{"id":"https://openalex.org/W4230239341","doi":"https://doi.org/10.4081/jsas.2009.82","title":"FEMALE PSEUDOHERMAPHRODITISM","display_name":"FEMALE PSEUDOHERMAPHRODITISM","publication_year":2009,"publication_date":"2009-11-30","ids":{"openalex":"https://openalex.org/W4230239341","doi":"https://doi.org/10.4081/jsas.2009.82"},"language":"en","primary_location":{"id":"doi:10.4081/jsas.2009.82","doi":"https://doi.org/10.4081/jsas.2009.82","is_oa":true,"landing_page_url":"https://doi.org/10.4081/jsas.2009.82","pdf_url":"https://www.pagepressjournals.org/jsas/article/download/jsas.2009.82/150","source":{"id":"https://openalex.org/S2764736960","display_name":"Journal of the Siena Academy of Sciences","issn_l":"2279-8811","issn":["2279-8811","2279-882X"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4310319913","host_organization_name":"PAGEPress (Italy)","host_organization_lineage":["https://openalex.org/P4310319913"],"host_organization_lineage_names":["PAGEPress (Italy)"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the Siena Academy of Sciences","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://www.pagepressjournals.org/jsas/article/download/jsas.2009.82/150","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5111702592","display_name":"A.L. Bulotta","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I102064193","display_name":"University of Siena","ror":"https://ror.org/01tevnk56","country_code":"IT","type":"education","lineage":["https://openalex.org/I102064193"]}],"countries":["IT"],"is_corresponding":true,"raw_author_name":"AL. Bulotta","raw_affiliation_strings":["Division of Pediatric Surgery, Department of Pediatrics, Obstetrics and Reproductive Medicine, University Of Siena"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Pediatric Surgery, Department of Pediatrics, Obstetrics and Reproductive Medicine, University Of Siena","institution_ids":["https://openalex.org/I102064193"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008078755","display_name":"Concetta Varetti","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I102064193","display_name":"University of Siena","ror":"https://ror.org/01tevnk56","country_code":"IT","type":"education","lineage":["https://openalex.org/I102064193"]}],"countries":["IT"],"is_corresponding":true,"raw_author_name":"C. Varetti","raw_affiliation_strings":["Division of Pediatric Surgery, Department of Pediatrics, Obstetrics and Reproductive Medicine, University Of Siena"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Pediatric Surgery, Department of Pediatrics, Obstetrics and Reproductive Medicine, University Of Siena","institution_ids":["https://openalex.org/I102064193"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5085973932","display_name":"F. Ferrara","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I102064193","display_name":"University of Siena","ror":"https://ror.org/01tevnk56","country_code":"IT","type":"education","lineage":["https://openalex.org/I102064193"]}],"countries":["IT"],"is_corresponding":true,"raw_author_name":"F. Ferrara","raw_affiliation_strings":["Division of Pediatric Surgery, Department of Pediatrics, Obstetrics and Reproductive Medicine, University Of Siena"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Pediatric Surgery, Department of Pediatrics, Obstetrics and Reproductive Medicine, University Of Siena","institution_ids":["https://openalex.org/I102064193"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112511089","display_name":"Giulia Giannotti","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I102064193","display_name":"University of Siena","ror":"https://ror.org/01tevnk56","country_code":"IT","type":"education","lineage":["https://openalex.org/I102064193"]}],"countries":["IT"],"is_corresponding":true,"raw_author_name":"G. Giannotti","raw_affiliation_strings":["Division of Pediatric Surgery, Department of Pediatrics, Obstetrics and Reproductive Medicine, University Of Siena"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Pediatric Surgery, Department of Pediatrics, Obstetrics and Reproductive Medicine, University Of Siena","institution_ids":["https://openalex.org/I102064193"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016755195","display_name":"Giovanni Di Maggio","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I102064193","display_name":"University of Siena","ror":"https://ror.org/01tevnk56","country_code":"IT","type":"education","lineage":["https://openalex.org/I102064193"]}],"countries":["IT"],"is_corresponding":true,"raw_author_name":"G. Di Maggio","raw_affiliation_strings":["Division of Pediatric Surgery, Department of Pediatrics, Obstetrics and Reproductive Medicine, University Of Siena"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Pediatric Surgery, Department of Pediatrics, Obstetrics and Reproductive Medicine, University Of Siena","institution_ids":["https://openalex.org/I102064193"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067251291","display_name":"Alfredo Garzi","orcid":"https://orcid.org/0000-0002-0614-5134","observed_orcids":["https://orcid.org/0000-0002-0614-5134"]},"institutions":[{"id":"https://openalex.org/I102064193","display_name":"University of Siena","ror":"https://ror.org/01tevnk56","country_code":"IT","type":"education","lineage":["https://openalex.org/I102064193"]}],"countries":["IT"],"is_corresponding":true,"raw_author_name":"A. Garzi","raw_affiliation_strings":["Division of Pediatric Surgery, Department of Pediatrics, Obstetrics and Reproductive Medicine, University Of Siena"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Pediatric Surgery, Department of Pediatrics, Obstetrics and Reproductive Medicine, University Of Siena","institution_ids":["https://openalex.org/I102064193"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5062057053","display_name":"M. Messina","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I102064193","display_name":"University