A study for early results and complications of feminizing genitoplasy in children welfare teaching hospital ,medical city

Abstract

Background Differences of sexual development (DSD), is a congenital conditions in which the development of the chromosomal, gonadal,and anatomic sex are atypical. Aim of the study To evaluate early results and complications of feminizing genitoplastyPatients and methods It’s a prospective descriptive study conducted in children welfare teaching hospital, Baghdad medical city from Feb.2019 to Oct.2021 for patients with feminizing genitoplasty.Results A total of 24 patients were enrolled in this study with age from1-13 years. The gender assigned at birth was female in(62.5%) and male in(37.5%) of patients.CAH was the diagnosis in (95.83%) while Partial androgen insensitivity syndrome was (4.16%).The chromosomal study was XX in(95.83%) and XY in(4.16%) . Prader3 and Prader 4 represented( 74.07%)of cases .The length of the urogenital sinus was 3 cm in (16.66%) of patients.type of surgery was partial urogenital mobilization with clitoroplasty, monsplasty, labioplasty and Fortunoff flap was done in(70.83%) , and cutback vaginoplasty in (16.66%), and staged repair with clitoroplasy monsplasty and labioplasty without vaginal replacement (12.5%) of the patients. early post operative complications (8.33%) minor bleeding, (4.14%) seroma, (16.66%) wound infection, (4.16%) minor wound dehiscence of labia majora, and none of the cases had clitoral loss.no urinary incontinence were found in the patients who were previously continent. 87.5% of patientd and family reported good results, and 12.5% reported satisfactory results. Conclusion feminizing genitoplasty is a safe surgery with relatively low complication rates and good cosmetic outcome when performed by surgeons with experience in this field.