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Surgical Outcomes of Clitoroplasty in Children with Congenital Adrenal Hyperplasia and Clitoral Hypertrophy: A 19-Year Experience of a Single Surgeon

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  • Jaebeom Jun

    (Department of Urology, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05535, Korea)

  • Sang Hoon Song

    (Department of Urology, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05535, Korea)

  • Sungchan Park

    (Department of Urology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan 44033, Korea)

  • Jae Hyeon Han

    (Department of Urology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan 15355, Korea)

  • Kun Suk Kim

    (Department of Urology, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05535, Korea)

Abstract

This study aimed to describe the experience with clitoroplasty for clitoral hypertrophy in patients with congenital adrenal hyperplasia of a single surgeon. The medical records of female pediatric patients with congenital adrenal hyperplasia who underwent clitoroplasty at a tertiary referral hospital between 2002 and 2020 were retrospectively analyzed. Three different surgical techniques were applied for clitoroplasty: recession without reduction, reduction and recession, and girth reduction and recession. A total of 104 patients underwent clitoroplasty for clitoral hypertrophy. The median patient age at the time of surgery was 10 months (range, 4 months to 10 years). The operation time was longer in reduction clitoroplasty than in recession clitoroplasty without reduction (median, 153 vs. 111 min, p = 0.003). The mean postoperative pain score of the patients did not differ among the different clitoroplasty techniques. During the mean follow-up of 37.7 months, nine (8.6%) patients underwent reperformed clitoroplasty. The rate of reperformed operation was significantly higher in patients who underwent reduction clitoroplasty (17.3%) than in those who underwent recession without reduction (2%) or girth reduction and recession (0%) ( p = 0.031). Early clitoroplasty in patients with congenital adrenal hyperplasia yielded good mid-term surgical outcomes in terms of cosmesis and recurrence rate, with minimal perioperative complications.

Suggested Citation

  • Jaebeom Jun & Sang Hoon Song & Sungchan Park & Jae Hyeon Han & Kun Suk Kim, 2021. "Surgical Outcomes of Clitoroplasty in Children with Congenital Adrenal Hyperplasia and Clitoral Hypertrophy: A 19-Year Experience of a Single Surgeon," IJERPH, MDPI, vol. 18(21), pages 1-9, October.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:21:p:11152-:d:663414
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    References listed on IDEAS

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    1. Grzegorz Kudela & Aneta Gawlik & Tomasz Koszutski, 2020. "Early Feminizing Genitoplasty in Girls with Congenital Adrenal Hyperplasia (CAH)—Analysis of Unified Surgical Management," IJERPH, MDPI, vol. 17(11), pages 1-8, May.
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