FALSE HERMAPHRODITISM. HOW NMRRC COPES WITH THE RAREST PATHOLOGY IN CHILDREN

Eight years ago, the Pediatric department of the N. Lopatkin Scientific Research Institute of Urology and Interventional Radiology –  the branch of the FSBI “National Medical Research Radiological Centre” of the Ministry of Health of the Russian Federation, admitted a 4-year-old boy with a very complicated congenital diagnosis: scrotal hypospadias. The boy’s organs were altered according to the type of female organs. This unusual anatomy was diagnosed in the child at birth.

“After the birth, I was in a real stupor. I was told that they could not determine the sex of the child, the ultrasound before delivery “showed” a girl, recalls the mother. But after the study revealed male chromosomes, doctors diagnosed hypospadias and false hermaphroditism. That’s how I found out I had a son”.

The baby underwent his first surgery exactly one year after his birth. It was performed in Nizhny Novgorod and the testicles were lowered from the groin into the scrotum. And already at the age of three, doctors took up the plastic urethra. The first stage was done successfully, but the boy still had to undergo several complex surgical interventions. And then, on the advice of doctors, his mother turned to the National Medical Research Radiological Centre, where the young patient underwent the following reconstructive-plastic surgery to form the urethra and normalize urination.

“This time we also came to the N. Lopatkin SRIUIR for the last, aesthetic surgery. The choice of where to go for help was obvious for our family,” shared the child’s mother.

Head of the Pediatric Uroandrology Department, Candidate of Medical Sciences Dmitry Marukhnenko performed a complex aesthetic surgery on the formation of the penis contour. This stage was necessary to bring the organ to a healthy appearance.

“At the moment the boy has absolutely normal male genitals, nothing bothers him, his reproductive function is preserved. And despite such a long way of treatment, I believe that the ailments of our little patient are behind us!” shared the attending physician and researcher of the Pediatric Uroandrology Department of the N. Lopatkin Scientific Research Institute of Urology and Interventional Radiology – Jamalutdin Aliyev.