Genital anomalies, which are serious problems for both boys and girls, not only cause psychological disorders, but also negatively affect sexual life. It even prevents them from having children.
Genital Anomalies in Male Children
Such problems should be examined and treated in a timely manner. Because it can negatively affect sexual life in later ages and cause infertility. The difference in the external genital system depends on the male reproductive organ. Testicular development is regulated by the region on the Y Chromosome that is responsible for the development of this organ.
The development of the organ at a level that will show sexual markers is not completed until the 8th week of the embryological formation process. Therefore, it contains both the male genital canal, called the Wolf Canal, and the female genital canal, called the Müller Canal. During the cycle, the secretion of cells that prevent the formation of testosterone and the female duct from the facilities ensures the completion of the entire genital system in the male direction. With the normal completion of this phase, a healthy boy is born. In females, since there are no testicles, the hormone that prevents the development of the Müller duct is not secreted. For this reason, the genital system is in the feminine direction.
A physician should be consulted immediately in case of any change detected in the external genital system. If necessary, the physician will refer you to a urologist.
Phimosis: It is a condition in which the foreskin shrinks and creates stenosis after uncircumcision or after circumcision. True phimosis is rare and is caused by lack of attention to cleanliness and recurrent infection. In parallel, second phimosis frequently occurs. In babies, the glans penis and foreskin are not completely separated, and this continues until the 18th month. Attempting to retract this skin by forcing it manually will cause serious damage. During healing, the tissue produced by the body in this area shrinks and narrows over time. It shows symptoms as redness, swelling and discharge. Pain and fever develop during processing. It must be treated.
Paraphymosis: It is the condition that occurs as a result of the foreskin being pulled back by the family and not being restored. It squeezes the penis so much that the skin and the head of the penis become enlarged and uncomfortable. Redness and bruising occurs. It should be treated as quickly as possible.
Hidden, Buried Penis: In cases where the penis is covered and hidden by the fatty skin tissue called prepubic, the connective tissue that hangs the penis to the body remains short, which occurs as a result of incorrect circumcision and trauma. situations. Improvement is achieved with weight loss and special treatment.
Penile Torsion: Embryological anomaly is generally due to skin and subcutaneous tissue development defect. The penis points to the left. The urinary hole is also located laterally, with the midline slanting from bottom to top. Surgical intervention is definitely required.
Micropenis: is the condition where the penis size is smaller than normal.
Macropenis: is the condition of rapid enlargement of the penis.
Penile Curvature: It is the condition of the penis bending in the shape of an S.
Penoscrotal Transposition: It is the development of the penis by changing places with the bags.
- Genital Anomalies
Scrotal Hypoplasia: sac skin is often inadequate.
Scrotal Ectopia: It is the situation where the sac is seen outside of where it should be.
Accessory scrotum: It is seen in different areas as an empty sac.
Genital Anomalies in Girls
Genital Anomalies
- Clitoris
- Labium minora (inner lips)
- Labium majora (outer lips)
- Vagina
- Cervix (cervix)
- Body of the uterus (body of the uterus)
- Fundus of the uterus (top of the uterus)
- Urethra (external urinary tract)
- Anus
- Rectum
- Colon (large intestine)
- Urinary bladder (bladder)
Problems encountered in girls genital organs internal and external for more effective examination It is researched in two parts. In this regard, external genital organs; They can be listed as hymen, clitoris, labium minus, briefly the labia minora and labia majora. Change in these organs begins after the 12th week in the womb. All three genital organs begin to form within 6 to 10 weeks. Internal genital organs; end of the uterus, uterus, fallopian tube and ovary. The vagina of foreign origin is the combination of all these organs.
ANOMALIAS IN EXTERNAL GENITAL ORGANS
Absence of external genital organs: external genitalia in the womb It is the situation where the organs cannot come at all.
Hymen imperforatus: It is the situation where there is no opening in the middle of the uterus. It may be caused by the fluid accumulated in the vagina during the new birth.
Since the blood cannot be removed, groin pain occurs. Painful urination, frequent urination, inability to menstruate despite the development of the breasts, and severe cramps must be treated if they are felt and seen.
Labium hypertrophy: It is the condition of enlargement of the uterus and its wings at birth. Cosmetic treatment can be applied.
Clitoris anomalies:It is a condition of deterioration in the internal genital organs.
- ANOMALIAS IN VAGINA DEVELOPMENT
Vaginal atresia: is the condition where the vagina, the female intimate organ, does not form. It does not have a disturbing effect at first, but serious pain and contractions begin to occur with intercourse and masturbation.
Vaginal agenesis (absence of a vagina): It is very rare, but it can occur. It does not show any symptoms at first. If menstruation does not occur despite sexual maturity such as breast development and use, treatment must be taken.
Double vagina: It is an organ development disorder.
- ANOMALIES IN INTERNAL GENITAL ORGANS
Double uterus: is the state of having two vaginas.
Half uterus: > It is the situation where one of the channels forming the uterus does not develop at all.
Congenital anomalies of the ovary: They are primarily walled cysts. Although most of them disappear over time, those larger than 5 cm pose a risk. Therefore, it should be treated.
SEXUAL DEVELOPMENT ANOMALIES
Many problems such as genital area diseases, hormonal disorders, and genital organ diseases occur in the womb.
Although it is very rare, in most cases, some may have symptoms of double-sex genitalia. This situation is called androgyny. The first diagnosis is that the gender cannot be determined when looking at the baby.
Female pseudo-hermaphroditism: It is known as the most common sexual development disorder. Although the chromosome structure is feminine, it cannot fully develop as feminine. Hair growth and deepening of voice are observed. Mixed male-female symptoms occur.
In such patients, too much male hormone is produced to compensate for the error in the production of cortisol released from the adrenal gland. Therefore, the internal genital organs develop as they should in a normal girl. The outside of the vagina is not fully disclosed and the wings are thickened. Enzyme deficiency causes facial loss. It must be treated with special surgical intervention.
True hermaphroditism: It is the condition in which both male testicles and female symptoms are seen. Although sexual signs may be feminine, they vary depending on the child's upbringing. The gender of such babies with mixed structure is determined by a committee formed by psychiatrists, family members, pediatric endocrinologists and Beter surgeons. There are also different sexual organ and genital disorder diseases that can be seen rarely.
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