FEMINIZING GENITOPLASTY IN CLASSIC CONGENITAL ADRENAL HYPERPLASIA- EXPERIENCE AT KHYBER TEACHING HOSPITAL, PESHAWAR
Main Article Content
Abstract
Objective: To evaluate the outcomes of single stage feminizing genitoplasty in patients with congenital adrenal hyperplasia(CAH) in terms of surgical complications ,parents’ satisfaction and their determinants. Setting Khyber teaching hospital Peshawar. Methodology: In this retrospective case series 32 patients who underwent single stage genitoplasty 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. Outcome was called ‘’successful’’ in patients with no complication at follow up.Parents and surgeons satisfaction with cosmesis was recorded from evaluated pre and post op photoraphs and separately labelled as “satisfied” or “not satisfied”. Data was analysed by using SPSS version 22. Results: Mean age of the patients at surgery was 9.71 ± 1.72 months (6-18 months).21(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%) ,vesicovagnia/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.
Article Details
All articles published in the Journal of Medical Sciences (JMS) are licensed under the Creative Commons Attribution 4.0 International License (CC-BY 4.0). Under the CC BY 4.0 license, author(s) retain the ownership of the copyright publishing rights without restrictions for their content, and allow others to copy, use, print, share, modify, and distribute the content of the article even for commercial purposes as long as the original authors and the journal are properly cited. No permission is required from the author/s or the publishers for this purpose. Appropriate attribution can be provided by simply citing the original article. The corresponding author has the right to grant on behalf of all authors, a worldwide license to JMS and its licensees in all forms, formats, and media (whether known now or created in the future), The corresponding author must certify and warrant the authorship and proprietorship and should declare that he/she has not granted or assigned any of the article’s rights to any other person or body.
The corresponding author must compensate the journal for any costs, expenses, or damages that the JMS may incur as a result of any breach of these warranties including any intentional or unintentional errors, omissions, copyright issues, or plagiarism. The editorial office must be notified upon submission if an article contains materials like text, pictures, tables, or graphs from other copyrighted sources. The JMS reserves the right to remove any images, figures, tables, or other content, from any article, whether before or after publication, if concerns are raised about copyright, license, or permissions and the authors are unable to provide documentation confirming that appropriate permissions were obtained for publication of the content in question.