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Erschienen in: Pediatric Surgery International 11/2012

01.11.2012 | Original Article

Quality of life evaluation in juveniles with disorders of sexual development

verfasst von: Dan Zhu, Luhong Hu, Xiaoting Wan, Honglin Li, Qian You, Liping Gao, Jiexiong Feng

Erschienen in: Pediatric Surgery International | Ausgabe 11/2012

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Abstract

Purpose

To evaluate the quality of life of 6–11-year-old children and 12–17-year-old adolescents with disorders of sexual development (DSDs) following reparative surgery.

Methods

Fifty pediatric patients with DSDs, including 32 cases of congenital adrenal hyperplasia, 2 cases of complete androgen insensitivity syndrome, 1 case of partial androgen insensitivity syndrome, 6 cases of complete testicular dysgenesis, 7 cases of partial testicular dysgenesis, and 2 cases of ovotesticular DSD, with complete follow-up data, were recruited. Healthy control subjects (matched for age, gender, and living environment) served as controls. Physical, socio-emotional, and psychological evaluations were performed.

Result

Among 50 patients, eight boys and two girls (designated by social gender) were unsatisfied with the morphology of their external genitalia. Social limitations were observed in 4/8 (50 %) of the boys and in 12/42 (28.6 %) of the girls. Psychological problems were significantly more prevalent in the DSD group than in the control group (p < 0.05).

