What is the role of corrective surgery in the treatment of congenital adrenal hyperplasia (CAH)?

Updated: Oct 06, 2020
  • Author: Thomas A Wilson, MD; Chief Editor: Sasigarn A Bowden, MD  more...
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Answer

Infants with ambiguous genitalia require surgical evaluation and, if needed, plans for corrective surgery, as follows:

  • The traditional approach to the female patient with ambiguous genitalia due to adrenal hyperplasia is clitoral recession early in life followed by vaginoplasty after puberty [8]

  • Vocal groups of patients with disorders of sexual differentiation (eg, Intersex Society of North America) have challenged this approach

  • Some female infants with adrenal hyperplasia have only mild virilization and may not require corrective surgery if they receive adequate medical therapy to prevent further virilization


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