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Asma Hamid, Karen Trister Grace, Nicole Warren
INTRODUCTION: The purpose of this qualitative meta-synthesis was to understand the labor and birth experiences of immigrant women in countries of resettlement who have a history of female genital cutting (FGC), also known as female genital mutilation or female circumcision. METHODS: We used a meta-ethnography approach to synthesize the literature on this topic. We searched PubMed, Embase, Web of Science, CINAHL, PsycINFO, and Sociological Abstracts databases from inception to May 2016 using the search terms female genital cutting, female circumcision, clitorectomy, clitoridectomy, pharaonic circumcision, genital circumcision, female genital mutilation, infibulation, and deinfibulation...
March 2018: Journal of Midwifery & Women's Health
K Gallacher, L C Santos, L Campoy, A J Bezuidenhout, R O Gilbert
The aim of this study was to develop and evaluate a procedure for equine pudendal nerve block using a peripheral nerve locator. In the first experiment, six ponies were used to determine the relationship between elicited muscle contractions (anal, perineal or both) and nerves serving the perineal region (pudendal, caudorectal and perineal nerves) when methylene blue dye was injected using the electrolocation technique. This experiment showed that the pudendal nerve was approached effectively when both anal and perineal twitch were elicited during electrolocation...
November 2016: Veterinary Journal
Lily C Wang, Dix P Poppas
Surgical management of classical congenital adrenal hyperplasia (CAH) in 46, XX females has evolved significantly. Virilization of the genitalia of 46, XX females with CAH begins prenatally as a result of excess fetal androgen production. Improved understanding of anatomy and surgical outcomes has driven changes in surgical techniques as well as the timing of surgery. For endocrinologists treating these patients, it is important to understand the outcome of genitoplasty, identify patients who need further treatment and direct these patients to experienced surgeons...
January 2017: Journal of Steroid Biochemistry and Molecular Biology
Daniel D Smeak, Hannah Turner
This report provides a detailed description and images of a clitorectomy with a urethral transposition. As described, the clitorectomy is a straight-forward procedure, creating more normal female-like anatomy, and it resolves the clinical signs resulting from the exposed clitoris.
September 2014: Canadian Veterinary Journal. la Revue Vétérinaire Canadienne
J G Randolph
No abstract text is available yet for this article.
October 1975: Pediatric Annals
Hong Yu, Xu-ming Bian, Jun-tao Liu, Xiao-yu Hu, Qian Zhou
OBJECTIVE: To investigate the clinical features and pregnant outcomes of the pregnant women with congenital adrenal hyperplasia (CAH) 21-hydroxylase deficiency (21-OHD). METHODS: The clinical features, therapies, pregnant outcomes of the pregnant women with 21-OHD were retrospectively reviewed in Peking Union Medical College Hospital, from January 2005 to April 2011. RESULTS: There were 8 pregnant women with 21-OHD including 5 simple virilizing patients and 3 nonclassical 21-OHD women...
September 2012: Zhonghua Fu Chan Ke za Zhi
Masahiro Murakami, Shigeo Akira, Narumi Tsuboi, Ichiro Matsuzawa, Yukashi Ohki, Sachiko Koike, Toshiyuki Takeshita, Hiko Hyakusoku
We report 2 cases of clitoromegaly, 1 in a patient with true hermaphroditism, and the other in a patient with adrenogenital syndrome. Both were treated surgically with reduction clitoroplasty. There are 3 different clitoroplasty procedures: clitorectomy, clitoral recession, and reduction clitoroplasty. Reduction clitoroplasty with preservation of the neurovascular bundle is considered superior in terms of formation of the external genitals and sensation. However, the disadvantages are that detachment of the neurovascular bundle from the clitoral shaft is difficult and that there is a high possibility of sensory and blood flow disorders in the clitoris...
February 2010: Journal of Nippon Medical School, Nippon Ika Daigaku Zasshi
Annelinde Terlou, J Joris Hage, Marc van Beurden
BACKGROUND AND AIM: Partial or total clitoris amputation for vulvar intra-epithelial neoplasia (VIN) affects quality of life and sexual function and is likely to constitute over-treatment as superficial excision of only the involved, thinly cornified, stratified squamous clitoral epithelium would suffice. For this reason, we applied skinning clitorectomy and replacement of clitoral skin as an organ-sparing surgical therapy for clitoral VIN. METHODS: Seven consecutive patients presenting with VIN were treated from July 2003 to February 2008...
March 2009: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Jeffrey P Bishop
Tolerance is at the heart of Western liberalism, permitting mutually exclusive ideas and practices to coexist peacefully with one another, without the proponents of the differing ideas and practices killing one another. Yet, nothing challenges tolerance like the practice of sunna, female circumcision, clitorectomy, or genital mutilation. In this essay, I critique the Western critics of the practices, not in order to defend these practices, but rather to show that Western liberalism itself does not offer transcultural and transtemporal principles, for these principles only cohere within the tradition of liberalism...
August 2004: Journal of Medicine and Philosophy
Peter A Lee, Selma F Witchel
The treatment of intersex patients, including any patient born with genital ambiguity, is being reassessed. The re-evaluation is primarily focused upon the indications for and age of genital surgery, the impact of prenatal androgen levels upon gender development, and the potential for maximum sexual responsiveness as an adult. As a background to document changes in genital surgery for females with 21-hydroxylase congenital adrenal hyperplasia, this report is a review of surgical treatment of this most common form of genital ambiguity...
