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7 - Evaluation of the neonates with anomalies of the external genitalia in our hospital
Evrim Kıray Baş, Ali Bülbül, Selda Arslan, Sinan Uslu, Nurçin Saka, Asiye Nuhoğlu
Objective: To determine the prevalance of external genital abnormalities among neonates in our hospital.
Material and Method: A total 3437 neonates delivered at Şişli Hamidiye Etfal Hospital between January 2010- December 2010 were examined at birth for external genital abnormalities. The presence of cliteromegali, inguinal / labial mass, hypospadias, micropenis, and undescended testicles and ambigus genitalia were examined.
Results: The study identified 20 (6/1000) neonates with external genital abnormalities. All of them were examined within 3 days of life. Morphological abnormalities comprised: undescended testes (cryptorchidsm)(12/20), isolate hypospadias (5/20), cliteromegali (1/20), epispadias (1/20) and ambiguous genitale (1/20). The incidence of hypospadias and cryptorchidism were found 0.34%, 0.23%, respectively. Prematurity occured in 4/20 cases. Congenital adrenal hyperplasia were detected in two cases.
Conclusions: External genital anomalies are among the most common congenital anomalies. Proper early diagnosis and management of genital abnormalities are of great importance to minimize medical, psychological and social complications. Our result reinforce the importance of a careful examination of genital morphology in neonatal period towards the recognition of minor defects that can be clinical features of a disorder of sex devolpoment.
Keywords: Neonate, genitalia, anomalies
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