{"title":"The options for delayed surgery – Is there evidence available for delayed genitoplasty in differences/disorders of sex development?","authors":"Hedvig Engberg , Lisa Örtqvist , Gundela Holmdahl","doi":"10.1016/j.beem.2025.102024","DOIUrl":null,"url":null,"abstract":"<div><div>The question whether delaying genital surgery in individuals with differences/disorders of sex development is an option, or an even better option than early surgery, is complex and based on many considerations. The evidence must be considered poor for both alternatives. This review aims to evaluate some important outcome studies from the last two decades regarding the potential benefits of delayed genital surgery and explores the feasibility of performing male and female genitoplasty after the onset of puberty.</div></div>","PeriodicalId":8810,"journal":{"name":"Best practice & research. Clinical endocrinology & metabolism","volume":"39 4","pages":"Article 102024"},"PeriodicalIF":6.1000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Best practice & research. Clinical endocrinology & metabolism","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1521690X25000570","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
引用次数: 0
Abstract
The question whether delaying genital surgery in individuals with differences/disorders of sex development is an option, or an even better option than early surgery, is complex and based on many considerations. The evidence must be considered poor for both alternatives. This review aims to evaluate some important outcome studies from the last two decades regarding the potential benefits of delayed genital surgery and explores the feasibility of performing male and female genitoplasty after the onset of puberty.
期刊介绍:
Best Practice & Research Clinical Endocrinology & Metabolism is a serial publication that integrates the latest original research findings into evidence-based review articles. These articles aim to address key clinical issues related to diagnosis, treatment, and patient management.
Each issue adopts a problem-oriented approach, focusing on key questions and clearly outlining what is known while identifying areas for future research. Practical management strategies are described to facilitate application to individual patients. The series targets physicians in practice or training.