title: Assembling a Functional Clitoris and Vulva from a Pseudo-Penis: A Surgical Technique for an Adult Woman with Congenital Adrenal Hyperplasia.
abstract: BACKGROUND
  Congenital adrenal hyperplasia (CAH) is associated with a genital deformation that might cause a negative body image. The genital ambiguity is generally "corrected" surgically during early infancy. The advantage is a psychological benefit. The disadvantages are multiple surgical procedures and the loss of orgasm.
  
  
  METHODS
  A 22-year-old woman with CAH consulted for genital reconstructive surgery. She had a pseudopenis of 4 cm and could achieve an orgasm by masturbating. During surgery, the penis was dismantled and with the preserved glans penis and the corpora cavernosa, a clitoris and vestibules were constructed, respectively. On the basis of the anamneses during the follow-up, she had a functional vagina and could still achieve orgasms.
  
  
  CONCLUSIONS
  Genital correction surgery for CAH at an older age was easier, could be done in 1 step, and enabled the preservation of orgasm.
authors.affiliation: Multidisciplinary Breast Clinic, Gynecological Oncology Unit and the Department of Obstetrics and Gynecology, Antwerp University Hospital, University of Antwerp, Edegem, Belgium. Electronic address: Wiebren.Tjalma@uza.be.
authors.forename: Wiebren A A
authors.initials: WAA
authors.lastname: Tjalma
mesh_terms: D000312:Adrenal Hyperplasia, Congenital / Q000601:surgery*; D000328:Adult; D002987:Clitoris / Q000601:surgery*; D012734:Disorders of Sex Development / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D010413:Penis / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012017:Referral and Consultation; D014621:Vagina / Q000601:surgery; D014844:Vulva / Q000601:surgery*
keywords: Ambiguous genitalia; Clitoris; Congenital adrenal hyperplasia; Orgasm; Penis; Reconstruction; Sexual functions