{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:34:29Z","timestamp":1787776469994,"version":"build-2784847793"},"reference-count":28,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2022,10,1]],"date-time":"2022-10-01T00:00:00Z","timestamp":1664582400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,10,1]],"date-time":"2022-10-01T00:00:00Z","timestamp":1664582400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jpurol.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pediatric Urology"],"published-print":{"date-parts":[[2022,10]]},"DOI":"10.1016\/j.jpurol.2022.07.007","type":"journal-article","created":{"date-parts":[[2022,7,18]],"date-time":"2022-07-18T22:34:56Z","timestamp":1658183696000},"page":"611.e1-611.e8","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"title":["45 years\u2019 experience with early childhood anatomical technique of feminising genitoplasty for 46 XX Congenital Adrenal Hyperplasia \u2013observations of vaginal introital anatomy and its relationship to the perineal body"],"prefix":"10.1016","volume":"18","author":[{"given":"Supul","family":"Hennayake","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4106-1534","authenticated-orcid":false,"given":"Abigail","family":"Barnes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arianna","family":"Mariotto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anju","family":"Goyal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akinlabi","family":"Ajao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamas","family":"Cserni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gail","family":"Busby","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leena","family":"Patel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mars","family":"Skae","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline","family":"Nicholson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"Bianchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"4","key":"10.1016\/j.jpurol.2022.07.007_bib1","doi-asserted-by":"crossref","first-page":"1476","DOI":"10.1016\/j.juro.2010.06.023","article-title":"External genital proportions in prepubertal girls: a morphometric reference for female genitoplasty","volume":"184","author":"Akbiyik","year":"2010","journal-title":"J Urol"},{"issue":"6","key":"10.1016\/j.jpurol.2022.07.007_bib2","doi-asserted-by":"crossref","first-page":"1117","DOI":"10.1016\/j.jpurol.2014.04.011","article-title":"Normal anatomic relationships in prepubescent female external genitalia","volume":"10","author":"Chalmers","year":"2014","journal-title":"J Pediatr Urol"},{"issue":"3","key":"10.1016\/j.jpurol.2022.07.007_bib3","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1016\/j.jpurol.2015.12.006","article-title":"Study of clitoral hood anatomy in the pediatric population","volume":"12","author":"Brodie","year":"2016","journal-title":"J Pediatr Urol"},{"issue":"1","key":"10.1016\/j.jpurol.2022.07.007_bib4","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1002\/ca.22177","article-title":"Anatomy and physiology of the clitoris, vestibular bulbs, and labia minora with a review of the female orgasm and the prevention of female sexual dysfunction","volume":"26","author":"Puppo","year":"2013","journal-title":"Clin Anat"},{"issue":"12","key":"10.1016\/j.jpurol.2022.07.007_bib5","doi-asserted-by":"crossref","first-page":"1286","DOI":"10.1111\/apa.13219","article-title":"Country-based reference values and international comparisons of clitoral size in healthy Nigerian newborn infants","volume":"104","author":"Jarrett","year":"2015","journal-title":"Acta Paediatr"},{"issue":"11","key":"10.1016\/j.jpurol.2022.07.007_bib6","first-page":"1366","article-title":"Vaginal opening measurement in prepubertal girls","volume":"143","author":"Goff","year":"1989","journal-title":"Am J Dis Child"},{"issue":"1","key":"10.1016\/j.jpurol.2022.07.007_bib7","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1016\/j.jpurol.2020.11.044","article-title":"Should we repair the malformation of external genitalia in girls with congenital Adrenal Hyperplasia before the age of two years?","volume":"17","author":"Acimi","year":"2021","journal-title":"J Pediatr Urol"},{"issue":"5","key":"10.1016\/j.jpurol.2022.07.007_bib8","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1016\/j.ajog.2010.06.008","article-title":"Perineal body anatomy in living women: 3-dimensional analysis using thin-slice magnetic resonance imaging","volume":"203","author":"Larson","year":"2010","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.jpurol.2022.07.007_bib9","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ejogrb.2018.05.011","article-title":"Three dimensional model of the female perineum and pelvic floor muscles","volume":"226","author":"Giraudet","year":"2018","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"1","key":"10.1016\/j.jpurol.2022.07.007_bib10","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/j.urology.2010.11.026","article-title":"Surgical anatomy of urogenital diaphragm and course of its vessels in exstrophy-epispadias","volume":"78","author":"Kureel","year":"2011","journal-title":"Urology"},{"key":"10.1016\/j.jpurol.2022.07.007_bib11","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.ejogrb.2010.08.009","article-title":"Embryology and anatomy of the vulva: the female orgasm and women's sexual health","volume":"154","author":"Puppo","year":"2011","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"10.1016\/j.jpurol.2022.07.007_bib12","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.diff.2018.08.001","article-title":"Development of the human penis and clitoris","volume":"103","author":"Baskin","year":"2018","journal-title":"Differentiation"},{"issue":"5","key":"10.1016\/j.jpurol.2022.07.007_bib13","doi-asserted-by":"crossref","first-page":"977","DOI":"10.1016\/j.jpedsurg.2020.01.002","article-title":"Transformation of the female genitalia