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

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 hospita...

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Autores principales:	Jaebeom Jun, Sang Hoon Song, Sungchan Park, Jae Hyeon Han, Kun Suk Kim
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	congenital adrenal hyperplasia disorders of sex development feminizing surgery 21-hydroxylase deficiency Medicine R
Acceso en línea:	https://doaj.org/article/c9c2dc7efbda4b479603db594197784f
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spelling	oai:doaj.org-article:c9c2dc7efbda4b479603db594197784f2021-11-11T16:18:09ZSurgical Outcomes of Clitoroplasty in Children with Congenital Adrenal Hyperplasia and Clitoral Hypertrophy: A 19-Year Experience of a Single Surgeon10.3390/ijerph1821111521660-46011661-7827https://doaj.org/article/c9c2dc7efbda4b479603db594197784f2021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11152https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601This 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, <i>p</i> = 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%) (<i>p</i> = 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.Jaebeom JunSang Hoon SongSungchan ParkJae Hyeon HanKun Suk KimMDPI AGarticlecongenital adrenal hyperplasiadisorders of sex developmentfeminizing surgery21-hydroxylase deficiencyMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11152, p 11152 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	congenital adrenal hyperplasia disorders of sex development feminizing surgery 21-hydroxylase deficiency Medicine R
spellingShingle	congenital adrenal hyperplasia disorders of sex development feminizing surgery 21-hydroxylase deficiency Medicine R Jaebeom Jun Sang Hoon Song Sungchan Park Jae Hyeon Han Kun Suk Kim Surgical Outcomes of Clitoroplasty in Children with Congenital Adrenal Hyperplasia and Clitoral Hypertrophy: A 19-Year Experience of a Single Surgeon
description	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, <i>p</i> = 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%) (<i>p</i> = 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.
format	article
author	Jaebeom Jun Sang Hoon Song Sungchan Park Jae Hyeon Han Kun Suk Kim
author_facet	Jaebeom Jun Sang Hoon Song Sungchan Park Jae Hyeon Han Kun Suk Kim
author_sort	Jaebeom Jun
title	Surgical Outcomes of Clitoroplasty in Children with Congenital Adrenal Hyperplasia and Clitoral Hypertrophy: A 19-Year Experience of a Single Surgeon
title_short	Surgical Outcomes of Clitoroplasty in Children with Congenital Adrenal Hyperplasia and Clitoral Hypertrophy: A 19-Year Experience of a Single Surgeon
title_full	Surgical Outcomes of Clitoroplasty in Children with Congenital Adrenal Hyperplasia and Clitoral Hypertrophy: A 19-Year Experience of a Single Surgeon
title_fullStr	Surgical Outcomes of Clitoroplasty in Children with Congenital Adrenal Hyperplasia and Clitoral Hypertrophy: A 19-Year Experience of a Single Surgeon
title_full_unstemmed	Surgical Outcomes of Clitoroplasty in Children with Congenital Adrenal Hyperplasia and Clitoral Hypertrophy: A 19-Year Experience of a Single Surgeon
title_sort	surgical outcomes of clitoroplasty in children with congenital adrenal hyperplasia and clitoral hypertrophy: a 19-year experience of a single surgeon
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/c9c2dc7efbda4b479603db594197784f
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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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