Long-Term Evaluation of Patients Undergoing Genitoplasty due to Disorders of Sex Development: Results from a 14-Year Follow-Up
Joint Authors
Chen, Jie
Pan, Jinhong
Wang, Yongquan
Liu, Limei
Lu, Gensheng
Gu, Ping
Chen, Zhuo-Ran
Zhong, Yong
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-11-25
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Medicine
Information Technology and Computer Science
Abstract EN
Purpose.
To summarize the experience in treating patients with genitoplasty due to disorders of sex development in China.
Methods.
The operative procedures, gender of rearing, surgical outcome, and psychosocial and family adjustments of 262 patients were reviewed retrospectively.
Results.
At initial diagnosis, the mean age was 14.3±2.8 years (range: 2–38 years).
There were 96 children, 133 adolescents, and 33 adults.
Follow-up was done every 6 months.
Patients with female sex assignment had no urinary incontinence or voiding difficulty.
Five patients underwent the second surgery (3%); vaginal dilation was performed in 35 patients with postoperative vaginal stenosis; 12 patients (7.4%) were unsatisfactory with the outcome.
For patients with male sex assignment, the median length of penis was 2.2 cm in prepubertal patients, 4.2 cm in pubertal patients, and 5.0 cm in adults; 39 patients developed postvoid dribbling (39%); 21 patients underwent a second surgery (21%); urethral dilation was done in 28 patients (28%) due to urethral stricture; 38 patients were unsatisfactory with the outcome (38%).
In addition, 136 patients (83%) with female sex assignment and 54 (54%) with male sex assignment had favorable psychosocial adjustment.
Conclusions.
Patients with male sex assignment have more surgical complications and difficulties in psychosocial adjustment as compared to those with female sex assignment.
American Psychological Association (APA)
Chen, Zhuo-Ran& Pan, Jinhong& Chen, Jie& Wang, Yongquan& Gu, Ping& Liu, Limei…[et al.]. 2013. Long-Term Evaluation of Patients Undergoing Genitoplasty due to Disorders of Sex Development: Results from a 14-Year Follow-Up. The Scientific World Journal،Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-1032761
Modern Language Association (MLA)
Chen, Zhuo-Ran…[et al.]. Long-Term Evaluation of Patients Undergoing Genitoplasty due to Disorders of Sex Development: Results from a 14-Year Follow-Up. The Scientific World Journal No. 2013 (2013), pp.1-7.
https://search.emarefa.net/detail/BIM-1032761
American Medical Association (AMA)
Chen, Zhuo-Ran& Pan, Jinhong& Chen, Jie& Wang, Yongquan& Gu, Ping& Liu, Limei…[et al.]. Long-Term Evaluation of Patients Undergoing Genitoplasty due to Disorders of Sex Development: Results from a 14-Year Follow-Up. The Scientific World Journal. 2013. Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-1032761
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1032761