{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:06:00Z","timestamp":1753877160569,"version":"3.41.2"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"vor","delay-in-days":31,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Redo surgeries for persistent urogenital sinus repair are challenging, often requiring innovative techniques to address complications like fistula formation and vaginal stenosis. This case report describes the successful management of a complex redo persistent urogenital sinus repair in a 5-year-old girl. Her initial repair at age 1 resulted in an iatrogenic rectovaginal fistula, severe narrowing of the vagina, and required a sigmoid colostomy and tube colpostomy. At age 5, surgical reconstruction involved excising the stenosed urethra, re-anastomosing it to the introitus, and fistula closure. Due to the fragile and thin-walled vagina, a sigmoid interposition vaginoplasty was performed. Extensive pelvic adhesions made direct suturing impossible, so a Foley catheter was used innovatively as a stent to approximate the vaginal wall to the sigmoid interposition. One year later, the vagina and urethra remain patent, and the child is continent following colostomy closure. The catheter stent technique proved effective in ensuring alignment and patency.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf466","type":"journal-article","created":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T04:10:29Z","timestamp":1751343029000},"source":"Crossref","is-referenced-by-count":0,"title":["A novel approach for maintaining alignment of sigmoid vaginoplasty anastomosis of urogenital sinus repair complicated with iatrogenic rectovaginal fistula: case report"],"prefix":"10.1093","volume":"2025","author":[{"given":"Abubakr H","family":"Mossa","sequence":"first","affiliation":[{"name":"College of Medicine, University of Sharjah , University City, PO Box 27272, Sharjah ,","place":["United Arab Emirates"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omer H","family":"Mossa","sequence":"additional","affiliation":[{"name":"University Hospital Sharjah , University City, PO Box 27272, Sharjah ,","place":["United Arab Emirates"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samir","family":"Al-Ahmad","sequence":"additional","affiliation":[{"name":"University Hospital Sharjah , University City, PO Box 27272, Sharjah ,","place":["United Arab Emirates"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hilal","family":"Matta","sequence":"additional","affiliation":[{"name":"Tawwam Hospital , Khalifa Bin Zayed Road, Al-Maqam, Al-Ain ,","place":["United Arab Emirates"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khalid Khalfan","family":"Sabet","sequence":"additional","affiliation":[{"name":"University Hospital Sharjah , University City, PO Box 27272, Sharjah ,","place":["United Arab Emirates"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad Eyad","family":"Ba'ath","sequence":"additional","affiliation":[{"name":"University Hospital Sharjah , University City, PO Box 27272, Sharjah ,","place":["United Arab Emirates"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,7,1]]},"reference":[{"key":"2025070100102250500_ref1","doi-asserted-by":"publisher","first-page":"124","DOI":"10.4103\/aja.aja_72_19","article-title":"The embryology of persistent cloaca and urogenital sinus malformations","volume":"22","author":"Thomas","year":"2020","journal-title":"Asian J Androl"},{"key":"2025070100102250500_ref2","doi-asserted-by":"publisher","first-page":"165","DOI":"10.1016\/j.urology.2022.12.031","article-title":"Urogenital sinus diagnosed during workup of recurrent urinary tract infections: a case report","volume":"174","author":"Yang","year":"2023","journal-title":"Urology."},{"key":"2025070100102250500_ref3","doi-asserted-by":"publisher","first-page":"78","DOI":"10.5582\/irdr.2023.01027","article-title":"Urogenital sinus malformation: from development to management","volume":"12","author":"Ding","year":"2023","journal-title":"Intractable & Rare Diseases Research"},{"key":"2025070100102250500_ref4","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1159\/000317278","article-title":"Prenatal diagnosis of persistent urogenital sinus with duplicated hydrometrocolpos and ascites\u2013a case report","volume":"28","author":"Pauleta","year":"2010","journal-title":"Fetal Diagn Ther"},{"key":"2025070100102250500_ref5","doi-asserted-by":"publisher","first-page":"2347","DOI":"10.1016\/S0022-5347(05)66200-3","article-title":"Total urogenital sinus mobilization: a modified perineal approach for feminizing genitoplasty and urogenital sinus repair","volume":"165","author":"Jenak","year":"2001","journal-title":"J Urol"},{"key":"2025070100102250500_ref6","doi-asserted-by":"publisher","first-page":"723","DOI":"10.1016\/j.ijscr.2013.05.013","article-title":"Anterior sagittal approach without splitting the rectal wall","volume":"4","author":"Leite","year":"2013","journal-title":"Int J Surg Case Rep"},{"key":"2025070100102250500_ref7","doi-asserted-by":"publisher","first-page":"339","DOI":"10.1016\/0022-3468(77)90010-0","article-title":"Surgical management of urogenital sinus abnormalities","volume":"12","author":"Hendren","year":"1977","journal-title":"J Pediatr Surg"},{"key":"2025070100102250500_ref8","doi-asserted-by":"publisher","first-page":"1293","DOI":"10.1016\/S0022-5347(01)64459-8","article-title":"Reconstruction of the high urogenital sinus: early perineal prone approach without division of the rectum","volume":"158","author":"Rink","year":"1997","journal-title":"J Urol"},{"key":"2025070100102250500_ref9","doi-asserted-by":"publisher","first-page":"465","DOI":"10.1016\/j.jpedsurg.2015.10.004","article-title":"Should we question early feminizing genitoplasty for patients with congenital adrenal hyperplasia and XX karyotype?","volume":"51","author":"Binet","year":"2016","journal-title":"J Pediatr Surg"},{"key":"2025070100102250500_ref10","doi-asserted-by":"publisher","first-page":"1291","DOI":"10.1002\/bjs.1800781105","article-title":"Sutureless intestinal anastomoses","volume":"78","author":"McCue","year":"1991","journal-title":"Journal of British Surgery"},{"key":"2025070100102250500_ref11","doi-asserted-by":"publisher","first-page":"703.e1","DOI":"10.1016\/j.joms.2018.12.001","article-title":"Effect of one-suture and sutureless techniques on postoperative healing after third molar surgery","volume":"77","author":"Alkadi","year":"2019","journal-title":"J Oral Maxillofac Surg"},{"key":"2025070100102250500_ref12","doi-asserted-by":"publisher","first-page":"147","DOI":"10.3928\/01913913-20220511-03","article-title":"Outcomes in sutured versus sutureless wound closure in pediatric cataract surgery","volume":"60","author":"Broyles","year":"2023","journal-title":"Journal of Pediatric Ophthalmology & Strabismus"},{"key":"2025070100102250500_ref13","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1016\/j.gie.2020.06.057","article-title":"Endoscopic gastrointestinal anastomosis: a review of established techniques","volume":"93","author":"Marrache","year":"2021","journal-title":"Gastrointest Endosc"},{"key":"2025070100102250500_ref14","doi-asserted-by":"publisher","first-page":"247","DOI":"10.1053\/j.semvascsurg.2021.10.004","article-title":"A systematic review of sutureless vascular anastomosis technologies","volume":"34","author":"Mallela","year":"2021","journal-title":"Semin Vasc Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/6\/rjaf466\/63630662\/rjaf466.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/6\/rjaf466\/63630662\/rjaf466.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T04:10:36Z","timestamp":1751343036000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf466\/8178939"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,31]]},"references-count":14,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,5,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf466","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2025,6]]},"published":{"date-parts":[[2025,5,31]]},"article-number":"rjaf466"}}