in congenital adrenal hyperplasia: MRI study","volume":"55","author":"AbouZeid","year":"2020","journal-title":"J Pediatr Surg"},{"issue":"1","key":"10.1016\/j.jpurol.2022.07.007_bib14","doi-asserted-by":"crossref","first-page":"17","DOI":"10.4103\/0970-1591.45532","article-title":"Feminizing genital reconstruction in congenital adrenal hyperplasia","volume":"25","author":"Leslie","year":"2009","journal-title":"Indian J Urol"},{"issue":"6","key":"10.1016\/j.jpurol.2022.07.007_bib15","doi-asserted-by":"crossref","first-page":"1638","DOI":"10.1016\/j.eururo.2007.02.068","article-title":"Passerini-glazel feminizing genitoplasty: modifications in 17 years of experience with 82 cases","volume":"52","author":"Lesma","year":"2007","journal-title":"Eur Urol"},{"key":"10.1016\/j.jpurol.2022.07.007_bib16","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1016\/S0022-5347(17)38817-1","article-title":"A new 1-stage procedure for clitorovaginoplasty in severely masculinized female pseudohermaphrodites","volume":"142","author":"Passerini-Glazel","year":"1989","journal-title":"J Urol"},{"key":"10.1016\/j.jpurol.2022.07.007_bib17","doi-asserted-by":"crossref","first-page":"776","DOI":"10.1016\/S0022-5347(17)40091-7","article-title":"Single-stage feminization genitoplasty","volume":"143","author":"Gonzalez","year":"1990","journal-title":"J Urol"},{"key":"10.1016\/j.jpurol.2022.07.007_bib18","doi-asserted-by":"crossref","first-page":"54","DOI":"10.3389\/fped.2013.00054","article-title":"Should the genitoplasty of girls with CAH be done in one or two stages?","volume":"1","author":"Gonz\u00e1lez","year":"2014","journal-title":"Front Pediatr"},{"key":"10.1016\/j.jpurol.2022.07.007_bib19","first-page":"545","article-title":"Vaginoplasty technique for female pseudohermaphrodites","volume":"118","author":"Fortunoff","year":"1964","journal-title":"Surg Gynaecol Obstet"},{"key":"10.1016\/j.jpurol.2022.07.007_bib20","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1016\/S0022-3468(97)90191-3","article-title":"Total urogenital mobilization--an easier way to repair cloacas","volume":"32","author":"Pe\u00f1a","year":"1997","journal-title":"J Pediatr Surg"},{"issue":"5","key":"10.1016\/j.jpurol.2022.07.007_bib21","doi-asserted-by":"crossref","first-page":"2199","DOI":"10.1016\/j.juro.2006.07.063","article-title":"Prospective evaluation of feminizing genitoplasty using partial urogenital sinus mobilization for congenital adrenal hyperplasia","volume":"176","author":"Braga","year":"2006","journal-title":"J Urol"},{"key":"10.1016\/j.jpurol.2022.07.007_bib22","doi-asserted-by":"crossref","first-page":"41","DOI":"10.3389\/fped.2013.00041","article-title":"The surgical correction of urogenital sinus in patients with DSD: 15 years after description of total urogenital mobilization in children","volume":"1","author":"Ludwikowski","year":"2013","journal-title":"Front Pediatr"},{"issue":"1","key":"10.1016\/j.jpurol.2022.07.007_bib23","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1016\/S0022-5347(05)65448-1","article-title":"Congenital adrenal hyperplasia: preliminary observations of the urethra in 9 cases","volume":"167","author":"Ganesan","year":"2002","journal-title":"J Urol"},{"issue":"7","key":"10.1016\/j.jpurol.2022.07.007_bib24","doi-asserted-by":"crossref","first-page":"925","DOI":"10.1387\/ijdb.082846yc","article-title":"Revisiting old vaginal topics: conversion of the M\u00fcllerian vagina and origin of the \"sinus\" vagina","volume":"53","author":"Cai","year":"2009","journal-title":"Int J Dev Biol"},{"issue":"5","key":"10.1016\/j.jpurol.2022.07.007_bib25","first-page":"587","article-title":"Nouvelles acquisitions sur l'embryogen\u00e8se du vagin [New findings on the embryogenesis of the vagina]","volume":"18","author":"Minh","year":"1989","journal-title":"J Obstet Gynecol Reprod Biol (Paris)"},{"issue":"4","key":"10.1016\/j.jpurol.2022.07.007_bib26","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1053\/j.semperi.2017.03.011","article-title":"Restoring normal anatomy in female patients with atypical genitalia","volume":"41","author":"Baskin","year":"2017","journal-title":"Semin Perinatol"},{"issue":"4","key":"10.1016\/j.jpurol.2022.07.007_bib27","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1159\/000517055","article-title":"Surgical practice in girls with congenital adrenal hyperplasia: an international registry study","volume":"15","author":"Hebenstreit","year":"2021","journal-title":"Sexual Development"},{"issue":"34","key":"10.1016\/j.jpurol.2022.07.007_bib28","first-page":"1","article-title":"Feminizing genitoplasty in childhood: aiming for achievable outcomes","volume":"16","author":"AbouZeid","year":"2020","journal-title":"Ann Pediatr Surg"}],"container-title":["Journal of Pediatric Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1477513122003096?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1477513122003096?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T13:51:43Z","timestamp":1761486703000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1477513122003096"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10]]},"references-count":28,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022,10]]}},"alternative-id":["S1477513122003096"],"URL":"https:\/\/doi.org\/10.1016\/j.jpurol.2022.07.007","relation":{},"ISSN":["1477-5131"],"issn-type":[{"value":"1477-5131","type":"print"}],"subject":[],"published":{"date-parts":[[2022,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"45 years\u2019 experience with early childhood anatomical technique of feminising genitoplasty for 46 XX Congenital Adrenal Hyperplasia \u2013observations of vaginal introital anatomy and its relationship to the perineal body","name":"articletitle","label":"Article Title"},{"value":"Journal of Pediatric Urology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jpurol.2022.07.007","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}