Genital sensation after feminizing genitoplasty for congenital adrenal hyperplasia: a pilot study

  title={Genital sensation after feminizing genitoplasty for congenital adrenal hyperplasia: a pilot study},
  author={Naomi S. Crouch and Catherine L. Minto and L-M Laio and Christopher R J Woodhouse and Sarah M Creighton},
  journal={BJU International},
To assess sensation in the clitoris and vagina in women with congenital adrenal hyperplasia (CAH) who have previously had genital surgery, and to evaluate sexual function in this group as the latter, and particularly the experience of orgasm, appear to be closely related to sensitivity. 

Nerve sparing feminizing genitoplasty with corporal septum excision in non-classic congenital adrenal hyperplasia

Nerve sparing clitoroplasty with corporal septum excision is a good option with satisfactory long term results for non-classic CAH patients, however, many more comparative studies are needed to decide the gold standard method for optimal physiologic and cosmetic outcomes inCAH patients.

Vaginoplasty for Disorders of Sex Development

Treatment of patients with the absence or extreme hypoplasia of the vagina may consist in non-operative dilation methods or surgical creation of a neovagina, which is far to be reached among the various surgical subspecialties regarding the optimal method of vaginal replacement.

Congenital Adrenal Hyperplasia: Review from a Surgeon’s Perspective in the Beginning of the Twenty-First Century

This review will focus on CAH addressing historical and current surgical techniques with their anatomical foundations, with special attention to long-term results and outcomes on sexual function, patient satisfaction, patient attitude toward surgery, and ongoing controversies in management of these patients.

Management of Vaginal Hypoplasia in Disorders of Sexual Development: Surgical and Non-Surgical Options

Vaginal dilators remain the cornerstone of treatment of women with vaginal hypoplasia and should be used as the first-line technique, and surgical vaginoplasty has a role in complex patients with previous failed dilation and surgical intervention.

Feminizing genitoplasties: Where are we now?

  • L. Jesus
  • Medicine
    Journal of pediatric urology
  • 2018

Intersex surgery in the adult

The study of individuals born with ambiguous genitalia is undergoing a revolution; in the past the birth of such a baby was regarded as a medical emergency and most children were never told of their original diagnosis.

Sexual function and surgical outcome in women with congenital adrenal hyperplasia due to CYP21A2 deficiency: clinical perspective and the patients' perception.

The data show that the null genotype group was considerably more affected by the condition than the other groups and should be regarded as a subgroup, both psychologically and from a surgical perspective.

Complete corporeal preservation clitoroplasty: new insights into feminizing genitoplasty

CCPC stands as a new alternative for feminizing genitoplasty with complete preservation of erectile tissue and no dissection of neurovascular bundle, and represents a new step in conservative reconfiguration of the external virilized female genitalia.



A Comparative Study of Sexual Experiences

CAH women were found to be less sexually experienced in all areas, and reported higher levels of penetration difficulties, pain, and lubrication problems than the diabetic women, suggesting that the contribution of psychological factors to these problems may be at least as great as that of medical/ surgical factors.

Outcome of congenital adrenal hyperplasia

The quality of life in women with CAH is studied, with particular emphasis on how they cope with genital malformations, genital operations, and chronic disease as well as lifelong medication, and improved psychosocial adaptation is speculated.

Management of Congenital Adrenal Hyperplasia: Results of the ESPE Questionnaire

All participating ESPE members feel the need for further improvement in prenatal diagnosis and treatment, compliance during puberty, screening programmes, psychological aspects, and corrective surgery.

Anatomical studies of the human clitoris.

Anatomical relationship between urethra and clitoris.

Normative values for female genital sensation.

The Golombok-Rust Inventory of Sexual Satisfaction (GRISS).

The Golombok-Rust Inventory of Sexual Satisfaction (GRISS) is a short 28-item questionnaire that has high reliability and good validity for both the overall scales and the subscales.