Novel Approaches to Patients with Differences of Sex Development

作     者：Ochoa, Brielle Weidler, Erica M. Parks, Melissa A. Speck, Karen Elizabeth van Leeuwen, Kathleen 

作者机构：Department of Surgery Phoenix Children's 1919 E. Thomas Road Phoenix 85016 AZ United States Department of Gynecology Phoenix Children's 1919 E. Thomas Road Phoenix 85016 AZ United States Department of Surgery Division of Pediatric Surgery University of Michigan 1540 E. Hospital Drive SPC 4211 Ann Arbor 48109 MI United States 

出 版 物：《Advances in Pediatrics》 (Adv. Pediatr)

年 卷 期：2024年第71卷第1期

页      面：151-167页

学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 100202[医学-儿科学] 10[医学] 

基　　金：Eunice Kennedy Shriver National Institute of Child Health and Human Development, NICHD, (R01 HD086583, R01 HD093450) Eunice Kennedy Shriver National Institute of Child Health and Human Development, NICHD 

主　　题：Differences of sex development (DSDs) Mullerian anomaly Outflow tract obstruction (OTO) Reconstruction Shared decision-making Vaginoplasty 

摘      要：Patients with differences of sex development (DSDs) have complex anatomy and surgical needs related to both Mullerian and non-Mullerian structures. Approaches to vaginal reconstruction for these conditions are guided by individual anatomy, with the goal of establishing unobstructed outflow for the reproductive, urinary, and gastrointestinal tracts. Patients may have anatomy requiring vaginoplasty for either outflow tract obstruction or chosen sexual function. In this article, the authors focus on management of differences in vaginal anatomy with delayed vaginoplasty for the newborn with DSD.