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Chapter-76 Genitoplasty

BOOK TITLE: Principles and Practice of Assisted Reproductive Technology

Author
1. Puranik Prashant
ISBN
9789352705030
DOI
10.5005/jp/books/18020_77
Edition
2/e
Publishing Year
2019
Pages
18
Author Affiliations
1. Health Care Global Hospital, Bengaluru, Karnataka, India, Global Hospital, Bengaluru, Karnataka, India
Chapter keywords
Genitoplasty, vaginal agenesis, embryonal basis, androgen insensitivity syndrome, isolated vaginal atresia, müllerian aplasia, frank dilator method, ingram method, neovagina, Abbe-McIndoe procedure

Abstract

This chapter focuses on congenital absence of vagina and its management. Genitoplasty refers to reparative surgery of genital organs. Female genitoplasty can involve vulva, clitoris, labia, vagina or a combination of above structures. It can be broadly classified into reconstructive and aesthetic. Aim of surgical procedures in reconstructive genitoplasty is to reconstruct genital structures in anomalies occurring due to congenital or acquired (traumatic or oncological or dermatological disease) deformities. One of the common congenital genital anomalies encountered in gynecological services is vaginal agenesis. Recent advances in artificial reproduction techniques have led to noninvasive methods of harvest of ovum or insemination. Artificial reproduction techniques may need approach vaginally. Patients with developmental anomalies of vagina or congenital absence of vagina can pose a technical difficulty.

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