Awareness of Ambiguous Genitalia ln Gaza
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Date
2008-11-16
Authors
Dr. Jehad M. Abu Daia
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Abstract
<p>Ambiguous genitalia is a rare disease but noted to be a common presentation in our pediatric endocrinology and urology clinics. The aim of our study is to identify the size of the problem, and to evaluate the family response to gender assignment.</p>
<p>Method: We review the files of the patients with ambiguous genitalia during a period of 5 years. A total of 80 children with ambiguous genitalia have been evaluated and treated. The three most common causes were Congenital adrenal hyperplasia CAH, deficiency of Ketosterod Reductase 17KR,and , deficiency of 5 alpha-reductase.. Most of the cases (42%) were from the north governorate .Consanguinity was very high (84%).17KR deficiency almost confined to the north governorate which indicates inbred gene effect in this area. Gender assignment was a problem in few cases, Social shame was present in almost all cases .The result of Surgical Reconstruction Gentiplasty of these Ambiguous genitalia was comparable to the international figures. 20 First International Faculty of Medicine Conference 2008</p>
<p>Conclusion: Though Gaza strip is a small geographic area there is marked geographic distribution differences of the cases which reflect the general attitude of the population towards consangeuous marriage and inbred gene effect. In general the early the diagnosis the easier to make decision on gender assignment to rear the child in a socially a acceptable role .Education of the medical personnel as well as the public education is highly recommended to reduce the impact of this health problem.</p>
<p>Ambiguous genitalia is a rare disease but noted to be a common presentation in our pediatric endocrinology and urology clinics. The aim of our study is to identify the size of the problem, and to evaluate the family response to gender assignment.</p> <p>Method: We review the files of the patients with ambiguous genitalia during a period of 5 years. A total of 80 children with ambiguous genitalia have been evaluated and treated. The three most common causes were Congenital adrenal hyperplasia CAH, deficiency of Ketosterod Reductase 17KR,and , deficiency of 5 alpha-reductase.. Most of the cases (42%) were from the north governorate .Consanguinity was very high (84%).17KR deficiency almost confined to the north governorate which indicates inbred gene effect in this area. Gender assignment was a problem in few cases, Social shame was present in almost all cases .The result of Surgical Reconstruction Gentiplasty of these Ambiguous genitalia was comparable to the international figures. 20 First International Faculty of Medicine Conference 2008</p> <p>Conclusion: Though Gaza strip is a small geographic area there is marked geographic distribution differences of the cases which reflect the general attitude of the population towards consangeuous marriage and inbred gene effect. In general the early the diagnosis the easier to make decision on gender assignment to rear the child in a socially a acceptable role .Education of the medical personnel as well as the public education is highly recommended to reduce the impact of this health problem.</p>
<p>Ambiguous genitalia is a rare disease but noted to be a common presentation in our pediatric endocrinology and urology clinics. The aim of our study is to identify the size of the problem, and to evaluate the family response to gender assignment.</p> <p>Method: We review the files of the patients with ambiguous genitalia during a period of 5 years. A total of 80 children with ambiguous genitalia have been evaluated and treated. The three most common causes were Congenital adrenal hyperplasia CAH, deficiency of Ketosterod Reductase 17KR,and , deficiency of 5 alpha-reductase.. Most of the cases (42%) were from the north governorate .Consanguinity was very high (84%).17KR deficiency almost confined to the north governorate which indicates inbred gene effect in this area. Gender assignment was a problem in few cases, Social shame was present in almost all cases .The result of Surgical Reconstruction Gentiplasty of these Ambiguous genitalia was comparable to the international figures. 20 First International Faculty of Medicine Conference 2008</p> <p>Conclusion: Though Gaza strip is a small geographic area there is marked geographic distribution differences of the cases which reflect the general attitude of the population towards consangeuous marriage and inbred gene effect. In general the early the diagnosis the easier to make decision on gender assignment to rear the child in a socially a acceptable role .Education of the medical personnel as well as the public education is highly recommended to reduce the impact of this health problem.</p>