Fig. 9
From: Feminizing genitoplasty in childhood: aiming for achievable outcomes
Feminizing genitoplasty in a 15-month-old girl with CAH. Fixation of the urethra to the clitoris. Note the divergence of the ventral erectile tissue on the dorsum of the common urogenital sinus in a denoting a low vaginal descent (type 1). The vaginal orifice was easily exposed via a lay-open incision through the dissected urogenital sinus in b. The distal urogenital sinus is used to cover the retained glans (c–e) and provide a mucosal lining to the new vestibule. f Appearance of external genitalia at the end of operation