AccessMyLibrary provides FREE access to over 30 million articles from top publications available through your library.
Create a link to this page
Copy and paste this link tag into your Web page or blog:
Genital Surgery in Intersex Infants Often Found Inadequate.
TORONTO -- The use of genital surgery in infants born with intersex genitalia urgently needs to be reevaluated because the surgeries are often inadequate, according to a team of British experts from University College London Hospitals.
"It's always been assumed that these are cosmetically and functionally successful operations, but there are little data to support this. We have seen some patients through our clinic with pretty awful results," Dr. Cathy Minto, a research fellow at the college, said at the annual meeting of the North American Society for Pediatric and Adolescent Gynecology
In a study of 44 teenage girls (mean age 15 years) who had undergone reconstructive genital surgery in childhood because of intersex genitalia, 43 needed further intervention either for functional, or cosmetic purposes. One-quarter of these girls already had undergone more than one genital surgery, and one girl had six prior procedures.
"It's essential that parents and physicians have more information before making these decisions. I would recommend that they consider deferring genital surgery until adolescence. And if surgery is going to be repeated anyway, perhaps they should consider not doing it at all," said Dr. Sarah Creighton, lead author of the study and a gynecologic consultant at the hospital.
A total of 38 of the 44 girls had undergone clitoral surgery to reduce the size of either a large clitoris or a "micropenis" (feminizing surgery), and 39 of the girls had undergone vaginal surgery to enlarge their vaginas either for menstruation or intercourse. Two patients had already attempted intercourse but failed.
After examining the girls' genitalia while they were under general anesthesia, the researchers concluded that 33 of the 44 would require additional major vaginal surgery and 10 others would need dilator therapy to further enlarge their vaginas.
Eight had a good cosmetic result from previous surgery; 18 had a satisfactory result, and another 18 had a poor result.
- Pediatric and Adolescent Gynecology, 5th ed.(PEDIATRICS)(Brief Article)(Book...
- Magazine article from: SciTech Book News June 1, 2005 700+ words
RJ478 2004-017947 0-7817-4493-8 Pediatric and adolescent gynecology, 5th ed. Title main entry. Ed. by S. Jean Herriot Emans. Lippincott Williams & Wilkins, [c]2005 1076 p. $85...
- Getting comfortable with pediatric, adolescent gynecology. (Expert Opinion).
- Magazine article from: OB GYN News Jancin, Bruce October 15, 2002 700+ words
...Obstetricians and Gynecologists gearing up for a major campaign to encourage members to incorporate pediatric and adolescent gynecology into their practices, here are some clinical tips regarding this area. The tips were offered by Dr. Joseph...
- Risk of clitoral sensory loss with genitoplasty.(Review Of Six Patients)
- Magazine article from: OB GYN News Zoler, Mitchel L. August 1, 2003 700+ words
...of six patients. The findings show that the impact of genital surgery on clitoral sensation and sexual function requires further...meeting of the North American Society for Pediatric and Adolescent Gynecology. Feminizing genitoplasty for clitoral reduction is often...
- Hermaphrodites Speak!(Review)
- Magazine article from: The Journal of Sex Research Rye, BJ August 1, 2000 700+ words
...medical intervention takes the form of genital surgery to "normalize" the appearance of...intervention in the form of some sort of genital surgery. This video finally gives voice to...have undergone infant or childhood genital surgery, often without their consent or full...
- Cruellest cut.(Letters)(Letter to the Editor)
- Magazine article from: New Internationalist Glass, Michael May 1, 2004 700+ words
...important questions about the ethics of genital surgery on babies born with ambiguous genitalia...s genitals, why do we object to genital surgery on little girls, call it mutilation...children's genitals, why do we allow genital surgery on little boys, call it circumcision...
- A choice too far
- Magazine article from: New Statesman Cochrane, Kira September 24, 2007 700+ words
...should respond to requests for cosmetic genital surgery, noting that the number of labial...have been known to indulge in risky genital surgery, too: sexual hang-ups are far...s interesting is that while male genital surgery tends to revolve around the wish to...
- Sexuality and intersex conditions.(Round up: service delivery)
- Magazine article from: Reproductive Health Matters May 1, 2004 700+ words
...reassignment using various degrees of genital surgery and hormonal treatment. Which sex...treatment. (3) Formulating criteria for genital surgery and appropriate sexual counselling...adrenal hyperplasia has a policy on genital surgery in affected girls but criteria for...
- Female Reproductive Health: An Anthropological Perspective. (Medical...
- Magazine article from: Townsend Letter for Doctors and Patients Batchelder, Tim January 1, 2002 700+ words
...Sexuality, Menarche, Clitoridectomies, Hysterectomies, and Genital Surgery * Marriage, Reproduction, Childbirth, and Body Image...girls. Menarche, Clitoridectomies, Hysterectomies, and Genital Surgery Another common misconception is that simple societies feature...
Source: HighBeam Research, Genital Surgery in Intersex Infants Often Found Inadequate.