Genital anomalies in childhood

J. A. Rock, Ricardo Azziz

Research output: Contribution to journalReview article

51 Citations (Scopus)

Abstract

Most congenital anomalies of the perineum, vulva, and vagina remain asymptomatic until menarche or are discovered when the premenarchal child is examined. A survey of 50,882 children revealed that one child in every 8,300 possessed a major malformation of the external female genitalia, while of 2,300 infants, one girl demonstrated a major defect. Early detection of a genital anomaly is important. The sudden diagnosis or shock of discovery does not always allow the patents or the patient to adjust to the congenital defect's negative impact. Psychological counseling may be needed for the patient and her family prior to a reconstructive procedure. In infancy, a clitoral deformity should be corrected to conform with the sex of rearing. At puberty, vaginal obstruction should be properly relieved so as to limit retrograde menstruation and preserve future fertility. The purpose of this article is to summarize the clinical management of anomalies of the external genitalia and vagina relevant to pediatrics and gynecology. Excluded are the cloacal abnormalities, major cervical and uterine malformations, and sexual ambiguity. The embryology and development of the genital tract has been summarized elsewhere in this symposium.

Original languageEnglish (US)
Pages (from-to)682-696
Number of pages15
JournalClinical Obstetrics and Gynecology
Volume30
Issue number3
DOIs
StatePublished - Jan 1 1987

Fingerprint

Vagina
Menstruation Disturbances
Female Genitalia
Perineum
Menarche
Genitalia
Embryology
Vulva
Patents
Puberty
Gynecology
Fertility
Counseling
Shock
Pediatrics
Psychology
Surveys and Questionnaires

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Genital anomalies in childhood. / Rock, J. A.; Azziz, Ricardo.

In: Clinical Obstetrics and Gynecology, Vol. 30, No. 3, 01.01.1987, p. 682-696.

Research output: Contribution to journalReview article

Rock, J. A. ; Azziz, Ricardo. / Genital anomalies in childhood. In: Clinical Obstetrics and Gynecology. 1987 ; Vol. 30, No. 3. pp. 682-696.
@article{a2bbaab5977349aea2e0df87ebdf5c35,
title = "Genital anomalies in childhood",
abstract = "Most congenital anomalies of the perineum, vulva, and vagina remain asymptomatic until menarche or are discovered when the premenarchal child is examined. A survey of 50,882 children revealed that one child in every 8,300 possessed a major malformation of the external female genitalia, while of 2,300 infants, one girl demonstrated a major defect. Early detection of a genital anomaly is important. The sudden diagnosis or shock of discovery does not always allow the patents or the patient to adjust to the congenital defect's negative impact. Psychological counseling may be needed for the patient and her family prior to a reconstructive procedure. In infancy, a clitoral deformity should be corrected to conform with the sex of rearing. At puberty, vaginal obstruction should be properly relieved so as to limit retrograde menstruation and preserve future fertility. The purpose of this article is to summarize the clinical management of anomalies of the external genitalia and vagina relevant to pediatrics and gynecology. Excluded are the cloacal abnormalities, major cervical and uterine malformations, and sexual ambiguity. The embryology and development of the genital tract has been summarized elsewhere in this symposium.",
author = "Rock, {J. A.} and Ricardo Azziz",
year = "1987",
month = "1",
day = "1",
doi = "10.1097/00003081-198709000-00024",
language = "English (US)",
volume = "30",
pages = "682--696",
journal = "Clinical Obstetrics and Gynecology",
issn = "0009-9201",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Genital anomalies in childhood

AU - Rock, J. A.

AU - Azziz, Ricardo

PY - 1987/1/1

Y1 - 1987/1/1

N2 - Most congenital anomalies of the perineum, vulva, and vagina remain asymptomatic until menarche or are discovered when the premenarchal child is examined. A survey of 50,882 children revealed that one child in every 8,300 possessed a major malformation of the external female genitalia, while of 2,300 infants, one girl demonstrated a major defect. Early detection of a genital anomaly is important. The sudden diagnosis or shock of discovery does not always allow the patents or the patient to adjust to the congenital defect's negative impact. Psychological counseling may be needed for the patient and her family prior to a reconstructive procedure. In infancy, a clitoral deformity should be corrected to conform with the sex of rearing. At puberty, vaginal obstruction should be properly relieved so as to limit retrograde menstruation and preserve future fertility. The purpose of this article is to summarize the clinical management of anomalies of the external genitalia and vagina relevant to pediatrics and gynecology. Excluded are the cloacal abnormalities, major cervical and uterine malformations, and sexual ambiguity. The embryology and development of the genital tract has been summarized elsewhere in this symposium.

AB - Most congenital anomalies of the perineum, vulva, and vagina remain asymptomatic until menarche or are discovered when the premenarchal child is examined. A survey of 50,882 children revealed that one child in every 8,300 possessed a major malformation of the external female genitalia, while of 2,300 infants, one girl demonstrated a major defect. Early detection of a genital anomaly is important. The sudden diagnosis or shock of discovery does not always allow the patents or the patient to adjust to the congenital defect's negative impact. Psychological counseling may be needed for the patient and her family prior to a reconstructive procedure. In infancy, a clitoral deformity should be corrected to conform with the sex of rearing. At puberty, vaginal obstruction should be properly relieved so as to limit retrograde menstruation and preserve future fertility. The purpose of this article is to summarize the clinical management of anomalies of the external genitalia and vagina relevant to pediatrics and gynecology. Excluded are the cloacal abnormalities, major cervical and uterine malformations, and sexual ambiguity. The embryology and development of the genital tract has been summarized elsewhere in this symposium.

UR - http://www.scopus.com/inward/record.url?scp=0023268268&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0023268268&partnerID=8YFLogxK

U2 - 10.1097/00003081-198709000-00024

DO - 10.1097/00003081-198709000-00024

M3 - Review article

VL - 30

SP - 682

EP - 696

JO - Clinical Obstetrics and Gynecology

JF - Clinical Obstetrics and Gynecology

SN - 0009-9201

IS - 3

ER -