Abstract
Objective: The aim of the study is to determine the outcomes of single stage feminizing Genitoplasty in patients with Congenital Adrenal Hyperplasia (CAH) in terms of surgical complications, parents’ satisfaction and their determinants.
Material & Methods: In this retrospective chart review, 32 patients who underwent single stage Genitoplasty at Khyber teaching hospital between January 2015 to January 2019 were included. Patients with common channel longer than 2.5 cm and
those operated elsewhere were excluded. Parents were interviewed retrospectively and data was collected. Ethical approval
was granted by IREB of the institute. Outcome was called ‘’successful’’ in patients with no complication at follow up. Parents
and surgeon’s satisfaction with cosmesis was recorded from evaluated pre-and postoperative photographs and separately
labelled as “satisfied” or “not satisfied”. Data was analyzed using SPSS version 22.
Results: Mean age of the patients at surgery was 9.71 ± 1.72 months (6-18 months). Twenty-one (65.25%) patients were in
age group 6 to 12 months while 11 (34.37%) were in age group 13 to 18 months. The mean operative time was 180.22+22.41
minutes. No flap ischemia (0.0%), vesicovagnial/veginorectal (0.0%) or surgical site infection (0.0%) was observed in any
patient. Urinary incontinence was seen in 1 (3.12%) patient, while urinary tract infections were observed in 3 (9.37%) patients. Two patients (6.25%) had vaginal stenosis at follow up calibration. Parents were satisfied with cosmetic outcome in
30 (93.8%) cases and surgeon in 29 (90.62%) patients. Success rate was found higher (i.e. 90.47% and 100.0%) in younger
age groups and lower CAH grades (P<0.05), respectively.
Conclusion: The early follow up of females with CAH receiving single stage feminizing Genitoplasty have shown promising
results in terms of low complication rates and high satisfaction rates of parents.
Inayat ur Rehman, Sajjad Ali, Muhammad Uzair, Farooq Abdullah, Fayaz ur Rehman. (2020) FEMINIZING GENITOPLASTY IN CLASSIC CONGENITAL ADRENAL HYPERPLASIA- EXPERIENCE AT KHYBER TEACHING HOSPITAL, PESHAWAR, Journal of Medical Sciences, Volume 28, Issue 3.
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