Author/Authors :
AKBIYIK, Fatih Diskapi Childrens Hospital - Department of Pediatric Surgery, TURKEY , TIRYAKI, Tugrul Diskapi Children’s Hospital - Department of Pediatric Surgery, TURKEY , SENEL, Emrah Diskapi Children’s Hospital - Department of Pediatric Surgery Clinic, TURKEY , MAMBET, Ervin Diskapi Children’s Hospital - Department of Pediatric Surgery, TURKEY , LIVANELIOGLU, Ziya Diskapi Children’s Hospital - Department of Pediatric Surgery, TURKEY , ATAYURT, Halil Diskapi Childrens Hospital - Department of Pediatric Surgery, TURKEY
Abstract :
Aim: The authors present early results of feminizing genitoplasty procedures. Materials and methods: Medical records of 41patients 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.
