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KMID : 0358419970400051069
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Korean Journal of Obstetrics and Gynecology
1997 Volume.40 No. 5 p.1069 ~ p.1073
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A Case of Clitoroplasty with Preserving Neurovascular Supply to the Clitoris for Clitoromegaly in Congenital Adrenal Hyperplasia
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김은중
이선영/이귀세라/유진희/김사진/송승규/김수평
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Abstract
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Congenital adrenal hyperplasia, which is caused by the disorder of the enzyme for synthesizing adrenal hormones, results in hypertropy of the clitoris due to overproduction of adrenal androgen. Diagnosis of the congenital adrenal hyperplasia can
be
obtained by the study of steroid levels in blood and urine. The blood levels of ACTH, testosterone and 17-hydroxyprogesterone were increased and the concentration of 17-ketosteroid were decreased after the dexamethasone suppression test. The
internal
genital organ was normal appearance on the pelvic CT scan. Clitoromegaly due to congenital adrenal hyperplasia was corrected previously by the various operational procedures in which the clitoris was removed entirely for only physial appearance.
However
the sensitive function of the clitoris after the operative correction through puberty is to be preserved by the method "clitoroplasty" for preserving neurovascular supply to the clitoris. The writer experienced a case of a 5-year-old girl with
congenital adrenal hyperplasia and tried this clitoroplasty for surgical treatment of clitoromegly for preservation of postoperative sensitivity of the clitoris.
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KEYWORD
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