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Surgical Approach in Gender Developmental Disorders

Yıl 2020, Cilt: 8 Sayı: 1, 22 - 27, 30.04.2020

Öz

Diagnosis and treatment of sexual development disorders is quite challenging. Since the most complex surgical procedures are performed upon the consent of the parents, children will suffer or benefit from the results of the decisions made on their behalf and the following surgical intervention for their entire life of life, these are to be conducted as accurately as possible avoiding unnecessary and irreversible surgical practices. The present study has been compiled in line with the requirements, objectives of a multidisciplinary approach and current information.

Kaynakça

  • 1. Lee PA, Houk CP, Ahmed SF, et al. Consensus statement on management of intersex disorders. International Consensus Conference on Intersex. Pediatrics 2006;118:e488.
  • 2. Hughes IA, Nihoul-Fékété C, Thomas B, Cohen-Kettenis PT. Consequences of the ESPE/LWPES guidelines for diagnosis and treatment of disorders of sex development.
  • 3. Best Pract Res Clin Endocrinol Metab 2007;21:351.
  • 4. Blackless M, Charuvastra A, Derryck A, et al. How sexually dimorphic are we? Review and synthesis. Am J Hum Biol 2000;12:151 . 5. Thyen U, Lanz K, Holterhus PM, Hiort O. Epidemiology and initial management of ambiguous genitalia at birth in Germany. HormRes 2006;66:195.
  • 6. Sax L. How common is intersex? a response to Anne Fausto-Sterling. J SexRes 2002;39:174.
  • 7. Mc Namara ER, Swartz JM, Diamond DA. Initial Management of disorders of sex development in newborns. Urology 2017;101:1-8.
  • 8. Hughes IA, Fekete CN, Thomas B, Cohen-Kettenis, PT. Consequences of the ESPE/ LWPES guidlines for diagnosis and treatment of disoreders of sex development. Best Pract Res Clin Endocrinol Metab 2007;21(3):351-65.
  • 9. Thyen U, Lanz KH, Holterhus PM, Hiort O. Epidemiology and initial management of ambiguous genitale at birth in Germany. Horm Res 2006;66(4):195-203.
  • 10. Meijer RP, Groeneveld AE. Intersex: Four cases in one family. J Pediatr Urol 2007;3(2):137-41.
  • 11. NASPAG Position Statement on Surgical Management of DSD. J Pediatr Adolesc Gynecol 2018;31:1.
  • 12. Ernst MM, Liao LM, Baratz AB, Sandberg DE. Disorders of Sex Development/Intersex: Gaps in Psychosocial Care for Children. Pediatrics 2018; 142.
  • 13. Hsi-YangWu, Snyder HM. Pediatric Urology. Çeviri: Güven O. Intersex: In: Pediatrik Üroloji; Çeviri editörleri: Kilciler M, Dayanç M. 1. baskı: İstanbul; 2013.p.1071-84.
  • 14. Krishna KB, Houk CP, Lee PA. Pragmatic approach to intersex, including genital ambiguity, in the newborn. Seminar Perinatol 2017;41:244-51.
  • 15. Lee PA, Houk CP, Ahmed SF, Hughes IA. International conferences on intersex organized by lawson wilkins pediatric endocrin esociety and european society for paediatric endocrinology. Consensus statement on management of intersex disorders. International Conference on intersex. Pediatrics 2006;118(2):e488-500.
  • 16. Hughes IA, Houk C, Ahmed SF, Lee PA; Lawson wilkins pediatric endocrin esociety/european society for paediatric endocrinology consensus group. Consensus statement on management of intersex disorders. J Pediatr Urol 2006;2(3):148-62.
  • 17. Pasterski V, Prentice P, Hughes IA. Impact of the consensus statement and the new DSD clasification system. Best Pract Res Clin Endocrinol Metabol 2010;24(2):187-95.
  • 18. Hendren WH: The genetic male with absent penis and urethrorectal communication: experience with 5 patients. J Urol 1997;157(4): 1469-74.
  • 19. Stikkelbroeck NM, Beerendonk CC, Willemsen WN, Schreuders-Bais CA, Feitz WF, Rieu PN, et al. The long term out come of feminizing genital surgery for congenital adrenal hyperplasia: 13. anatomical, functional and cosmetic outcomes, psychosexual development, and satisfaction in adult female patients. J Pediatr Adolesc Gynecol 2003;16(5):289-96.
  • 20. Hendren WH, Atala A: Repair of the high vagina in girls with severely masculinized anatomy from the adrenogenital syndrom. J Pediatr Surg 1995;30(1):91-4.
  • 21. Maharaj NR, Dhai A, Wiersma R, Moodley J. Intersex conditions in children and adolescents: surgical, ethical, and legal considerations. J Pediatr Adolesc Gynecol 2005;18(6): 399-402.