November 2002: Journal of Pediatric Endocrinology & Metabolism: JPEM
Jiansong Wang, Mary A Bissada, H Oliver Williamson, Hossam Yakout, Nabil K Bissada
We describe a case of salt-losing congenital adrenal hyperplasia due to 21-hydroxylase deficiency complicated by a right adrenal adenoma. The development of adrenal adenoma or carcinoma in-patients with congenital adrenal hyperplasia (CAH) is rare; the etiology is not clear but is thought to be related to inadequate glucocorticoid therapy. Tumor formation is postulated to be a consequence of ACTH hypersecretion, which results from the lack of glucocorticoid synthesis. Our patient underwent clitorectomy and multiple constructive procedures as a newborn baby; she was managed with hormone replacement for many years...
June 2002: Canadian Journal of Urology
W Irvin, T Pelkey, L Rice, W Andersen
BACKGROUND: Extraovarian malignant transformation of endometriosis is a rare event; 52 cases have been reported. We describe the first published account in the world literature of an endometrial stromal sarcoma (ESS) arising in the vulva from a focus of endometriosis. CASE: A 34-year-old G4 P3 morbidly obese white female was seen with a 1-year history of a palpable lesion arising within the superior aspect of the left labium majus. Radical left hemivulvectomy with clitorectomy was performed...
November 1998: Gynecologic Oncology
S Kitahara, Y Higashi, T Tsujii, Y Kageyama, S Kawakami, T Toyoura, S Saisho, T Morita, K Takagi, H Oshima
OBJECTIVE: The results of genitoplasty performed at our clinic for 41 female patients with congenital adrenal hyperplasia (CAH) were reviewed. PATIENTS: Among 57 females with CAH (56 with 21-hydroxylase deficiency and 1 with 11 beta-hydroxylase deficiency) diagnosed between 1961 and 1995, 41 underwent genitoplasty. For the rest of 16 patients, 1 received already clitorectomy, 11 (19%) needed no surgical reconstruction, 2 died before surgery, and 2 are in a waiting list for surgery...
December 1996: Nihon Hinyōkika Gakkai Zasshi. the Japanese Journal of Urology
A Morishima, M M Grumbach, E R Simpson, C Fisher, K Qin
The aromatase enzyme complex catalyzes the conversion of androgens to estrogens in a wide variety of tissues, including the ovary, testis, placenta, brain, and adipose tissue. Only a single human gene encoding aromatase P450 (CYP19) has been isolated; tissue-specific regulation is controlled in part by alternative promoters in a tissue-specific manner. We report a novel mutation in the CYP19 gene in a sister and brother. The 28-yr-old XX proband, followed since infancy, exhibited the cardinal features of the aromatase deficiency syndrome as recently defined...
December 1995: Journal of Clinical Endocrinology and Metabolism
S J Bond, N Seibel, S Kapur, K D Newman
Genitourinary rhabdomyosarcoma in females usually originates in the vagina or uterus, but rarely the vulva. The authors present a case of rhabdomyosarcoma originating in the clitoris. A 4-year-old with an alveolar rhabdomyosarcoma of the clitoris was treated with radical clitorectomy, radiation, and chemotherapy. Follow-up at 3 years showed no active disease.
April 1, 1994: Cancer
A Weiss, D I Kapetansky, A K Pierce
We propose a method in which vulvar reconstruction could be accomplished at the time of vluvectomy. A full-thickness pedicle flap is rotated from the vaginal vault to the area of excision, providing excellent coverage without subsequent contracture, and obviating the need for clitorectomy. This technique may also aid in palliating the psychological trauma induced by genital disfigurement.
June 1980: Plastic and Reconstructive Surgery
R E Gross, J Randolph, J F Crigler
No abstract text is available yet for this article.
February 1966: Surgery
M Kodama, Y Ishikawa, H Tujihashi, S Kunikata, T Akiyama, A Okuyama
A case of true hermaphroditism, in a 4-year-old, legally female, is reported. The external genitalia showed clitorism and labial agglutinate, and her karyotype from peripheral lymphocytoculture was 46,XX. She received gonadectomy at both sides, clitorectomy and plasty of vaginal orifice. Histopathological examination showed that both gonads were ovotestis.
July 1988: Hinyokika Kiyo. Acta Urologica Japonica
W J Thomas, H E Bevan, D G Hooper, E J Downey
A 1-year-old infant with von Recklinghausen's neurofibromatosis was seen because of increasing clitoral enlargement over a 7-month period. The mother, who also had neurofibromatosis, was treated 2 years beforehand for an acoustic neuroma. The child was treated by radical clitorectomy. Pathologic examination revealed malignant schwannoma, a tumor not previously described in this site. Vincristine, dactinomycin, and cyclophosphamide chemotherapy was given for 2 years to prevent local recurrence and metastatic spread...
June 1, 1989: Cancer
J Martínez Mora, R Isnard Blanchar, A Castellví Gil, P López Ortiz
Authors present a critical study and the results on clitoroplasty in 71 patients with ambiguous genitalia. In 3 patients were performed a clitorectomy and a clitoroplasty was performed in 58 according Pellerin's technique. Ten clitoroplasties according Spence-Allen technique were also performed.
July 1989: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
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