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Ten years experience with masculinizing genitoplasty in male pseudohermaphroditism due to 17 beta-hydroxysteroid dehydrogenase deficiency.

Abstract
An extensive survey in a highly inbred Arab community documented over 60 cases of male pseudohermaphroditism due to 17 beta hydroxysteroid dehydrogenase deficiency. During a period of 10 years (1981-1991), 16 such patients underwent masculinating genitoplasty. Two children have had a one stage corrective genitoplasty while all others (2 adults, 3 adolescents and 9 children) had staged operations. Cosmetic and functional results are very encouraging in children and adolescents but very poor among adults. Based on our experience and follow-up, we advocate early sex assignment and early masculinizing genitoplasty with preoperative hormonal therapy to male pseudohermaphrodites due to 17 beta hydroxysteroid dehydrogenase deficiency.
AuthorsA Farkas, A Rosler
JournalEuropean journal of pediatrics (Eur J Pediatr) Vol. 152 Suppl 2 Pg. S88-90 ( 1993) ISSN: 0340-6199 [Print] Germany
PMID8393406 (Publication Type: Journal Article)
Chemical References
  • Testosterone
  • 17-Hydroxysteroid Dehydrogenases
Topics
  • 17-Hydroxysteroid Dehydrogenases (deficiency)
  • Adolescent
  • Adult
  • Child, Preschool
  • Combined Modality Therapy
  • Disorders of Sex Development (drug therapy, metabolism, surgery)
  • Follow-Up Studies
  • Humans
  • Infant
  • Male
  • Reoperation
  • Surgery, Plastic (methods)
  • Surgical Procedures, Operative (methods)
  • Testosterone (therapeutic use)

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