Adult genital surgery for intersex: a solution to what problem?

Mixed-method research for child outcomes in intersex conditions.

Intersex encompasses a range of inborn errors of metabolism and dysmorphisms, having in common anomalous genitalia. The neonatal diagnosis may be unclear but genital atypia is not. Reconstructive surgery has been the standard of care for more than four decades. Although the conditions are ageless, selfdescriptions of long-term effects are rare, as are the anomalies themselves. For the purposes ...

Attitudes of adult 46, XY intersex persons to clinical management policies.

PURPOSE We surveyed a clinic sample of adult 46,XY intersex patients regarding attitudes to clinical management policies. MATERIALS AND METHODS All adult former patients of 1 pediatric endocrine clinic in the eastern United States whose addresses could be obtained and who consented to participation were surveyed by a comprehensive written followup questionnaire. Three questions on attitudes c...

بررسی مقایسه‌ای دو روش یک مرحله‌ای و دو مرحله‌ای در جراحی نوع هیپرپلازی آدرنال در کودکان با ابهام جنسی

  Background & Aim:Many factors such as chromosomes, gonads, hormones and enzymes influence the development and differentiation of embryonic external genitalia. Any defect in these factors leads to intersex condition, a term used to describe discrepancy between external and internal genitals. Physical and emotional complications arising from genital ambiguity may be prevented by appropriate ass...

Meeting between experts: evaluation of the first UK forum for lay and professional experts in intersex.

At present the clinical management of intersex is in turmoil. The policy of non-disclosure of diagnosis is widespread and cosmetic genital surgery is routinely performed on infants throughout the world. Some clinicians feel such practices are in the interest of the intersex child and the family, but some intersex adults are calling for a moratorium on sex assignment genital surgery. These widel...

"First, do no harm"--the fiction of legal parental consent to genital-normalizing surgery on intersexed infants.