کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3961668 1255616 2014 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Virilized External Genitalia in Young Girls: Clinical Characteristics and Management Challenges in a Low-Resource Setting
ترجمه فارسی عنوان
نازایی بیرونی خارجی در دختران جوان: ویژگی های بالینی و چالش های مدیریتی در تنظیم کم منابع
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
چکیده انگلیسی

ObjectiveVirilization of the external genitalia in young girls (VEG) manifests mostly as ambiguity of the genitalia and elicits concerns and uncertainties especially in settings with poor awareness. This study evaluates the profile and challenges of VEG in southeast Nigeria.MethodsWe analyzed 23 children with VEG managed in 2 referral centers in southeast Nigeria from June 2005 to January 2013.ResultsThey presented at median age of 13.3 months (interquartile range [IQR] 3 months-3 years). The cases included 3 (13%) of Prader type 1, 6 (26%) of type 2, 11 (48%) of type 3, and 3 (13%) of type 4. Five of the Prader type 3 and all 3 cases of Prader type 4 were reared as male prior to presentation. Following evaluation, all the cases were assigned female gender at a mean age of 2.7 years (range 2 months-10.5 years). Appropriate feminizing genitoplasty was undertaken in all the cases and after a follow-up period of 3 months to 5 years (mean 2 years), 2 patients developed vaginal stenosis, and 3 cases had surgical wound infection. Poor awareness, delayed presentation, inadequate facilities, and lack of trained manpower were the challenges in the management of the cases.ConclusionVEG in our setting is associated with delayed management. Focused health education and public awareness programs, and improved healthcare funding may improve outcome and minimize the need for gender reassignment.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric and Adolescent Gynecology - Volume 27, Issue 1, February 2014, Pages 6–9
نویسندگان
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