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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Issues inherent to the management of disorders of sex development in point G Hospital
Progres en Urologie, Volume 23, No. 1, Year 2013
Notification
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Description
Abnormal sexual development causes unconformity between gender identity and gender role. In countries with low socio-economic level, the optimal management is difficult. The aim of this study was to evaluate the frequency, the genital anatomy appearance, the diagnostic and the surgical management of disorders of sex development (DSD) discovered during the adolescence. Between January 2005 and November 2006 (23 months), five patients with abnormal sexual development were identified in Point G Hospital. First-line testing included biology measurement and imaging. A surgical management was systematically offered. Median age was 19.5 ± 11.8 years (6-31). All patients were initially assigned male. Sexual dimorphic with genital ambiguity was the first reason of consultation (three children to five). One patient had male breast development and one had pelvic pain. All clinical evaluation suggested genital ambiguity. The diagnostic was female pseudohermaphrodism in three cases, true hermaphrodism in one case and hypogonadism for one patient. A masculinizing genital surgery was performed in three cases. The other patients refused the treatment or were out of sight. Intersex disorders are relatively rare in Mali with a prevalence of 2.30‰ in our hospital. This study highlighted the lack of financial means and local resources for optimal clinical management of individuals with DSD. © 2012 Elsevier Masson SAS.
Authors & Co-Authors
Diakité, Mamadou Lamine
Mali, Bamako
Hopital National du Point g
Berthé H, J. G.
Mali, Bamako
Hopital National du Point g
Timbely, A.
Mali, Bamako
Hopital National du Point g
Diallo, Mariama Sadjo
Mali, Bamako
Hopital National du Point g
Maïga, Moussa Youssouffa
Mali, Bamako
Hopital National du Point g
Diallo, Mamadou Bobo
Mali, Bamako
Hopital National du Point g
Ouattara, Kalilou
Mali, Bamako
Hopital National du Point g
Faure, Alice
France, Marseille
Aix Marseille Université
Statistics
Citations: 9
Authors: 8
Affiliations: 2
Identifiers
Doi:
10.1016/j.purol.2012.10.008
ISSN:
11667087
Research Areas
Health System And Policy
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Study Locations
Mali
Participants Gender
Male
Female