7 month girl , absence of vegina.what should be done and whan

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Mam Counsel the parents well to relieve their anxiety Get a basic level USG investigation to see the status of internal gonads and uterus ,kidneys.and to rule out MRKH Let he child grow VAGINOPLASTY can be contemplated any time at martiageable age 3-4 months bfore marriage by MC INDOE'S TECHNIQUE Please go through the paper published by us and shared with all fw weeks ago
Thank you
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1.Ambiguous gentilae Karyotyphing Ultrasound sound to see internal organs If it is confirmed it is female infant then it is easy to do reconstructive surgery by paediatric surgeon. Reassuring and counselling the parents
Ultrasound whole abdomen with Pelvis to be done to rule out any other associated anomaly and to confirm the presence or absence of uterus and ovary. Karyotyping should be done next , if female internal genitalia absent.
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If reproductive system is with in normal limit there is no need for surgery till menarche. If there atresia of reproductive system during adult time and if she is willing to marry then she needs vaginoplasty.
Thank you ma'am
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Its a case of ambigous genitilia ...... do karyotyping , usg abdomen , barr body , rule out CAH , dont label the sex of the baby till all the investigations are done.......
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Nothing can be done till puberty. Development of secondary sexual characters awaited. No intervention right now only counselling.
If all the female reproductive system are intact , Vaginoplasty can be performed at the pubertal age
Thanks
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Vaginoplasty Paediatrc surgen openion
Thank you doctor.
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Vaginoplasty to be done at puberty
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