Elimination of infravesical obstruction resulting from staged surgical treatment of high urogenital sinus. Clinical case

Abstract. The presented clinical case demonstrates the ineffectiveness of delayed feminizing surgery in patients with high urogenital sinus due to congenital adrenal hyperplasia. The first stage of feminization was undertaken at the age of two years. Sinusotomy was performed in combination with clitoroplasty. Infravesical obstruction, hydrocolpos, hydrometra and recurrent urinary tract infection arose as a result а narrow common urogenital canal created. The second stage included introitoplasty with a skin flap. The outflow from the genitals was restored and the obstruction to the flow of urine was eliminated, the urogenital sinus was preserved. As a result of two operations, its persistence continues and maintains the risk of recurrent urinary infection.