The Richard Grady Monsplasty: A vertical Z-plasty technique. J Pediatr Urol 2021 Aug;17(4):575-576
Date
05/20/2021Pubmed ID
34006463DOI
10.1016/j.jpurol.2021.04.011Scopus ID
2-s2.0-85106308017 (requires institutional sign-in at Scopus site)Abstract
Classic bladder exstrophy in the female results in an exstrophic bladder and urethra, an anterior introitus with a bifid clitoris and short labia minora. During closure, the lower abdominal wall is closed and the bifid clitori are brought into close apposition, but are often not completely closed to prevent injury to the clitoral bodies, thus leaving a persistent gap between the clitoral bodies that grows over time. We demonstrate a vertical z plasty closure to provide a 2 layer closure of the mons that decreases tension and improves cosmetic appearance by recreating a clitoral hood that provides a more normal appearance of the external genitalia for girls with bladder exstrophy.
Author List
Weiss DA, Steffe E, Borer JG, Groth TW, Roth EB, Kryger JV, Shukla AR, Canning DA, Mitchell MEAuthors
John V. Kryger MD Chief, Professor in the Urologic Surgery department at Medical College of WisconsinElizabeth B. Roth MD Assistant Professor in the Urologic Surgery department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
Bladder ExstrophyClitoris
Female
Humans
Male
Urethra
Vagina
Vulva
