000			02809nam a22002537a 4500
999			_c10292 _d10292
001			OB 2017 0006
003			PILC
005			20240720152936.0
008			171027b xxu||||| |||| 00| 0 eng d
040			_beng _cFEU-NRMF MEDICAL LIBRARY _erda
041			_aenglish
050			_aOB 2017 0006
245			_aRecurrent hematuria in genital ambiguity: is genital reconstruction the best option? : _ba diagnostic and therapeutic dilemma / _cMyka Janine M. Villarroya.
260			_aFairview, Quezon City: _bDepartment of Obstetrics and Gynecology, FEU-NRMF, _c2017.
300			_btables, photos; _c(in folder) + _ewith flash drive (soft copy).
336			_2rdacontent _atext
337			_2rdamedia _aunmediated
338			_2rdacarrier _avolume
504			_aIncludes appendices and bibliographical references.
520			_aAbstract: Congenital Adrenal Hyperplasia (CAH) is an inherited autosomal recessive disease that causes virilization of the external genitalia. The deficiency of the enzyme, 21-hydroxylase will most likely have leads to genitalia. The objective of this paper is to present the dilemma in the diagnosis and management of Recurrent hematuria in patient with Genital ambiguity secondary to Congenital Adrenal Hyperplasia. This is a case of a 22 year old, female, with recurrent hematuria and Urinary Tract Infection, has genital ambiguity due to congenital hyperplasia was worked up for possible genital reconstruction. On ultrasound finding, the distal end of the vaginal canal seems to be connected to the urethra and was noted to be 1.32cm from meatus; Hamatoclpos was also noted. Is the recurrent hematuria due to cyclic menstruation of this patient? Surgical management of genital ambiguity due to congenital adrenal hyperplasia is associated with few immediate postoperative, infectious and urinary complications as well as unwanted permanent outcomes such as Vaginal stenosis and the like. The exact method of reconstruction depends on the anatomy of the patient. In our patient she had enlarged clitoris measuring 1 x 0.5 x 1 cm. However, in this patient who is reared as female, emotionally confident that she is a woman with the complaint of recurrent hematuria and UTI, will genital reconstruction improve the patient medically, psychologically and emotionally? What about the postoperative complications that may happen after the operation? These questions posed a dilemma on the surgeons on whether the restoration of anatomical, functional, cosmetic and psychosexual aspect will be the best option for this patient. Definitive plan for our case was Cliteroplasty with creation of Neovagina. However due to financial constraints patient opted for medical management.
521			_aRESDOG
700			_aVillarroya, Myka Janine M., MD. _eauthor
942			_2lcc _cRU