Secondary surgical treatment of the masculinized external genitalia of patients with virilizing adrenal hyperplasia
Jones, H.W.; Garcia, S.C.; Klingensmith, G.J.
Obstetrics and Gynecology 48(1): 73-75
1976
ISSN/ISBN: 0029-7844 PMID: 934578 Document Number: 104375
Among 84 patients with virilizing adrenal hyperplasia operated on for deformed genitalia and followed for 7 to 22 years (mean 12 9/12 yr), 25 (30%) required secondary operations. For the most part, the secondary procedures were to provide a vaginal orifice adequate for coitus. The difficulties were due either to failure to adequately exteriorize the orifice at the first operation or to contraction of the outlet due to scar formation. Simple operative procedures to correct these difficulties are described.