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Ambiguous Genitalia

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Pediatric Urology

Part of the book series: Atlas of Clinical Urology ((ACU))

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Abstract

The clinical evaluation and assignment of gender of rearing in a neonate with genital ambiguity has been described as a medical emergency. Although expeditious investigation should be undertaken, it is also important to recognize that the worst injustice that can be committed during the initial evaluation is assignment of an inappropriate gender of rearing that subsequently must be altered. When the infant is first evaluated, the family should be reassured that the child’s genitalia are in an incompletely developed state and, after the appropriate evaluation is complete, reconstruction can be completed.

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References

  1. Grumbach M, Conte F: Disorders of sex differentiation. In Williams Textbook of Endocrinology. Edited by Wilson J, Foster D. Philadelphia: WB Saunders; 1992:853–951.

    Google Scholar 

  2. Snyder H, Retik A, Bauer S, Colodny A: Feminizing genitoplasty: a synthesis. J Urol 1983, 129:1024–1026.

    PubMed  Google Scholar 

  3. Hendren W, Atala A: Repair of the high vagina in girls with severely masculinized anatomy from the adrenogenital syndrome. J Pediatr Surg 1995, 30:91–94.

    Article  PubMed  CAS  Google Scholar 

  4. Rajfer J, Walsh P: Mixed gonadal dysgenesis-dysgenetic male pseudohermaphroditism. In The Intersex Child: Pediatric and Adolescent Endocrinology, vol 8. Edited by Josso N. Basel: S. Karger; 1981:105–115.

    Google Scholar 

  5. Rajfer J, Walsh P: The incidence of intersexuality in patients with hypospadias and cryptorchidism. J Urol 1976, 116:769–770.

    PubMed  CAS  Google Scholar 

  6. Bellinger M, Duckett J: Accessory phallic urethra in the female patient. J Urol 1982, 127:1159–1164.

    PubMed  CAS  Google Scholar 

  7. Bellinger M: Subtotal de-epithelialization and partial concealment of the glans clitoris: a modification to improve the cosmetic results of feminizing genitoplasty. J Urol 1993, 150:651–653.

    PubMed  CAS  Google Scholar 

  8. Hendren W, Donahoe P: Correction of congenital abnormalities of the vagina and perineum. J Pediatr Surg 1980, 15:751–763.

    Article  PubMed  CAS  Google Scholar 

  9. Passerini-Glazel G: A new 1-stage procedure for clitorovaginoplasty in severely masculinized female pseudohermaphrodites. J Urol 1989, 142(part 2):565–568.

    PubMed  CAS  Google Scholar 

  10. Hendren WH, Atala A: Use of bowel for vaginal reconstruction. J Urol 1994, 152:752–755.

    PubMed  CAS  Google Scholar 

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© 2003 Springer Science+Business Media New York

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Bellinger, M.F., Schneck, F.X. (2003). Ambiguous Genitalia. In: Poppas, D.P., Retik, A.B. (eds) Pediatric Urology. Atlas of Clinical Urology. Current Medicine Group, London. https://doi.org/10.1007/978-1-4613-1089-1_10

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  • DOI: https://doi.org/10.1007/978-1-4613-1089-1_10

  • Publisher Name: Current Medicine Group, London

  • Print ISBN: 978-1-4757-0806-6

  • Online ISBN: 978-1-4613-1089-1

  • eBook Packages: Springer Book Archive

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