Ambiguous genitalia: Diagnosis,evaluation, and treatment |
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Authors: | Mark Horowitz Kenneth I Glassberg MD |
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Institution: | 1. Division of Pediatric Urology, State University of New York, Health Science Center at Brooklyn, 445 Lenox Road, 11203, Brooklyn, NY, USA
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Abstract: | The pediatric radiologist plays a significant role in the evaluation and the treatment of infants with ambiguous genitalia. On the first day of life, an investigation should be initiated that includes studies, in particular a sonogram, to demonstrate the presence or absence of a uterus, and a genitogram to define the presence of a vagina. Once gender assignment has been made, information regarding the size of the vagina and its position in regard to the urogenital sinus becomes essential to the pediatric urologist when planning a course for reconstruction. Herein we break down intersex states into four major categories: female pseudohermaphroditism, male pseudohermaphroditism without müllerian structures, and male hermaphroditism with müllerian structures and true hermaphroditism. The role of the radiologist in each of these states is discussed. |
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