Total Laparoscopic Colocolpopoiesis in a Kidney Transplant Recipient With Frasier Syndrome
| العنوان: | Total Laparoscopic Colocolpopoiesis in a Kidney Transplant Recipient With Frasier Syndrome |
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| المؤلفون: | Wouter B. van der Sluis, Wilhelmus J. H. J. Meijerink, Mark-Bram Bouman, Anne van Tellingen, Shaikh A. Nurmohamed |
| المساهمون: | Plastic, Reconstructive and Hand Surgery, Other Research, Nephrology, AGEM - Digestive immunity, Surgery |
| المصدر: | Female Pelvic Medicine and Reconstructive Surgery, 22, 1, pp. e11-3 Female Pelvic Medicine and Reconstructive Surgery, 22, e11-3 Bouman, M-B, van der Sluis, W B, Nurmohamed, S A, van Tellingen, A & Meijerink, W J H J 2016, ' Total Laparoscopic Colocolpopoiesis in a Kidney Transplant Recipient With Frasier Syndrome ', FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY, vol. 22, no. 1, pp. E11-E13 . https://doi.org/10.1097/SPV.0000000000000216 FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY, 22(1), E11-E13. Lippincott Williams and Wilkins |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | Laparoscopic surgery, Adult, medicine.medical_specialty, Urology, medicine.medical_treatment, Rectum, Gonadoblastoma, 03 medical and health sciences, 0302 clinical medicine, Colon, Sigmoid, medicine, Humans, Kidney transplantation, 030219 obstetrics & reproductive medicine, business.industry, Obstetrics and Gynecology, medicine.disease, Kidney Transplantation, Colorectal surgery, Frasier syndrome, Frasier Syndrome, Surgery, medicine.anatomical_structure, Treatment Outcome, 030220 oncology & carcinogenesis, Urological cancers Radboud Institute for Health Sciences [Radboudumc 15], Vagina, Vaginoplasty, Female, Laparoscopy, Artificial Organs, business |
| الوصف: | Item does not contain fulltext BACKGROUND: The absence of a normal functioning vagina can have a profound impact on women's quality of life and psychological well being. Frasier syndrome is a rare autosomal recessive disorder which presents with male pseudohermaphroditism with gonadal dysgenesis, renal failure in early adulthood and increased risk of developing gonadoblastoma. Kidney transplant recipients are reported to have a high complication rate after colorectal surgery, most probably resulting from immunosuppressive therapy. CASE: A 25-year-old female kidney transplant recipient with Frasier syndrome consulted our department to discuss the possibilities of surgically constructing a functional vagina. She successfully underwent a total laparoscopic colocolpopoiesis without any complications. A sigmoid segment of 16 cm long was isolated laparoscopically and transferred caudally in a dissected pouch between bladder and rectum on its vascular pedicle. There was no short-term morbidity and no complications up to 3 years postoperatively. She experienced no neovaginal symptoms and was able to engage in neovaginal penetration by means of vibrator or neovaginal dilatator. CONCLUSIONS: The positive results in this patient lead us to recommend laparoscopic colocolpopoiesis in kidney transplant patients who are seeking vaginoplasty. We advocate considering a total laparoscopic approach whenever rectosigmoid colocolpopoiesis is indicated, even after a kidney transplantation. |
| تدمد: | 2151-8378 |
| DOI: | 10.1097/SPV.0000000000000216 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6d749721627fe84b1e944c47851a8c70 https://hdl.handle.net/2066/171820 |
| Rights: | RESTRICTED |
| رقم الانضمام: | edsair.doi.dedup.....6d749721627fe84b1e944c47851a8c70 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 21518378 |
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| DOI: | 10.1097/SPV.0000000000000216 |