V7-04 MONS PLASTY: A TECHNIQUE FOR OPTIMAL AESTHETIC OUTCOME

Abstract

You have accessJournal of UrologyPediatrics1 Apr 2017V7-04 MONS PLASTY: A TECHNIQUE FOR OPTIMAL AESTHETIC OUTCOME Kelly Nast, Diana Cardona-Grau, George Chiang, and Antoine Khoury Kelly NastKelly Nast More articles by this author , Diana Cardona-GrauDiana Cardona-Grau More articles by this author , George ChiangGeorge Chiang More articles by this author , and Antoine KhouryAntoine Khoury More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.1922AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES It has been suggested that women who have undergone repair for exstrophy-epispadias complex (EEC) have unsatisfactory cosmetic results possibly leading to decreased self-esteem. Here we aim to show a mons plasty technique to be incorporated at the initial EEC closure that creates anatomically correct external female genitalia as well as improves the aesthetic outcome. METHODS Briefly, the surgical technique incorporates approximation of the bifid clitoris in the midline, aligning the labia minora along the lateral aspect of the introitus, creation of a clitoral hood, superomedial rotation of the labia majora, and finally mobilization of peripubic adipose to create a mons. RESULTS In our experience the surgical technique was successful in creating anatomically normal appearing external genitalia with subjective parental satisfaction. The patient has not had any complications. A post-operative VCUG showed grade 3 left vesicoureteral reflux. She is not yet potty trained but does have apparent normal voiding with dry periods throughout the day. CONCLUSIONS The technique described restores normal anatomic appearance as well as improves the cosmetic outcome. This technique should be considered in one-stage female EEC closure. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e824 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Kelly Nast More articles by this author Diana Cardona-Grau More articles by this author George Chiang More articles by this author Antoine Khoury More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...