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The perineal membrane(including the superficial and inferior fascia and the ischiocavernosus, bulbocavernosus,and superficial perineal transverse muscles) is excised from the pubic symphysis to eachischial tuberosity; while deepening the perineal membrane incision, the pelvic laparotomypads are identified.

Y chromosome mosaicism may be the cause if patient is < 25years.

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