Surging News Chief Reporter Chen Sisi
A young man found that there was a uterus after B -ultrasound. At the age of 16, he came on vacation. There was a period of periodic lower abdomen pain, but chromosome 46XY was determined to be male.
On the evening of February 9th, the surging news reporter learned from Renji Hospital affiliated to Shanghai Jiaotong University School of Medicine that the obstetrics and gynecology department of the hospital took such a special case on the eve of the Spring Festival.Pay attention to the disease of "gender deformity".
"Bisexual deformities can also be called sexual development abnormalities. It means that the reproductive organs have both sexual characteristics of men and women. This is a kind of congenital reproductive organs. This kind of case is rare clinically.For the first time I encountered such a case, I have only seen it in medical textbooks in the past. "Qiu Lihua, chief physician of the obstetrics and gynecology department of Renji Hospital, told the surging journalist that this is a young man, only 26 years old, running, and running.When seeing a doctor in the hospital, because it was a male identity, there was no way to register. After communicating and coordinating with the doctor, after the consultation and treatment of all patients, they saw it.
According to the man’s self -report, he has stools bleeding at a certain time since he was 16 years old, like a holiday, accompanied by lower abdomen pain.In order to treat lower abdomen pain, he came to the hospital for treatment.
According to the doctor’s examination, the men’s chromosome 46XY looked like a man with a short body, a short body, a male penis, and a male penis. Usually, it was discharged from the anus., Deafness and other issues.Earlier, I have also been diagnosed in many hospitals, and I have also understood my condition.
After further B -ultrasound examination, the man was found to have a uterus, and there was a lump next to the uterus, which was suspected to be a glandular tissue.
In response to this case, the hospital conducted a multi -disciplinary discussion.According to experts such as gynecology and urology, the patient also needs to further determine the condition through a series of imaging examination, urethral mirror, urethral angiography, surgical detection and other methods."First of all, we must figure out what the masses next to the uterus are. This gland may often cause cancer. Generally, we recommend removal. At the same time, we also need to ask the patient in advance to ask the patient in advance what kind of gender we want to do in the future.Go to life. "
Qiu Lihua admits that the disease of "gender deformity" has been introduced in medical textbooks. It is divided into true bisexual malformations and pseudo -sex deformities. True bisexual malformations are mainly related to the number of chromosomal bodies and structures.Or 46xy, or two chimeric; pseudo -gender malformations can be divided into "male fake gender deformities" (testicular tissue, sex chromosome is XY, with women in internal or external genitals) and "female pseudo -sex deformities" (some ovarian tissueThe sex chromosomes are XX, and the outer genitals are masculine to varying degrees, and their figures are short).
Qiu Lihua explained that on the one hand, the cause, on the one hand, endogenous factor, sex chromosome distortion, abnormal gonadalization abnormal lesions, on the other hand, exogenous factors, such as drugs with sex hormones during pregnancy, and so on.
There have been similar cases in news reports before, and patients have men and women.
For example, on March 10, 2015, "Guangzhou Daily" reported that a 19 -year -old patient went to Foshan Maternal and Child Health Hospital for examination because of his delay. However, he found that he had a gender deformity.Estrogen treatment was performed after surgery, and the patient was "daughter" in the end.
In 2016, China Jiangxi.com also reported: The environment of urology at the Sixth Hospital of Fuzhou performed a highly difficult plastic surgery for children with a 12 -year -old child with pseudo -sex deformities.The male characteristics appeared, and eventually performed a hormone examination at the Beijing Children’s Hospital, suffering from the male fake bisexual malformations.
On September 1, 2017, the Qingyuan Daily reported that a 10 -year -old child was diagnosed by the Urology Department of the People’s Hospital of Qingyuan City and was always raised as a girl after birth.I went to a large hospital in Guangzhou to check that the original daughter should actually be a son, but she had severe congenital urethral cracks and male fake bisexual malformations. Finally, the man was restored by surgery.
"In response to such cases, from the perspective of treatment, it is mainly through surgery to remove its gonad to solve the problem of lower body bleeding, and combine the patient’s self -awareness of gender to determine whether the penis is retained and whether it is transformed by a femaleThe clitoris and the vagina. After a joint surgery of the urology department, the urology can eventually come out of the urethra. "Qiu Lihua further said.
Qiu Lihua particularly emphasized that for such rare cases, especially for psychological treatment, including the gradual establishment of patients’ identity and acceptance of self -identity, and better social publicity and popular sciences on such diseases.Let the public understand that this is a disease. It cannot prejudice or discriminate against such groups, allowing them to grow in a good living environment and treat them in time.
Source: Surging News
