Female hypospadias in combination with stenosis of artificial introitus in a patient with idiopathic congenital virilization

Abstract

Presented clinical case demonstrates the complexity of diagnosis of the female hypospadias and management of patients with disorders of sex development. Ambiguous external genitalia due to maternal hyperandrogenia was the reason of incorrect male sex appropriation to patient with idiopathic virilization. Congenital adrenal hyperplasia was excluded at 2 years old. There was recommended change the passport gender of the child and feminizing surgery. Clitorolabioplasty was performed at 2 years old and complicated by retention of urine and required cystostomy. Introitoplasty without separation of the urinary and genital tract performed at 12 years old. So presence of female hypospadias, recurrent urinary tract infection, neurogenic bladder dysfunction led to stenosis of the artificial introitus and required reoperation. Reintroitoplasty with separation of the genital and urinary tract performed at 16 years old. Female hypospadias and chronic urinary tract infection was eliminated.

Keywords

• female hypospadias
• disorders of sex development
• reintroitoplasty