[Urology aspects of adrenogenital syndrome]

During the past five years, 10 patients (seven girls and three boys) with virilizing adrenal hyperplasia have been treated in our institution. A thorough urological work-up was preformed in all. We found among the girls one ureteral duplication, three lower urinary obstruction (two of them in girls with high urethro-vaginal confluence) and four bilateral vesico-ureteral refluxes. Two girls required a Hendren operation, and the remaining had a convention cut-back. Obstruction disappeared in all cases, but reflux persists in one of the patients. The plastic results were constantly good. A detailed urological investigation is strongly advised for patients with adrenogenital syndrome.