Partial urogenital mobilization: A limited proximal dissection

R. C. Rink, P. D. Metcalfe, M. A. Kaefer, A. J. Casale, K. K. Meldrum, M. P. Cain

Research output: Contribution to journalArticlepeer-review

79 Scopus citations


Introduction: The treatment of urogenital sinus malformations is complex and controversial. Despite numerous and significant contemporary surgical advances, the dissection of the urogenital sinus remains technically challenging. Methods: Based on total urogenital mobilization, we describe a technique whereby this dissection is limited to the pubourethral ligament. Our short-term results with partial urogenital mobilization (PUM) performed on 15 patients are retrospectively reviewed. Results: There were no intraoperative complications and the short-term cosmetic results are excellent. No patients have developed voiding dysfunction or urinary tract complications. Conclusions: While total urogenital mobilization is a very effective procedure, we believe that the PUM approach limits potential morbidity in the reconstruction of these complex problems.

Original languageEnglish (US)
Pages (from-to)351-356
Number of pages6
JournalJournal of Pediatric Urology
Issue number4
StatePublished - Aug 2006
Externally publishedYes


  • Congenital adrenal hyperpasia
  • Surgical technique
  • Urogenital sinus
  • Vaginoplasty

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Urology


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