Document Detail

Management of ambiguous genitalia in Ile Ife, Nigeria: challenges and outcome.
MedLine Citation:
PMID:  19661659     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Ambiguous genitalia are a major cause of parental anxiety and can create social problems if not properly managed. Diagnosis and management can however be challenging. The aim of this study is to highlight some of the challenges in management of ambiguous genitalia in our environment. PATIENTS AND METHODS: All cases of ambiguous genitalia managed at the Paediatric surgical unit of the Obafemi Awolowo University Teaching hospital, Ile Ife, Nigeria, between January 1993 and October 2007 were analysed for age, sex at presentation, investigation modality, and final sex of rearing and outcome of surgery. RESULT: Nine patients had surgical reconstruction for ambiguous genitalia during the study period. Their age ranges from 5 weeks to 19 years at presentation. The causes of genital ambiguity in the patients was congenital adrenal hyperplasia (CAH) in 6, true hermaphroditism in 2 and male pseudo-hermaphroditism in 1. Seven patients were reconstructed as females while 2 were raised as males. Change of sex of raring was necessary in 2 patients. CONCLUSION: The diagnosis and management of ambiguous genitalia is a challenging problem in our environment. Early presentation and treatment is necessary to avoid psychological and social embarrassment.
Oludayo A Sowande; Olusanya Adejuyigbe
Related Documents :
20846289 - Adaptive leadership and the practice of medicine: a complexity-based approach to refram...
17824259 - Optimal medical outcomes with limited liability: risk management principles for medical...
23457279 - Canine behaviour problems: discussions between veterinarians and dog owners during annu...
20880949 - Challenges in the management of massive haemoptysis in a resource-scarce facility.
8739069 - Routine neonatal circumcision: symbol of the birth of the therapeutic state.
10717889 - Stroke.
16443049 - Challenges facing academic dermatology: survey data on the faculty workforce.
25338479 - Pemphigus. s2 guideline for diagnosis and treatment - guided by the european dermatolog...
8850759 - Should relatives be allowed in the resuscitation room?
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  African journal of paediatric surgery : AJPS     Volume:  6     ISSN:  0974-5998     ISO Abbreviation:  Afr J Paediatr Surg     Publication Date:    2009 Jan-Jun
Date Detail:
Created Date:  2009-08-07     Completed Date:  2009-12-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101255062     Medline TA:  Afr J Paediatr Surg     Country:  Nigeria    
Other Details:
Languages:  eng     Pagination:  14-8     Citation Subset:  IM    
Department of Surgery, Pediatric Surgery Unit, Obafemi, Awolowo University Teaching Hospital, PMB 5538, Ile Ife, Osun State, Nigeria.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Adrenal Hyperplasia, Congenital / surgery*
Child, Preschool
Genitalia, Female / abnormalities*,  surgery
Genitalia, Male / abnormalities*,  surgery
Hermaphroditism / surgery*
Infant, Newborn
Pseudohermaphroditism / surgery
Sex Differentiation Disorders / surgery*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Determinants of mortality in neonatal intestinal obstruction in Ile Ife, Nigeria.
Next Document:  Malignant tumours of childhood in Zaria.