Saturday, May 15, 2010

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improvement auspicious child born intersexual


has 2 years and did not coincide with genital sex chromosome and psychological. The surgery lasted five hours and the doctors did not perceive money for their work

A baby born intersexual underwent surgery Wednesday at the Specialty Clinic Villa Maria, a team of four surgeons and two anesthesiologists and became the second case in the city.
The youngest is 2 years and five months and was enrolled as a baby civilly, with an anomaly in the genitals. Paul Lucarelli
The doctor told reporters yesterday that "sex is assigned one of three ways": one is the genetic (chromosome 46xx in the case of women, and chromosome 46xy if male), one is the genital (penis and scrotum in males) and one on psychological or social, which sets the psychological pattern of the child (ie the way). In this case, we interpreted that as a child and given that sex civilly, but then "that the genitals were identified true rarity, "said the doctor. Little has two testes within the abdominal cavity and genital femeneizados, ie" a male-like genitalia of girls "and hormone deficiency was ruled out. Now, with surgery genitoplasty masculinizing, there was a reconstruction and shaped for male genitals. The operation will have a second stage, to develop within three to six months and covers the testicular descent.
The little boy would be given high today.
A fact that lends itself to debate
The fact was revealed exclusively by THE DAILY on its cover yesterday, and attracted the attention of public opinion, which was reflected in the large conference should bring with Guillermo Abramian Lucarelli in the Specialty Clinic.
"urine as a baby and has a male personality," explained Lucarelli to the questions.
Professional warned that sex reassignment can not decide from one day to the other and imposed analyze social behavior, what parents think and what they expect.
A multidisciplinary team participated in the momentous event.
"is advised by the year rebuild, but you have to see what kind of intersex condition is, if you have genitals of both sexes at the same time, etc.," he said. then stressed that "we are assigned to be genetically female, chromosome and is the designated masculinity is more complex and the man's genitals, performing various substances that give the chromosome." According to explained, one of every ten thousand born alive is intersexual, but such cases occur in one in twenty thousand, and depends on races, ethnicities and countries. The table always lend itself to debate and "is in question today and asks why not choose the same person," but "said Lucarelli," the issue is how to nurture it, its name, how to dress and participate in life social. "
"Once you study and see how it develops and the person behaves determines one sex, which is ideal because it has to have a name and surname, "he said.
Then he remembered that there are cases where the person who reassigned the sex was decided to return to its original state.
" It's a table topic for discussion, we must think about it. In particular, studied came from Cordoba, where virtually surgery was indicated, only that regulatory issues will not be made, "he described.
The intervention was performed after the authorization granted Juvenile Judge of Villa Maria, Cecilia Fernández. Now, the masculinization of the small genital sex matching with the chromosome and social, he made changing the DNI, the national identity. Second case



This is the second case in the city, revealed yesterday professionals. Last year he had spoken to a one year old, who has developed very well. While
clarified that the operation is without risk of life, technically "has its complexity" and there may be complications.
Lucarelli said it was traumatic for parents.
The professional received the case after being contacted by Dr. Charles Gagliano, and welcomed the readiness of the clinic, to the table experience in the Regional Hospital Pasteur, for the operating room does not work.
"The hospital provided the material Abramian disposable and provided all the facilities "to carry out the operation.
The patient's family has no social security coverage and the operation had cost. It was emphasized that the doctors were not paid for it.
An intervention of this nature costs no less than $ 7,000.
The psychological impact of the child "will eventually", but Lucarelli commented that "in cases themselves and colleagues have seen a good development."
The child shall have erections and pee like a man, clearly, where today he did as a baby. It can become infertile testicular pathology.



Causes There are many theories about intersex, Lucarelli said. One deals with the state of impregnation androgen in the brain. "If the hormone deficiency is poor, there are many more possibilities for women's psychological sex."
also explained that usually the urogenital outbreak did not develop properly, which is between the third and eighth week of gestation. These are the weeks
keys.
can also be hereditary.
The picture is very difficult to be noticed by ultrasound during pregnancy.













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