The Child with Ambiguous Genitalia

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Surgical management of ambiguous genitalia in the infant and child.

Proper gender assignment to a neonate born with ambiguous genitalia is a social emergency of the newborn period. Once an appropriate sex assignment has been made, the next critical step is performance, if needed, of a reconstructive procedure in a timely fashion. In an attempt to evaluate our experience with this unique group of patients, we have retrospectively reviewed the course of 69 childr...

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The Newborn with Ambiguous Genitalia. New Diagnostic

This review contains two parts. Part 1: definition of the problem, description of basic concepts related to normal sexual differentiation, diagnostic orientation for the clinician, and comments on the problem of sex assignment from the personal, social and legal point of views. Part 2 (to be published in the next issue of the Endocrinología Pediatrica On Line Site): description of the most comm...

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Ambiguous Genitalia in the Newborn

Efficient and accurate evaluation of the newborn who has ambiguous genitalia is required to provide appropriate medical therapy and assuage parental anxiety. Genital ambiguity usually is due to virilization of genetic females or undervirilization of genetic males who have normal gonads. Congenital adrenal hyperplasia is the most common condition leading to inappropriate virilization in females....

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Ambiguous genitalia and intersex.

Intersex disorders are rare congenital malformations with over 80% being diagnosed with congenital adrenal hyperplasia (CAH). It can be challenging to determine the correct gender at birth and a detailed understanding of the embryology and anatomy is crucial. The birth of a child with intersex is a true emergency situation and an immediate transfer to a medical center familiar with the diagnosi...

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Surgery for Female Ambiguous Genitalia

Historically, in female pseudohermaphrodites a staged procedure with early clitoral reduction and delayed vaginoplasty was often the treatment of choice. In recent years several authors have described 1-stage genitoplasty that is performed in the first year of life. The 1stage procedure for clitoroplasty and vaginal exteriorization is preferable for an optimal functional and cosmetic result. Be...

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ژورنال

عنوان ژورنال: Annals of Surgery

سال: 1977

ISSN: 0003-4932

DOI: 10.1097/00000658-197709000-00005