[Sex-change operations in disorders of the reproductive organs]. / Sekstransformatsionnye operatsii pri narushenii organov reproduktivnoi sistemy.

The authors analyze the experience gained in the surgical treatment of more than 5300 patients aged 2 days to 42 years, suffering from various abnormalities of the reproductive organs. They describe the surgical policy in sex-transforming surgery (masculinizing or feminizing plasty of the genitals) and give recommendations on rehabilitation of the patients with involvement of the reproductive system organs in the postoperative period.

[Rectosigmoid vaginoplasty in children and adolescents]. / Rektosigmoidnaia vaginoplastika u detei i podrostkov.

The authors analyze the results of vaginal plasty with grafts from the rectosigmoid portion of the large intestine, carried out in 279 girls aged 3 to 18 with abnormalities of the genitals and vaginal aplasia, including that with a functioning uterus. They have developed new modifications of such surgery, that facilitate sexual social adaptation of the patients when they reach puberty.

[Modified technique of the Ivanissevich operation for varicocele in children]. / Modifitsirovannaia metodika operatsii Ivanissevicha pri varikotsele u detei.

On the basis of the results of rheotesticulographic studies in 38 children with left-sided II-III degree varicocele, the impairment in hemodynamics in the testicle at the involved side was established. No suppression of androgen function of the organ was revealed. The expediency to perform in patients of pediatric and young age the Ivanissevich operation, the effectiveness of which is increased in use of intraoperative phlebotesticulography was noted. The effective method for varicocele treatment in children has been suggested. The testicular vein is ligated near the deep inguinal ring as well as at the level of the upper third, then it is excised between the ligatures together with the deviating branches. The method was used in treatment of 120 patients with II-III degree varicocele. No disease recurrence is noted during 1.5 years.

[Possibilities of surgical treatment of lesions of the organs of the reproductive system and disorders of sexual development]. / Vozmozhnosti khirurgicheskogo lecheniia porazhenii organov reproduktivnoi sistemy i narushenii polovogo razvitiia.

The authors describe the data on clinico-laboratory and instrumental examinations and surgical treatment of about 5,000 children with different reproductive organ injuries including complex patterns of abnormal sexual differentiation. The designed diagnostic programs made it possible to distribute patients into groups and according to the disease entities in conformity with the classification suggested. It is emphasized that in the developing science concerned with sex, it is necessary to distinguish an area pertaining to childhood, namely pediatric andrology, and to delineate its subject matter and tasks. Skilled assistance can be rendered by a specialized center. A broad spectrum of improved masculinizing (including the design of an artificial phallus) and feminizing (including the design of an artificial vagina from the rectosigmoid segment of the colon) is provided. The catamnestic data are evaluated.

[Surgical treatment of diseases of the genitalia and disorders of sexual development]. / Khirurgicheskoe lechenie zabolevanii polovykh organov i narushenii polovogo razvitiia.

The experience with the treatment of more than 5140 children at the age of from 2 days to 16 years, and 76 patients at the age of from 15 to 42 years with different diseases of the genital organs and disorders in the sex formation is presented. The indications for surgical treatment are defined. The results of the masculinizing operations, including the phalloplasty and testicular endoprosthesis, and the feminizing ones, including the vaginoplasty with the use of a colonic segment are presented.