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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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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.
Author(s)
김건석박성찬송상훈전재범한재현
Issued Date
2021
Type
Article
Keyword
congenital adrenal hyperplasiadisorders of sex developmentfeminizing surgery21-hydroxylase deficiency
DOI
10.3390/ijerph182111152
URI
https://oak.ulsan.ac.kr/handle/2021.oak/7480
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_doaj_primary_oai_doaj_org_article_c9c2dc7efbda4b479603db594197784f&context=PC&vid=ULSAN&lang=ko_KR&search_scope=default_scope&adaptor=primo_central_multiple_fe&tab=default_tab&query=any,contains,Surgical%20Outcomes%20of%20Clitoroplasty%20in%20Children%20with%20Congenital%20Adrenal%20Hyperplasia%20and%20Clitoral%20Hypertrophy:%20A%2019-Year%20Experience%20of%20a%20Single%20Surgeon&offset=0&pcAvailability=true
Publisher
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
Location
스위스
Language
영어
ISSN
1660-4601
Citation Volume
18
Citation Number
21
Citation Start Page
0
Citation End Page
0
Appears in Collections:
Medicine > Medicine
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