The use of laparoscopy in intersex patients

Pediatric Surgery International
Boris ChertinAmicur Farkas

Abstract

The management of intersex patients is a challenge. Although in the majority of patients the diagnosis may be made on the basis of cytogenetic and biochemical tests, there is a selective group of patients with difficulties in the establishment of final diagnosis and gender assignment. Since laparoscopy has been used in the management of impalpable gonads in the normal male population, it may be an alternative method for the diagnosis and surgical management of intersex patients. Thus we have evaluated our experience with laparoscopy in intersex population. Over the last 10 years (1995-2005) more than 80 intersex patients underwent surgical correction at our department. Out of those, 14 patients with a median age of 3 years (range 2-18 years) underwent laparoscopic surgery. Laparoscopic gonadectomy with subsequent estrogen replacement was performed following gonadal biopsy in five patients with androgen insensitivity syndrome (AIS). In three patients with mixed gonadal dysgenesis (MGD) gonadal biopsy was performed. In two of those the initial diagnosis was changed to true hermaphroditism, and they underwent removal of ovotestis from one side and orchidopexy of the normal testis on the other. In one patient with MGD, timed gonade...Continue Reading

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Citations

Aug 23, 2006·Pediatric Surgery International·Husnu TokgozSema Toparli
Apr 7, 2009·Obstetrics and Gynecology Clinics of North America·Lisa Allen
Jul 8, 2015·Journal of Pediatric and Adolescent Gynecology·Ciro EspositoAntonio Savanelli
Mar 6, 2008·The Journal of Medical Investigation : JMI·Mohamed Gad El-MoulaHiro-Omi Kanayama
Jul 29, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Christine Burgmeier, Clothilde Leriche
Nov 8, 2012·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Felipe P AndradeJavier C Angulo
Feb 8, 2011·Pediatric Blood & Cancer·Heng ZhangGen-sheng Lu
Nov 24, 2012·Revista do Colégio Brasileiro de Cirurgiões·Manoel Carlos Prieto VelhoteAna Cristina Aoun Tannuri
Jan 6, 2021·International Journal of Surgery Case Reports·Issam JandouAli Barki

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