Investigation of external genital plastic surgery in hermaphroditism

Abstract

Objective To explore the related issues of external genital plastic surgery in hermaphroditism.Methods The data of 193 cases of hermaphroditism who were hospitalized in our department were reviewed and analyzed to summarize our experience of the external genital plastic surgery.Results From March 2005 to December 2009,the medical records and data of follow up of 193 hermaphroditism patients with age ranging from 2 to 38(mean 15 years old) were retrospectively analyzed.Among the 193 patients,73 were female pseudohermaphroditism,80 malepseudohermaphroditism,25 true hermaphroditism,and the other 15 gonadal dysgenesis.128 patients were reared as female and 65 male.138 cases accepted the external genital plastic surgery of female gender.Both the patients and parents were satisfied with the male aedea appearance without enuresis and dysuresia.29 patients were performed colpectasia regularly (6 patients were performed colpoplasty),79 were follow-up,30 were not performed colpoplasty.35 cases accepted the external genital plastic surgery of male gender.The average length of penis was 4.3cm and theurethral orifice was at the balanus after operation.3 cases were performed repairing because of urinary fistula and 4 were performed urethral sounding due to urethral stricture.20 patients were not performed any surgical operation at all.Conclusions It is critical to have a comprehensive consideration including choice of patients and parents of which,dominance gonad,psychological sex and the situation of aedea for the gender selection of hermaphroditism patients.The successful external genital plastic surgery was important to adapt the society for hermaphroditism patients. Key words: Hermaphroditism; External genital plastic surgery; Gender