Pull-through vaginoplasty with anterior sagittal transrectal approach in high confluence urogenital sinus and 46XX, DSD: A case report and literature review.

Abstract

We report our experience of pull-through vagina with anterior sagittal approach of high. UGS in 46,XX disorder of sex development (DSD). Rare case of 4-year-old girl presented with UGS and 46,XX DSD with the chief complaint of purulent urination since 2 years ago. Patient underwent pull-through vaginoplasty with anterior sagittal approach. Surgical wound was in good condition, there was no leakage and urine production on both urethral catheter and cystostomy was good. Pull-through vagina with anterior sagittal approach is feasible procedure, which provides excellent exposure and easy identification of the vaginal confluence for UGS patient.