Criteria of Clinical Diagnostics and Choice of Treatment Strategy in Children with Disoders of Sexual Development

The number of patients with disorders of sexual development (DSD) has increased in 3.54 times during the last three years. The aim is to define the structure of intersexual disorders in children from Saratov, criteria of gender assignment and surgical approach. During the period of three years (from...

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Main Authors: N.V. Bolotova, D.A. Morozov, N.U. Raygorodskaya, D.A. Zharkov, M.M. Grigorjeva, E.N. Tsmokalyuk
Format: Article
Language:Russian
Published: Saratov State Medical University 2010-03-01
Series:Саратовский научно-медицинский журнал
Subjects:
Online Access:http://www.ssmj.ru/system/files/201001_178_182.pdf
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author N.V. Bolotova
D.A. Morozov
N.U. Raygorodskaya
D.A. Zharkov
M.M. Grigorjeva
E.N. Tsmokalyuk
author_facet N.V. Bolotova
D.A. Morozov
N.U. Raygorodskaya
D.A. Zharkov
M.M. Grigorjeva
E.N. Tsmokalyuk
author_sort N.V. Bolotova
collection DOAJ
description The number of patients with disorders of sexual development (DSD) has increased in 3.54 times during the last three years. The aim is to define the structure of intersexual disorders in children from Saratov, criteria of gender assignment and surgical approach. During the period of three years (from 2006 till 2008) 58 children with DSD aged 0 - 17 were examined. Assessment of external genitals, cytogenetic investigation, hormonal tests were performed. Imaging studies included ultrasonography, cystourethroscopy and laparoscopy with histological investigation. Considering the data DSD in children from Saratov compose sex chromosome DSD - 21,4 %, Gonadal dysgenesis - 26,2%, ovotesticular DSD - 2,3%, 46,ХХ testicular DSD - 2,3 %, complete androgen insensitivity syndrome - 4,7%. The criteria of gender assignment and surgical approach have been described in the article. The research concludes that the infants with intersexual genitels should be examined in special care centers by multispecialty team. It is nessesary to perform the karyotype test and ultrasonic study in newborns to detect the genetic and gonadal gender of the child
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spelling doaj.art-5a5bc0d7f32e4c41bd4090247db751042022-12-21T23:13:29ZrusSaratov State Medical UniversityСаратовский научно-медицинский журнал1995-00392076-25182010-03-0161178182Criteria of Clinical Diagnostics and Choice of Treatment Strategy in Children with Disoders of Sexual DevelopmentN.V. BolotovaD.A. MorozovN.U. RaygorodskayaD.A. ZharkovM.M. GrigorjevaE.N. TsmokalyukThe number of patients with disorders of sexual development (DSD) has increased in 3.54 times during the last three years. The aim is to define the structure of intersexual disorders in children from Saratov, criteria of gender assignment and surgical approach. During the period of three years (from 2006 till 2008) 58 children with DSD aged 0 - 17 were examined. Assessment of external genitals, cytogenetic investigation, hormonal tests were performed. Imaging studies included ultrasonography, cystourethroscopy and laparoscopy with histological investigation. Considering the data DSD in children from Saratov compose sex chromosome DSD - 21,4 %, Gonadal dysgenesis - 26,2%, ovotesticular DSD - 2,3%, 46,ХХ testicular DSD - 2,3 %, complete androgen insensitivity syndrome - 4,7%. The criteria of gender assignment and surgical approach have been described in the article. The research concludes that the infants with intersexual genitels should be examined in special care centers by multispecialty team. It is nessesary to perform the karyotype test and ultrasonic study in newborns to detect the genetic and gonadal gender of the childhttp://www.ssmj.ru/system/files/201001_178_182.pdfdisorders of sexual developmentgonadal dysgenesissex chromosome
spellingShingle N.V. Bolotova
D.A. Morozov
N.U. Raygorodskaya
D.A. Zharkov
M.M. Grigorjeva
E.N. Tsmokalyuk
Criteria of Clinical Diagnostics and Choice of Treatment Strategy in Children with Disoders of Sexual Development
Саратовский научно-медицинский журнал
disorders of sexual development
gonadal dysgenesis
sex chromosome
title Criteria of Clinical Diagnostics and Choice of Treatment Strategy in Children with Disoders of Sexual Development
title_full Criteria of Clinical Diagnostics and Choice of Treatment Strategy in Children with Disoders of Sexual Development
title_fullStr Criteria of Clinical Diagnostics and Choice of Treatment Strategy in Children with Disoders of Sexual Development
title_full_unstemmed Criteria of Clinical Diagnostics and Choice of Treatment Strategy in Children with Disoders of Sexual Development
title_short Criteria of Clinical Diagnostics and Choice of Treatment Strategy in Children with Disoders of Sexual Development
title_sort criteria of clinical diagnostics and choice of treatment strategy in children with disoders of sexual development
topic disorders of sexual development
gonadal dysgenesis
sex chromosome
url http://www.ssmj.ru/system/files/201001_178_182.pdf
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