Conclusions

The quality of life of pediatric patients with DSDs was impaired to varying degrees following reparative surgery.
Literatur
1.
2.
Zurück zum Zitat Öçal G (2011) Current concepts in disorders of sexual development. J Clin Res Pediatr Endocrinol 3:105–114PubMedCrossRef Öçal G (2011) Current concepts in disorders of sexual development. J Clin Res Pediatr Endocrinol 3:105–114PubMedCrossRef
3.
Zurück zum Zitat Dreger A (1999) Ambiguous sex or ambivalent medicine. Hastings Cent Rep 28:24–35 Dreger A (1999) Ambiguous sex or ambivalent medicine. Hastings Cent Rep 28:24–35
4.
Zurück zum Zitat Low Y, Hutson JM (2003) Rules for clinical diagnosis in babies with ambiguous genitalia. J Paediatr Child Health 39:406–413PubMedCrossRef Low Y, Hutson JM (2003) Rules for clinical diagnosis in babies with ambiguous genitalia. J Paediatr Child Health 39:406–413PubMedCrossRef
6.
Zurück zum Zitat Schutzmann K et al (2009) Psychological distress, self-harming behavior, and suicidal tendencies in adults with disorders of sex development. Arch Sex Behav 38:16–33PubMedCrossRef Schutzmann K et al (2009) Psychological distress, self-harming behavior, and suicidal tendencies in adults with disorders of sex development. Arch Sex Behav 38:16–33PubMedCrossRef
7.
Zurück zum Zitat Slijper FM et al (1998) Long-term psychological evaluation of intersex children. Arch Sex Behav 27:125–144PubMedCrossRef Slijper FM et al (1998) Long-term psychological evaluation of intersex children. Arch Sex Behav 27:125–144PubMedCrossRef
8.
Zurück zum Zitat Pasterski V, Prentice P, Hughes IA (2010) Impact of the consensus statement and the new DSD classification system. Best Pract Res Clin Endocrinol Metab 24:187–195PubMedCrossRef Pasterski V, Prentice P, Hughes IA (2010) Impact of the consensus statement and the new DSD classification system. Best Pract Res Clin Endocrinol Metab 24:187–195PubMedCrossRef
9.
Zurück zum Zitat Sandberg DE et al (2001) Psychosocial adaptation of middle childhood boys with hypospadias after genital surgery. J Pediatr Psychol 26:465–475PubMedCrossRef Sandberg DE et al (2001) Psychosocial adaptation of middle childhood boys with hypospadias after genital surgery. J Pediatr Psychol 26:465–475PubMedCrossRef
10.
Zurück zum Zitat Zhang XS, Chen MZ (2007) Sexual abnormalities in children: a report of 37 cases. Chin J Pediatr Surg 18:282–284 Zhang XS, Chen MZ (2007) Sexual abnormalities in children: a report of 37 cases. Chin J Pediatr Surg 18:282–284
11.
Zurück zum Zitat Achenbach TM, Edlebrock C (1986) Manual for the teacher’s report form and teacher version of the child behavior profile. Burlington Achenbach TM, Edlebrock C (1986) Manual for the teacher’s report form and teacher version of the child behavior profile. Burlington
12.
Zurück zum Zitat Warne GL, Raza J (2008) Disorders of sex development (DSDs), their presentation and management in different cultures. Rev Endocr Metab Disord 9:227–236PubMedCrossRef Warne GL, Raza J (2008) Disorders of sex development (DSDs), their presentation and management in different cultures. Rev Endocr Metab Disord 9:227–236PubMedCrossRef
13.
Zurück zum Zitat Money J (1970) Matched Pairs of Hermaphrodites: Behavioral Biology of Sexual Differentiation from Chromosomes to Gender Identity. Eng Sci 33:34–39 Money J (1970) Matched Pairs of Hermaphrodites: Behavioral Biology of Sexual Differentiation from Chromosomes to Gender Identity. Eng Sci 33:34–39
14.
Zurück zum Zitat Miller MA, Grant DB (1997) Severe hypospadias with genital ambiguity: adult outcome after staged hypospadias repair. Br J Urol 80:485–488PubMedCrossRef Miller MA, Grant DB (1997) Severe hypospadias with genital ambiguity: adult outcome after staged hypospadias repair. Br J Urol 80:485–488PubMedCrossRef
15.
Zurück zum Zitat Kuhnle U, Bullinger M, Schwarz HP (1995) The quality of life in adult female patients with congenital adrenal hyperplasia: a comprehensive study of the impact of genital malformations and chronic disease on female patients life. Eur J Pediatr 154:708–716PubMedCrossRef Kuhnle U, Bullinger M, Schwarz HP (1995) The quality of life in adult female patients with congenital adrenal hyperplasia: a comprehensive study of the impact of genital malformations and chronic disease on female patients life. Eur J Pediatr 154:708–716PubMedCrossRef
16.
Zurück zum Zitat Diamond M, Sigmundson HK (1997) Management of intersexuality. Guidelines for dealing with persons with ambiguous genitalia. Arch Pediatr Adolesc Med 151:1046–1050PubMedCrossRef Diamond M, Sigmundson HK (1997) Management of intersexuality. Guidelines for dealing with persons with ambiguous genitalia. Arch Pediatr Adolesc Med 151:1046–1050PubMedCrossRef
17.
Zurück zum Zitat Aaronson IA (2001) The investigation and management of the infant with ambiguous genitalia: a surgeon’s perspective. Curr Probl Pediatr 31:168–194PubMedCrossRef Aaronson IA (2001) The investigation and management of the infant with ambiguous genitalia: a surgeon’s perspective. Curr Probl Pediatr 31:168–194PubMedCrossRef
18.
Zurück zum Zitat Diamond M, Sigmundson HK (1997) Sex reassignment at birth. Long-term review and clinical implications. Arch Pediatr Adolesc Med 151:298–304PubMedCrossRef Diamond M, Sigmundson HK (1997) Sex reassignment at birth. Long-term review and clinical implications. Arch Pediatr Adolesc Med 151:298–304PubMedCrossRef
Metadaten
Titel
Quality of life evaluation in juveniles with disorders of sexual development
verfasst von
Dan Zhu
Luhong Hu
Xiaoting Wan
Honglin Li
Qian You
Liping Gao
Jiexiong Feng
Publikationsdatum
01.11.2012
Verlag
Springer-Verlag
Erschienen in
Pediatric Surgery International / Ausgabe 11/2012
Print ISSN: 0179-0358
Elektronische ISSN: 1437-9813
DOI
https://doi.org/10.1007/s00383-012-3182-7

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