Feminizing genitoplasty: an evaluation of 41 patients in 8 years

Authors: FATİH AKBIYIK, HÜSEYİN TUĞRUL TİRYAKİ, EMRAH ŞENEL, ERVİN MAMBET, YUSUF ZİYA LİVANELİOĞLU, HALİL FARUK ATAYURT

Abstract: The authors present early results of feminizing genitoplasty procedures. Materials and methods: Medical records of 41 patients who underwent feminizing genitoplasty in between 2001 and 2009 were evaluated retrospectively. Results: Follow-up period was 1 month to 7.5 years. Clitorolabial cosmesis was good in all patients except one. Neither clitoral necrosis nor enlargement was noted in postoperative period. The most common complication observed was vaginal stenosis. For 7 patients with severe stenosis, reoperations are planned at puberty. Conclusion: One-stage or staged genitoplasty is performed for disorders of sexual development (DSD) patients. Although results of clitoroplasty are satisfactory, reoperation rates due to vaginal stenosis in vaginal procedures is commonly reported. This study showed that staged genitoplasty for treatment may be the most prudent approach if patients do not have a low opening vagina.

Keywords: Feminizing genitoplasty, children, congenital adrenal hyperplasia

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