Iraqi girl undergoes rare surgery
Doctors at Fortis Hospital, Faridabad, claimed to have performed a rare surgery on a four-year-old Iraqi girl with abnormal reproductive organ due to hormone disorder. Rhythma Kaul reports.delhi Updated: May 26, 2012 00:29 IST
Doctors at Fortis Hospital, Faridabad, claimed to have performed a rare surgery on a four-year-old Iraqi girl with abnormal reproductive organ due to hormone disorder.
Shara (name changed), underwent a gender reassignment surgery at the hospital on May 3 and was discharged a week later.
"She suffered from a rare disease of the adrenal gland called congenital adrenal hyperplasia, in which the body tends to produce excess androgen, a type of male sex hormone," said Dr Ritesh Monga, senior urologist at the hospital, who performed the six-hour-long surgery along with Dr Manish Choudhary.
"Her clitoris had grown abnormally into a 7cm-long penis-like structure," he said.
She had a common opening for vaginal canal and urethra, a tubular structure that connects the urinary bladder to the genital for removal of body fluids.
The surgery was divided into three parts, in the first phase the abnormally-extended clitoris was removed and only nerves, vessels and the skin were preserved to restore the blood supply and to construct the labial folds that cover the vaginal and urethral openings.
In the second and third phase of the surgery, doctors reconstructed her clitoris and the vaginal canal. The urethral and vaginal openings were surgically separated.
Doctors said though there was no difficulty in determining the gender of the patient, some excess mass hanging from her genital needed to be repaired so that the baby can lead a normal life.
The recovery period is crucial in such surgeries. "These are flap surgeries and if the sensation and function in the skin is not restored, the purpose of surgery gets defeated," said Dr Monga.
Shara can now lead a normal life. But she needs to take hormone replacement medicines.