Progress on evaluation, diagnosis and management of disorders of sex development.
- Author:
Guangjie CHEN
1
;
Xiaohao WANG
1
;
Daxing TANG
1
Author Information
1. Department of Urology, the Children's Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China.
- Publication Type:Journal Article
- MeSH:
Consensus;
Disorders of Sex Development;
diagnosis;
therapy;
Humans;
Medicine;
trends;
Sexual Development
- From:
Journal of Zhejiang University. Medical sciences
2019;48(4):358-366
- CountryChina
- Language:Chinese
-
Abstract:
Disorders of sex development (DSD) refer to a group of diseases characterized by abnormal congenital development of chromosomes, gonad or genitals with different pathophysiological changes and clinical manifestations. DSD is more common in neonates and adolescents, and neonates often show genital abnormalities while adolescents show abnormal sexual development during puberty. It is the international consensus that the scope of DSD should include basic clinical evaluation (internal and external genitalia and endocrine hormones), diagnostic confirmation (chromosome, genetic diagnosis), psychological assessment for children and family, treatment (sex assignment, hormone replacement and surgical intervention), potential fertility protection and long-term follow-up, which require the expertise of pediatric endocrinology, pediatric urology, clinical psychology, genetic disciplines, medical images and other related disciplines; that is, individualized management of children with DSD requires an experienced multidisciplinary team (MDT). This article reviews the recent progress on the evaluation, diagnosis and management of disorders of sex development.
