English to Romanian Medical Medical (general) gynecology

Limb.

The urogenital sinus persists, and the lower vagina and hymen do not form normally. In order to prevent bladder outlet obstruction, drainage of pooled urine through the vagina is usually required. A colostomy is performed to decompress the gastrointestinal tract. Many of these children have additional congenital anomalies necessitating multiple reconstructive operations. Accurate delineation of anatomic abnormalities usually requires genitography or voiding cystourethrography (Figs. 34-20 and 34-21), as well as contrast material–enhanced examination of the distal colostomy limb.11,21