Journal of Pediatric Surgery
Volume 40, Issue 12 , Pages 1856-1860 , December 2005

Cosmetic and anatomic outcomes after feminizing surgery for ambiguous genitalia

  • Wei Ling Lean

      Affiliations

    • Department of Surgery, Royal Children's Hospital, Melbourne 3052, Australia
    • Department of Paediatrics, University of Melbourne, Melbourne 3052, Australia
    • ,
  • Aniruddha Deshpande

      Affiliations

    • Department of Surgery, Royal Children's Hospital, Melbourne 3052, Australia
    • ,
  • John Hutson

      Affiliations

    • Department of Surgery, Royal Children's Hospital, Melbourne 3052, Australia
    • Department of Paediatrics, University of Melbourne, Melbourne 3052, Australia
    • Murdoch Childrens Research Institute, Melbourne 3052, Australia
    • ,
  • Sonia R. Grover

      Affiliations

    • Department of Paediatrics, University of Melbourne, Melbourne 3052, Australia
    • Murdoch Childrens Research Institute, Melbourne 3052, Australia
    • Department of Paediatric and Adolescent Gynaecology, Royal Children's Hospital, Melbourne 3052, Australia
    • Corresponding Author InformationCorresponding author. Department of Gynaecology, Royal Children's Hospital, Parkville, Victoria 3052, Australia. Tel.: +61 3 9345 5890; fax: +61 3 9345 6343.

References 

  1. Sax L. How common is intersex?. J Sex Res. 2002;39:174–175
  2. Creighton SM, Minto CL, Steele SJ. Objective cosmetic and anatomical outcomes at adolescence of feminising surgery for ambiguous genitalia done in childhood. Lancet. 2001;358:124–125
  3. Alizai NK, Thomas DFM, Lilford RJ. Feminizing genitoplasty for CAH: what happens at puberty?. J Urol. 1999;161:1588–1591
  4. Kuhnle U, Bullinger M, Schwarz HP. The quality of life in adult female patients with congenital adrenal hyperplasia: a comprehensive study of the impact of genital malformation and chronic disease on female patients' life. Eur J Pediatr. 1995;154:708–716
  5. Migeon CJ, Wisniewski AB, Gearhart JP, et al. Ambiguous genitalia with perineoscrotal hypospadias in 46XY individuals: long-term medical, surgical, and psychosexual outcome. Pediatrics. 2002;110:616–621
  6. Warne G, Grover S, Hutson J, et al. Long-term outcome study of intersex conditions. J Pediatr Endocrinol Metab. 2005;18:555–567
  7. Rink RC, Kaefer M. Surgical management of intersexuality, cloacal malformation, and other abnormalities of the genitalia in girls. In:  Walsh P,  Retik A,  Vaughan E, et al. editor. Campbell's urology. Philadelphia: Saunders; 2002;p. 2428–2467
  8. Lobe TE, Woodall DL, Richards GE, et al. The complications of surgery for intersex: changing patterns over two decades. J Pediatr Surg. 1987;22:651–652
  9. Sotiropoulos A, Morishima A, Homsy Y, et al. Long-term assessment of genital reconstruction in female pseudohermaphrodites. J Urol. 1976;115:599–601
  10. Aziz R, Mulaikal RM, Migeon CJ, et al. Congenital adrenal hyperplasia: long-term results following vaginal reconstruction. Fertil Steril. 1986;46:1101–1114
  11. Gonzalez R, Fernandes ET. Single-stage feminization genitoplasty. J Urol. 1990;143:776–778
  12. Hendren WH, Crawford JD. Adrenogenital syndrome: the anatomy of the anomaly and its repair. Some new concepts. J Pediatr Surg. 1969;4:49–58
  13. Hamilton W, Dennison WM. Some surgical aspects of adrenal virilization in the female. J Pediatr Surg. 1967;2:508–512
  14. Randolph J, Hung W, Rathlev MC. Clitoroplasty for females born with ambiguous genitalia: a long-term study of 37 patients. J Pediatr Surg. 1981;16:882–887

 Presented at the 38th Annual Meeting of the Pacific Association of Pediatric Surgeons, May 22-26, 2005, Vancouver, Canada.

PII: S0022-3468(05)00684-6

doi: 10.1016/j.jpedsurg.2005.08.045

Journal of Pediatric Surgery
Volume 40, Issue 12 , Pages 1856-1860 , December 2005

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