Intersex Surgery - Types of Surgery

Types of Surgery

Genital reconstructive surgery can be divided into masculinizing surgical procedures intended to make the genitalia more like those of typical males, and feminizing surgical procedures intended to make the genitalia more like those of typical females.

  • There are several techniques or approaches for each procedure.
  • Some of the variations of procedure are needed for varying degrees of severity of the abnormalities.
  • Some of the different techniques have been devised to reduce complications associated with earlier techniques.
  • Techniques and procedure have evolved over the last 60 years. Some have been considered obsolete for decades.
  • Some children need a combination of procedures.
    • For example, a severely undervirilized boy with a pseudovaginal perineoscrotal hypospadias may have midline urogenital closure, third degree hypospadias repair, chordee release and phalloplasty, and orchiopexy performed. A severely virilized girl with congenital adrenal hyperplasia (CAH) may undergo both a partial clitoral scission and a vaginoplasty.

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