Cinsiyet Gelişim Bozukluklarında Cerrahi Yaklaşım

Yıl 2020, Cilt: 8 Sayı: 1, 22 - 27, 30.04.2020

Öz

Cinsel gelişim bozukluklarında tanı ve tedavisi oldukça zorludur. Anne baba onamlarıyla yapılan çoğu kompleks cerrahi girişimlerin sonuçlarını yaşam boyu taşıyacağından ve onların adına alınan kararlar ve uygulanacak cerrahi tedaviler bu yüzden en doğru şekilde yapılmalı, gereksiz ve geri dönüşü olmayan cerrahi uygula¬malardan kaçınılmalıdır. Multidisipliner yaklaşımın gerekleri, hedefleri güncel bilgiler eşliğinde bu çalışma derlenmiştir.

Kaynakça

  • 1. Lee PA, Houk CP, Ahmed SF, et al. Consensus statement on management of intersex disorders. International Consensus Conference on Intersex. Pediatrics 2006;118:e488.
  • 2. Hughes IA, Nihoul-Fékété C, Thomas B, Cohen-Kettenis PT. Consequences of the ESPE/LWPES guidelines for diagnosis and treatment of disorders of sex development.
  • 3. Best Pract Res Clin Endocrinol Metab 2007;21:351.
  • 4. Blackless M, Charuvastra A, Derryck A, et al. How sexually dimorphic are we? Review and synthesis. Am J Hum Biol 2000;12:151 . 5. Thyen U, Lanz K, Holterhus PM, Hiort O. Epidemiology and initial management of ambiguous genitalia at birth in Germany. HormRes 2006;66:195.
  • 6. Sax L. How common is intersex? a response to Anne Fausto-Sterling. J SexRes 2002;39:174.
  • 7. Mc Namara ER, Swartz JM, Diamond DA. Initial Management of disorders of sex development in newborns. Urology 2017;101:1-8.
  • 8. Hughes IA, Fekete CN, Thomas B, Cohen-Kettenis, PT. Consequences of the ESPE/ LWPES guidlines for diagnosis and treatment of disoreders of sex development. Best Pract Res Clin Endocrinol Metab 2007;21(3):351-65.
  • 9. Thyen U, Lanz KH, Holterhus PM, Hiort O. Epidemiology and initial management of ambiguous genitale at birth in Germany. Horm Res 2006;66(4):195-203.
  • 10. Meijer RP, Groeneveld AE. Intersex: Four cases in one family. J Pediatr Urol 2007;3(2):137-41.
  • 11. NASPAG Position Statement on Surgical Management of DSD. J Pediatr Adolesc Gynecol 2018;31:1.
  • 12. Ernst MM, Liao LM, Baratz AB, Sandberg DE. Disorders of Sex Development/Intersex: Gaps in Psychosocial Care for Children. Pediatrics 2018; 142.
  • 13. Hsi-YangWu, Snyder HM. Pediatric Urology. Çeviri: Güven O. Intersex: In: Pediatrik Üroloji; Çeviri editörleri: Kilciler M, Dayanç M. 1. baskı: İstanbul; 2013.p.1071-84.
  • 14. Krishna KB, Houk CP, Lee PA. Pragmatic approach to intersex, including genital ambiguity, in the newborn. Seminar Perinatol 2017;41:244-51.
  • 15. Lee PA, Houk CP, Ahmed SF, Hughes IA. International conferences on intersex organized by lawson wilkins pediatric endocrin esociety and european society for paediatric endocrinology. Consensus statement on management of intersex disorders. International Conference on intersex. Pediatrics 2006;118(2):e488-500.
  • 16. Hughes IA, Houk C, Ahmed SF, Lee PA; Lawson wilkins pediatric endocrin esociety/european society for paediatric endocrinology consensus group. Consensus statement on management of intersex disorders. J Pediatr Urol 2006;2(3):148-62.
  • 17. Pasterski V, Prentice P, Hughes IA. Impact of the consensus statement and the new DSD clasification system. Best Pract Res Clin Endocrinol Metabol 2010;24(2):187-95.
  • 18. Hendren WH: The genetic male with absent penis and urethrorectal communication: experience with 5 patients. J Urol 1997;157(4): 1469-74.
  • 19. Stikkelbroeck NM, Beerendonk CC, Willemsen WN, Schreuders-Bais CA, Feitz WF, Rieu PN, et al. The long term out come of feminizing genital surgery for congenital adrenal hyperplasia: 13. anatomical, functional and cosmetic outcomes, psychosexual development, and satisfaction in adult female patients. J Pediatr Adolesc Gynecol 2003;16(5):289-96.
  • 20. Hendren WH, Atala A: Repair of the high vagina in girls with severely masculinized anatomy from the adrenogenital syndrom. J Pediatr Surg 1995;30(1):91-4.
  • 21. Maharaj NR, Dhai A, Wiersma R, Moodley J. Intersex conditions in children and adolescents: surgical, ethical, and legal considerations. J Pediatr Adolesc Gynecol 2005;18(6): 399-402.
Toplam 20 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Derlemeler
Yazarlar

Dr.tamer Sekmenli

İlhan Çiftci

Yayımlanma Tarihi 30 Nisan 2020
Kabul Tarihi 12 Haziran 2020
Yayımlandığı Sayı Yıl 2020 Cilt: 8 Sayı: 1

Kaynak Göster

Vancouver Sekmenli D, Çiftci İ. Cinsiyet Gelişim Bozukluklarında Cerrahi Yaklaşım. pediatr pract res. 2020;8(1):22-7.