured 14 F in girls operated before 6 years of age; however, a 14- and 16-year-old required intermittent bougienage.

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