Anatomical and functional correlations in feminizing genitoplasty in patients with congenital adrenal hyperplasia

Objectives. To establish the anatomical and functional correlations which are necessary in feminizing genitoplasty through the study of the specialized literature, following the changes in surgical procedures gained with the improvement of anatomical knowledge. Materials and method. There were studied references from internet database, some with historical importance but representative as evolutionary steps in establishing the current procedures accessed in feminizing surgery. There were searched case reports, reviews, technical presentations, descriptive, retrospective and prospective studies, also book chapters. Results. Of the studied materials have been selected 43 titles, including articles and papers that bring in the fore the importance of the anatomical and functional features present within the studied pathology, making correlations that developed, perfected and refined surgical techniques used in feminizing genitoplasty. Some observations and technical applications have historical value in these days but aspects were reiterated in this study, trying to select some surgical procedures in according with current requirements. Conclusions. Although techniques have gained value thanks to the thorough study of functional anatomy, each surgical stage winning accuracy and functional value, keeping the sensitivity of the genital area through the observance of structures with tactile and erectile importance, there are controversies which are emphasized by the pitiful of long-term outcomes, but also by ethical and deontological implications of this type of treatment. For cases of Congenital Adrenalian Hyperplasia keeping the integrity of the tissue and reproductive function is the main reason which eases the surgical decision.