Long-Term Assessment of Genital Reconstruction in Female Pseudohermaphrodites

TLDR

The study reviewed 32 women who underwent early genital reconstruction, with 16 available for follow‑up 5–22 years later, involving clitoridectomies, clitoral recessions, Y‑V introitoplasties, and midline episiotomies. Clitoral recessions proved cosmetically and functionally satisfactory, while introital revisions performed before puberty required further surgery, suggesting vaginoplasty should be deferred until after puberty.

Abstract

The cases involving 32 women who had undergone early revision of ambiguous genitalia were reviewed 5 to 22 years postoperatively. Seven clitoridectomies, 25 clitoral recessions, 17 Y-V introitoplasties and 10 midline episiotomies were performed. There were 16 patients available for followup. The results of clitoral recessions were cosmetically and functionally satisfactory. Introital revisions done before puberty all required further revision and suggested that vaginoplasty should be deferred until after puberty.