Journal of gynecology obstetrics and human reproduction · 2026
Clitoroplasty and urogenital sinus mobilization in females with congenital adrenal hyperplasia: A case report with focused literature discussion.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Abike Faruk, Tanoglu Fatma Basak, Sammour Bashar Yacoub Abdelhafiz
Аннотация
INTRODUCTION: Congenital adrenal hyperplasia (CAH) can result in masculinized genitalia due to excessive androgen production. This genital virilization often presents as clitoral hypertrophy, ranging from a significantly enlarged clitoris to a phallic-like clitoris in female patients.
CASE PRESENTATION: A Syrian refugee girl presented at age 24 with complaints of abnormal genitalia. Gynecologic examination revealed clitoromegaly, absence of labia minora, and a single common orifice of the urethra and vagina, the size of a pinhead. Nerve-sparing clitoroplasty, total urogenital sinus mobilization, vaginoplasty, and creation of labia minora with perineoplasty were performed.
CONCLUSIONS: There are limited case reports on CAH, clitoroplasty, and urogenital sinus mobilization in adults. This case highlights the feasibility of one-stage feminizing genitoplasty in adulthood and provides unique educational value through detailed step-by-step surgical video documentation.
CASE PRESENTATION: A Syrian refugee girl presented at age 24 with complaints of abnormal genitalia. Gynecologic examination revealed clitoromegaly, absence of labia minora, and a single common orifice of the urethra and vagina, the size of a pinhead. Nerve-sparing clitoroplasty, total urogenital sinus mobilization, vaginoplasty, and creation of labia minora with perineoplasty were performed.
CONCLUSIONS: There are limited case reports on CAH, clitoroplasty, and urogenital sinus mobilization in adults. This case highlights the feasibility of one-stage feminizing genitoplasty in adulthood and provides unique educational value through detailed step-by-step surgical video documentation.