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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 15 No. 1-2 (2024)

Short-term Outcomes of Feminizing Genitoplasty in Children with Congenital Adrenal Hyperplasia: A Five-year Prospective Observational Study

Vol. 15 No. 1-2 (2024) — cover
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Vol. 15 No. 1-2 (2024) — contents page
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Authors

  • Seraz SBAssistant Professor, Department of Paediatric Surgery, DR. M. R. Khan Shishu Hospital and Institute of Child Health.
  • Islam MNAssociate Professor, Department of Paediatric Surgery, Bangladesh Medical University (BMU).
  • Huq AEx Head of the Department of Paediatric Surgery Dhaka Medical College Hospital.
  • Shaheen SAssistant Registrar, Neonatal Surgery, Dept. of Paediatric Surgery, Dhaka Medical College Hospital.
  • Sarkar DJunior Consultant, Department of Surgery Sir Salimullah Medical College Mitford Hospital
  • Akter TDepartment of Microbiolog Holy Family Red Crescent Medical College and Hospital

Keywords

Congenital Adrenal Hyperplasia Feminizing Genitoplasty

Abstract

Aims/objectives: To find out the beneficial outcomes of early feminizing surgery in patients with DSD due to CAH with virilization. By assessing pre & post operative anatomy, cosmesis & parental satisfaction. Methods: This prospective observational study included 25 patients (aged 2year-11 years) of CAH with virilizationwho were clinically optimized pre-operatively. Feminizing genitoplasty of these patients were carried out in various Department of Paediatric Surgery in three centers. The study is being conducted with the intention of observing the short-term outcome. Patients were selected by purposive sampling from January 2021 to October 2025, over a period of 5 years. Results: The mean age of the study subject was 6.29±2.3 years. The mean value of cosmetic outcome score was 8.4 on a 10-point scoring system. According to the outcome evalua tion: 3 patients (12%) had excellent results, 7 patients (28%) had very good results, 11 patients (44%) had good results, and 4 patients (16%) had fair results. Postoperatively, among the 25 patients: 18 patients (72%) achieved Prader score 0, 11 patients (44%) had clitoral index >1, and 14 patients (56%) had clitoral index <1. No postoperative complications were observed. Parental satisfaction, assessed by likert scale, was 100% among all participants. Conclusion: Early feminizing genitoplasty showed satisfactory cosmetic & anatomical outcomes with high parental satisfaction and minimal complications.

Journal of Paediatric Surgeons of Bangladesh (2026) Vol. 15 (1 & 2): 10–12

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