Adult congenital adrenal hyperplasia presenting with severe clitoromegaly and distal vaginal stenosis: A reconstructive surgical case report.

Marwa Alatawi, Magdoleen Barry, Raed Almannie, Abdulaziz Althunayan, Abdulrahman Ahmed Albassam, Lateefa Othman Aldakhil

Abstract readCase Reports

PubMed Full text at PMC Publisher

In one paragraph

Article in Urology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Marwa AlatawiObstetrics and Gynecology Department, College of Medicine, King Saud University, Riyadh, 11362, Saudi Arabia.

Magdoleen BarryObstetrics and Gynecology Department, College of Medicine, King Saud University, Riyadh, 11362, Saudi Arabia.

Raed AlmannieUrology Department, College of Medicine, King Saud University, Riyadh, 11362, Saudi Arabia.

Abdulaziz AlthunayanUrology Department, College of Medicine, King Saud University, Riyadh, 11362, Saudi Arabia.

Abdulrahman Ahmed AlbassamDepartment of Pediatric and Surgery, College of Medicine, King Saud University, Riyadh, 11362, Saudi Arabia.

Lateefa Othman AldakhilObstetrics and Gynecology Department, College of Medicine, King Saud University, Riyadh, 11362, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Congenital adrenal hyperplasia (CAH) usually causes genital virilization managed in early childhood; adult presentation with severe clitoromegaly and persistent urogenital sinus is rare. We report a 30-year-old woman with CAH presenting with clitoromegaly and menstrual flow during urination only.MRI demonstrated a short urogenital sinus with distal vaginal stenosis and marked clitoral enlargement. Multidisciplinary reconstruction included neurovascular-sparing clitoroplasty, complete urethrovaginal separation, distal vaginoplasty, and labial reconstruction. Postoperatively, the patient achieved normal urinary and menstrual function, preserved clitoral sensation, and satisfactory cosmetic results without complications. This case demonstrates the feasibility of complex nerve-sparing urogenital reconstruction in adult CAH patients.

Indexed as

Adult CAHClitoromegalyCongenital adrenal hyperplasiaNeurovascular-sparing clitoroplastyReconstructive surgeryUrogenital sinusVaginoplasty

Identifiers

PMID41884857

DOI10.1016/j.eucr.2026.103411

PMCPMC13011062

What OpenQuestion holds

Textmetadata

LicenceCC BY

Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.