Genitoplasty

Genitalplasty
Intervention
ICD-9-CM	70.64, 70.62, 70.64, 70.94, 70.6, 70.95

Genitoplasty surgical procedures are surgeries to the genitals to repair injuries, the effects of disease, complications and damage from cancer treatment, congential^[1] and endocrine conditions, and plastic surgery.

Medical uses

Genitalplasty surgery includes the following:

• Vaginoplasty
• Correction of birth defects
  • congenital adrenal hyperplasia^{[2][3][3][4][5]}
  • microphallus repair^[6]
  • hypospadias repair^[7][8]
  • pseudovaginal perineoscrotal hypospadias repair^[9]
  • androgen insensitivity syndrome repair
  • repair of a urethra that is short^[10]
• labiaplasty
• vaginal construction^[11][12]
• vaginal reconstruction^[11][12]
• repair of vaginal vault prolapse^[13]
• vaginal suspension and fixation^[11][12]
• operations on cul-de-sac^[11][12]
• repair of cystocele^[11][12]
• repair of rectocele^[11][12]
• genital prolapse
• retropubic paravaginal repair^[13]
• hymenorrhaphy

The grafts used in genitalplasty can be an allogenic, a heterograph, an autograft, xenograft, or a autologous material.^[14]

It will correct protrusion of the urinary bladder into the vagina and protrusion of the rectum into the vagina.^[15] Female infants born with a 46,XX genotype but have genitalia affected by congenital adrenal hyperplasia will undergo the surgical creation of a vagina. Vaginoplasty is commonly used to treat women with the congenital absence of the vagina.^[3][3] Other reasons for the surgery is to treat adrenal hyperplasia,^[4] microphallus, Mayer-Rokitansky-Kustner disorder and for women who have had a vaginectomy after malignancy or trauma. Reconstructive and corrective vaginal surgery restores or creates the vagina.^[12]

References

1. Ruth A. Hannon (2010). Porth pathophysiology : concepts of altered health states (1st Canadian ed.). Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins. p. 128. ISBN 9781605477817.
2. Baggish, Michael (2016). Atlas of pelvic anatomy and gynecologic surgery. Philadelphia, PA: Elsevier. ISBN 9780323225526.
3. Gundeti, Mohan (2012). Pediatric Robotic and Reconstructive Urology a Comprehensive Guide. City: Wiley-Blackwell. ISBN 9781444335538; Access provided by the University of Pittsburgh
4. Houben, CH; Tsui, SY; Mou, JW; Chan, KW; Tam, YH; Lee, KH (2014). "Reconstructive surgery for females with congenital adrenal hyperplasia due to 21-hydroxylase deficiency: a review from the Prince of Wales Hospital". Hong Kong Medical Journal. doi:10.12809/hkmj144227. ISSN 1024-2708.
5. Horbach, Sophie E.R.; Bouman, Mark-Bram; Smit, Jan Maerten; Özer, Müjde; Buncamper, Marlon E.; Mullender, Margriet G. (2015). "Outcome of Vaginoplasty in Male-to-Female Transgenders: A Systematic Review of Surgical Techniques". The Journal of Sexual Medicine 12 (6): 1499–1512. doi:10.1111/jsm.12868. ISSN 1743-6095.
6. Pooler, Charlotte (2009-10-01). Porth Pathophysiology: Concepts of Altered Health States. Lippincott Williams & Wilkins. ISBN 9781605477817.
7. Entry "hypospadias" in Merriam-Webster Online Dictionary.
8. OED 2nd edition, 1989 as /hɪpəʊˈspeɪdɪəs/~/haɪpəʊˈspeɪdɪəs/
9. Eberhard Nieschlag; Hermann M. Behre; Susan Nieschlag (July 2009). Andrology: Male Reproductive Health and Dysfunction. Springer. pp. 328–. ISBN 978-3-540-78354-1.
10. Hiort, O (2014). Understanding differences and disorders of sex development (DSD. Basel: Karger. ISBN 9783318025590.
11. "2016 ICD-10-PCS Procedure Code 0UQG0ZZ : Repair Vagina, Open Approach". ICD10Data.com. Retrieved 2016-03-03.
12. Hoffman, Barbara (2012). Williams gynecology. New York: McGraw-Hill Medical. ISBN 9780071716727.
13. Baggish, Michael (2016). Atlas of pelvic anatomy and gynecologic surgery. Philadelphia, PA: Elsevier. ISBN 9780323225526; Access provided by the University of Pittsburgh
14. "Online ICD9/ICD9CM codes". World Health Organization. Retrieved 2016-03-06.
15. Baggish, Michael (2016). Atlas of pelvic anatomy and gynecologic surgery. Philadelphia, PA: Elsevier. ISBN 9780323225526.