Pediatric management of ambiguous and traumatized genitalia

The Journal of Urology
Milton Diamond

Abstract

The present standard of practice in the management of ambiguous and traumatized genitalia was evaluated. Published cases of intersexuality and protocols for the management of traumatized genitalia were reviewed with consideration of the input of intersexual individuals. Independent research on different types of intersexuality is also presented. The present standard pediatric recommendations and precepts for the management of ambiguous or traumatized genitalia are wanting. Followup studies on which to base treatment decisions are needed. Evidence based principles of medical management are proposed. A moratorium on sex reassignment cosmetic surgery is recommended. Also recommended are that followup studies should be instituted on past cases, and honesty and counseling should be the core of initial and subsequent treatment.

References

May 31, 1979·The New England Journal of Medicine·J Imperato-McGinleyE Sturla
Jan 1, 1978·Journal of the American Academy of Child Psychiatry·M J Blotcky, I Grossman
Jan 1, 1975·Archives of Sexual Behavior·J Money
Sep 1, 1975·Archives of Sexual Behavior·B Zuger
Feb 1, 1976·Scientific American·B Barber
May 1, 1976·The Journal of Urology·A SotiropoulosJ K Lattimer
Aug 1, 1991·Current Problems in Surgery·P K DonahoeM M Lee
Jan 1, 1991·British Journal of Obstetrics and Gynaecology·N J Nwabineli, J M Monaghan
Jun 1, 1989·British Journal of Urology·P H O'Reilly
Jan 1, 1988·Journal of Sex & Marital Therapy·A P van Seters, A K Slob
Sep 1, 1988·Annals of Surgery·J A O'NeillC E Koop
Mar 22, 1969·Lancet·W G Dewhurst
Apr 1, 1966·Journal of Molecular Biology·T L Benjamin
Jan 1, 1969·The British Journal of Psychiatry : the Journal of Mental Science·K Dewhurst
Oct 1, 1966·Annals of Internal Medicine·B BurrowsC F Diener
Jan 1, 1983·Social Science & Medicine·C K Cassel
Sep 1, 1982·Transfusion·H Goldman
Apr 1, 1981·International Journal of Andrology·I F Lau, S K Saksena
Dec 1, 1981·Journal of Pediatric Surgery·J RandolphM C Rathlev
Sep 1, 1995·Behavior Genetics·A M Pattatucci, D H Hamer
Jun 1, 1995·Endocrine Reviews·C A QuigleyF S French
Jun 1, 1996·Journal of the American Academy of Child and Adolescent Psychiatry·W G Reiner
Dec 1, 1996·Hormones and Behavior·M DiamondJ V Kohl
Mar 1, 1997·Archives of Pediatrics & Adolescent Medicine·M Diamond, H K Sigmundson
Oct 29, 1997·Archives of Pediatrics & Adolescent Medicine·M Diamond, H K Sigmundson
Oct 29, 1997·Archives of Pediatrics & Adolescent Medicine·R S Van Howe, C J Cold
Mar 13, 1998·The Annals of Pharmacotherapy·L M DregerD J Gazzuolo
Jul 17, 1998·World Journal of Urology·R C Rink, M C Adams
Aug 15, 1998·Journal of Pediatric and Adolescent Gynecology·K I Glassberg
Oct 24, 1998·Journal of Pediatric and Adolescent Gynecology·J M Schober
Jan 29, 1999·Endocrinology and Metabolism Clinics of North America·G L Warne, J D Zajac
Mar 1, 1957·A.M.A. Archives of Neurology and Psychiatry·J MONEYJ L HAMPSON
Feb 1, 1962·The Journal of Laryngology and Otology·S B ROSALKI, L E McGEE
Dec 7, 1963·Lancet·C J DEWHURST, R R GORDON
Jun 1, 1965·The Quarterly Review of Biology·M DIAMOND
Dec 1, 1992·The Journal of Steroid Biochemistry and Molecular Biology·A Rösler
Dec 1, 1996·Pediatric Surgery International·C L Cord-UdyD P Drake

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Citations

Mar 13, 2002·Journal of Pediatric and Adolescent Gynecology·Kenneth J Zucker
Nov 7, 2007·Nature Clinical Practice. Endocrinology & Metabolism·Milton Diamond, Hazel G Beh
Oct 31, 2002·BJU International·I A Hughes
Jan 29, 2002·Surgery·Zoltan Hrabovszky, John M Hutson
Sep 13, 2013·The American Journal of Bioethics : AJOB·Robert Sparrow
Oct 29, 2010·International Journal of Pediatric Endocrinology·Ganka DouglasV Reid Sutton
Jan 31, 2012·International Journal of Pediatric Endocrinology·Milton Diamond
Jan 15, 2005·Treatments in Endocrinology·Ute ThyenOlaf Hiort
Feb 18, 2014·Journal of Pediatric Urology·Milton Diamond, Jameson Garland
Feb 18, 2014·Journal of Pediatric Urology·Peter A Lee, Christopher P Houk
Dec 2, 2011·Urology·Katie H Willihnganz-LawsonAseem R Shukla
Dec 9, 2009·Advances in Pediatrics·Marni E AxelradLefkothea P Karaviti
May 15, 2007·The Journal of Urology·Jennifer L DodsonRanjiv I Mathews
Jul 28, 2007·The Journal of Sexual Medicine·Juan Carlos JorgePedro Acevedo
Jun 9, 2004·Child and Adolescent Psychiatric Clinics of North America·Milton Diamond
Jun 9, 2004·Child and Adolescent Psychiatric Clinics of North America·Vivian Sobel, Julianne Imperato-McGinley
Jun 9, 2004·Child and Adolescent Psychiatric Clinics of North America·Milton Diamond, Linda Ann Watson
Jun 9, 2004·Child and Adolescent Psychiatric Clinics of North America·William G Reiner
Jul 27, 2001·Best Practice & Research. Clinical Endocrinology & Metabolism·P C White
Feb 9, 2007·Neonatal Network : NN·Tracy Marvin
May 12, 2004·Growth Hormone & IGF Research : Official Journal of the Growth Hormone Research Society and the International IGF Research Society·Ieuan A Hughes
Oct 10, 2012·Nature Reviews. Urology·Paulo Sampaio FurtadoUbirajara Barroso
Feb 14, 2006·Nature Clinical Practice. Urology·Caleb P Nelson, John P Gearhart
Nov 13, 2004·The Journal of Urology·William G Reiner, Bradley P Kropp
Dec 6, 2005·Urologia Internationalis·Dominic Frimberger, John P Gearhart

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