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Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
Published on: August 14, 2019
Lower urinary tract symptoms after feminizing genitoplasty
Riitta Fagerholm1, Risto Rintala, Seppo Taskinen
1Department of Paediatric Surgery, Children's Hospital, University of Helsinki, Stenbäckinkatu 11, 00290 Helsinki, Finland.
Journal of Pediatric Urology
|November 22, 2011
Summary
Lower urinary tract symptoms (LUTS) are common in females who had feminizing genitoplasty in childhood. Incontinence and voiding issues occurred at similar rates compared to controls.
Area of Science:
- Urology
- Endocrinology
- Pediatric Surgery
Background:
- Feminizing genitoplasty is performed for disorders of sex development (DSD) with prenatal androgen exposure or insensitivity.
- Long-term outcomes of genitoplasty, particularly lower urinary tract symptoms (LUTS), require further investigation.
Purpose of the Study:
- To determine the prevalence of LUTS in adult females who underwent feminizing genitoplasty in childhood.
- To compare LUTS rates in patients with congenital adrenal hyperplasia (CAH) and androgen insensitivity syndrome (AIS) to controls.
Main Methods:
- A Finnish cohort of patients who had feminizing genitoplasty was assessed for LUTS using the Danish Prostatic Symptom Score questionnaire.
- The study included 16 patients with CAH and eight with AIS.
Main Results:
- Urge urinary incontinence was reported by 13% in both CAH and AIS groups, and 15% in controls.
- Stress urinary incontinence was reported by 31% in the CAH group, 13% in the AIS group, and 22% in controls.
- Distressing voiding symptoms were reported by 19% in the CAH group, 13% in the AIS group, and 28% in controls.
Conclusions:
- LUTS prevalence is similar in female DSD patients with feminizing genitoplasty and controls.
- Incontinence affects 13%-25% of young female patients and controls, indicating a need for ongoing monitoring.
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