Feminizing genitoplasty: one-stage genital reconstruction in congenital adrenogenital syndrome

Complete one-stage genital reconstruction was made in five children with congenital adrenogenital syndrome. Removal of the cavernous body of the clitoris was made by preservation of the glans with its vascular and neural supply. The lesser lips of the pudendum were fashioned from the skin of the penis and the prepuce. During the same operation, the vaginal orifice was created by the inversion of an U-shaped flap taken from the perineum into the introitus vaginae. There were no surgical complications. The patients recovered with good cosmetic results. It is necessary to regularly dilate the new vaginal orifice.