Results after operative correction of virilized female genitalia in children with congenital adrenal hyperplasia (CAH).

Critical deliberations on experiences with surgical procedures for correction of virilized genitalia in girls with CAH. 20 children were operated upon according to Stefan. Since 1977, eight children underwent surgery according to the Bolkenius / Daum modification of Stefan's procedure, two of them with own modifications. Two patients presented with Prader type V. Preservation of sensitive tissue is considered essential as well as an introitus of sufficient width. These demands are met by that method, as is the cosmetic result. Problems arise in case of high junction between urethra and vagina.