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]
Genitoplasty | |
---|---|
ICD-9-CM | 70.64, 70.62, 70.64, 70.94, 70.6, 70.95 |
MeSH | D013509 |
Medical uses
editGenitoplasty 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
editReferences
edit- ^ 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.
- ^ a b Baggish, Michael (2016). Atlas of pelvic anatomy and gynecologic surgery. Philadelphia, PA: Elsevier. ISBN 9780323225526.
- ^ 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) - ^ 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.
- ^ Pooler, Charlotte (2009-10-01). Porth Pathophysiology: Concepts of Altered Health States. Lippincott Williams & Wilkins. ISBN 9781605477817.
- ^ Entry "hypospadias" in Merriam-Webster Online Dictionary.
- ^ OED 2nd edition, 1989 as /hɪpəʊˈspeɪdɪəs/~/haɪpəʊˈspeɪdɪəs/
- ^ Eberhard Nieschlag; Hermann M. Behre; Susan Nieschlag (July 2009). Andrology: Male Reproductive Health and Dysfunction. Springer. pp. 328–. ISBN 978-3-540-78354-1.
- ^ Hiort, O (2014). Understanding differences and disorders of sex development (DSD. Basel: Karger. ISBN 9783318025590.
- ^ a b c d e f "2016 ICD-10-PCS Procedure Code 0UQG0ZZ : Repair Vagina, Open Approach". ICD10Data.com. Retrieved 2016-03-03.
- ^ a b c d e f g Hoffman, Barbara (2012). Williams gynecology. New York: McGraw-Hill Medical. ISBN 9780071716727.
- ^ 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) - ^ "Online ICD9/ICD9CM codes". World Health Organization. Retrieved 2016-03-06.
- ^ 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.