| Management of ambiguous genitalia in Ile Ife, Nigeria: challenges and outcome. | |
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MedLine Citation:
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PMID: 19661659 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Oludayo A Sowande; Olusanya Adejuyigbe |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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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:
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Created Date: 2009-08-07 Completed Date: 2009-12-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101255062 Medline TA: Afr J Paediatr Surg Country: Nigeria |
Other Details:
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Languages: eng Pagination: 14-8 Citation Subset: IM |
Affiliation:
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Department of Surgery, Pediatric Surgery Unit, Obafemi, Awolowo University Teaching Hospital, PMB 5538, Ile Ife, Osun State, Nigeria. drshow286@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adrenal Hyperplasia, Congenital / surgery* Adult Child Child, Preschool Female Genitalia, Female / abnormalities*, surgery Genitalia, Male / abnormalities*, surgery Hermaphroditism / surgery* Humans Infant Infant, Newborn Male Nigeria Pseudohermaphroditism / surgery Sex Differentiation Disorders / surgery* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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