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ISSN 0973 - 0958
Genital Problems in
Children
Absence of Testis from
Scrotum
Circumcision in Children
Acute Swelling and Pain
in Scrotal Region
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ABNORMAL GENITALIA IN NEWBORNS
Continued...
Laparoscopy - to visualize what is inside in terms of the genitalia like the uterus, Fallopian tubes, ovaries , or abdominal undescended testes etc. In patients with a doubtful gonad, a biopsy or a piece of the gonad is taken and sent for a microscopic examination to look for features of a testis or an ovary.
Therapy consists of 3 components :
Laparoscopy - to visualize what is inside in terms of the genitalia like the uterus, Fallopian tubes, ovaries , or abdominal undescended testes etc. In patients with a doubtful gonad, a biopsy or a piece of the gonad is taken and sent for a microscopic examination to look for features of a testis or an ovary.
Therapy consists of 3 components :
External genitals - these must be constructed to look like those of the decided sex of rearing - in a boy a good penis and 2 testis within a srotum; and in girl, a vaginal orifice, a urethral orifice and labia on each side.
Internal genital therapy - internal genitalia that are of the opposite sex than that of rearing must be removed permanently. In case of a boy, the uterus, tubes and ovaries (if present) must be removed; in case of a girl, the abdominal testes, the vas and the seminal vesicles must be removed.
Hormonal supplementation must be continued for a long time depending on the sex of rearing. These are given as injections to keep ideal levels of the hormone corresponding to the sex of rearing.
External appearance - male.
Internally - uterus and tubes
Perineal hypospadias & no scrotum left side
External appearance - no phallus seen
Last Updated: 27th January 2009
Internal genital therapy - internal genitalia that are of the opposite sex than that of rearing must be removed permanently. In case of a boy, the uterus, tubes and ovaries (if present) must be removed; in case of a girl, the abdominal testes, the vas and the seminal vesicles must be removed.
Hormonal supplementation must be continued for a long time depending on the sex of rearing. These are given as injections to keep ideal levels of the hormone corresponding to the sex of rearing.
External appearance - male.
Internally - uterus and tubes
Perineal hypospadias & no scrotum left side
External appearance - no phallus seen
Last Updated: 27th January 2009
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