Clitoroplasty in Congenital Adrenal Hyperplasia: Description of Technique

  • Dix P. Poppas
Conference paper
Part of the Advances in Experimental Medicine and Biology book series (AEMB, volume 707)


Female patients with congenital adrenal hyperplasia (CAH) may develop masculinized genitalia in utero upon exposure to excess androgen. This masculinization may be characterized by hyperpigmented or fused labioscrotal tissue, enlarged labia majora, a urogenital sinus, and clitoromegaly. Clitoromegaly may vary, ranging from an ordinary clitoris to a significantly enlarged clitoris similar to a near-normal penis, with any degree of intermediate variation. Surgical management of clitoromegaly may ensure adequate sexual function, promote consistent female gender identity development, and provide a typical clitoris aesthetic. Patients and families considering clitoral surgery should make every effort to understand the options, risks, and benefits of this surgery. If surgery is being considered, it should only be performed in centers with significant experience.


Sexual Function Sexual Dysfunction Congenital Adrenal Hyperplasia Urogenital Sinus Excess Androgen 
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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of UrologyInstitute for Pediatric Urology, David and Phyllis Komansky Center for Children’s Health, New York Presbyterian Hospital, Weill Medical College of Cornell UniversityNew YorkUSA

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