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Pediatric Female Genital and Vaginal Reconstruction

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Development of the female internal and external genitalia begins long before a child is born.  Through a complex cascade of hormonal signals and events, the internal and external female genitalia develop.  If this process is disrupted at any point, anomalies can occur. 

Two paired structures called the mullerian ducts fuse to form the uterus, cervix, and top part of the vagina.  If the mullerian ducts do not exist or if the fusion does not happen correctly, uterus and vagina anomalies can develop.  In addition, if there is an excess of hormones called androgens, the female external genitalia may be atypical with an enlarged clitoris and potentially fusion of the labia.    

Conditions and Treatments