CONGENITAL DISORDERS OF GONADAL DIFFERENTIATION: CLINICO-MORPHOLOGICAL VARIANTS AND SURGICAL TREATMENT
The article presents the results of examination and surgical treatment of 25 patients with congenital disorders of gonadal differentiation. Survey plan included an assessment of the external genitalia, karyotyping and molecular analysis of Y-chromosome, determination of serum gonadotropins and testosterone levels, visualization of the gonads using ultrasound and laparoscopy methods, and intraoperative morphological examination of the material. Based on the results of a comprehensive survey, mixed testicular dysgenesis was identified in 25% of patients, complete testicular dysgenesis - in 16%, partial gonadal dysgenesis -in 44%, ovotesticular violation of sexualization - in 16% of patients. Clinical, macroscopic and morphological characteristics of each of these options are defined. The choice of sexual identity and tactics of surgical treatment are explained.