of Siena","ror":"https://ror.org/01tevnk56","country_code":"IT","type":"education","lineage":["https://openalex.org/I102064193"]}],"countries":["IT"],"is_corresponding":true,"raw_author_name":"M. Messina","raw_affiliation_strings":["Division of Pediatric Surgery, Department of Pediatrics, Obstetrics and Reproductive Medicine, University Of Siena"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Pediatric Surgery, Department of Pediatrics, Obstetrics and Reproductive Medicine, University Of Siena","institution_ids":["https://openalex.org/I102064193"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5008078755","https://openalex.org/A5016755195","https://openalex.org/A5062057053","https://openalex.org/A5067251291","https://openalex.org/A5085973932","https://openalex.org/A5111702592","https://openalex.org/A5112511089"],"corresponding_institution_ids":["https://openalex.org/I102064193"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":93},"biblio":{"volume":"1","issue":"1","first_page":"82","last_page":"82"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11956","display_name":"Sexual Differentiation and Disorders","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11956","display_name":"Sexual Differentiation and Disorders","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11815","display_name":"Urological Disorders and Treatments","score":0.002099999925121665,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11589","display_name":"Gynecological conditions and treatments","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/female-pseudohermaphroditism","display_name":"female pseudohermaphroditism","score":0.9570000171661377},{"id":"https://openalex.org/keywords/21-hydroxylase-deficiency","display_name":"21-hydroxylase deficiency","score":0.9290000200271606},{"id":"https://openalex.org/keywords/congenital-adrenal-hyperplasia","display_name":"congenital adrenal hyperplasia","score":0.9449999928474426},{"id":"https://openalex.org/keywords/masculinization","display_name":"masculinization","score":0.7509999871253967},{"id":"https://openalex.org/keywords/ambiguous-genitalia","display_name":"ambiguous genitalia","score":0.8830000162124634},{"id":"https://openalex.org/keywords/clitoral-reconstruction","display_name":"clitoral reconstruction","score":0.6349999904632568},{"id":"https://openalex.org/keywords/vaginoplasty","display_name":"vaginoplasty","score":0.6119999885559082},{"id":"https://openalex.org/keywords/foley-catheter","display_name":"Foley catheter","score":0.5899999737739563},{"id":"https://openalex.org/keywords/gender-identity","display_name":"gender identity","score":0.48500001430511475},{"id":"https://openalex.org/keywords/children","display_name":"children","score":0.3959999978542328}],"concepts":[{"id":"https://openalex.org/C2777343269","wikidata":"https://www.wikidata.org/wiki/Q2273662","display_name":"Pseudohermaphroditism","level":2,"score":0.5173922777175903},{"id":"https://openalex.org/C2781039245","wikidata":"https://www.wikidata.org/wiki/Q7457830","display_name":"Severance","level":2,"score":0.41417232155799866},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.20927342772483826},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.12969601154327393},{"id":"https://openalex.org/C105702510","wikidata":"https://www.wikidata.org/wiki/Q514","display_name":"Anatomy","level":1,"score":0.09264126420021057},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.04122665524482727}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.4081/jsas.2009.82","doi":"https://doi.org/10.4081/jsas.2009.82","is_oa":true,"landing_page_url":"https://doi.org/10.4081/jsas.2009.82","pdf_url":"https://www.pagepressjournals.org/jsas/article/download/jsas.2009.82/150","source":{"id":"https://openalex.org/S2764736960","display_name":"Journal of the Siena Academy of Sciences","issn_l":"2279-8811","issn":["2279-8811","2279-882X"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4310319913","host_organization_name":"PAGEPress (Italy)","host_organization_lineage":["https://openalex.org/P4310319913"],"host_organization_lineage_names":["PAGEPress (Italy)"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the Siena Academy of Sciences","raw_type":"journal-article"},{"id":"doi:10.4081/346","doi":"https://doi.org/10.4081/346","is_oa":true,"landing_page_url":"https://doi.org/10.4081/346","pdf_url":"https://www.pagepressjournals.org/index.php/jsas/article/download/jsas.2009.82/150","source":{"id":"https://openalex.org/S2764736960","display_name":"Journal of the Siena Academy of Sciences","issn_l":"2279-8811","issn":["2279-8811","2279-882X"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4310319913","host_organization_name":"PAGEPress (Italy)","host_organization_lineage":["https://openalex.org/P4310319913"],"host_organization_lineage_names":["PAGEPress (Italy)"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the Siena Academy of Sciences","raw_type":"journal-article"},{"id":"pmh:oai:zenodo.org:126405","doi":null,"is_oa":true,"landing_page_url":"https://www.openaccessrepository.it/record/126405","pdf_url":null,"source":{"id":"https://openalex.org/S4306402478","display_name":"INFM-OAR (INFN Catania)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210116497","host_organization_name":"Istituto Nazionale di Fisica Nucleare, Sezione di Catania","host_organization_lineage":["https://openalex.org/I4210116497"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"info:eu-repo/semantics/article"},{"id":"pmh:oai:zenodo.org:127819","doi":null,"is_oa":true,"landing_page_url":"https://www.openaccessrepository.it/record/127819","pdf_url":null,"source":{"id":"https://openalex.org/S4306402478","display_name":"INFM-OAR (INFN Catania)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210116497","host_organization_name":"Istituto Nazionale di Fisica Nucleare, Sezione di Catania","host_organization_lineage":["https://openalex.org/I4210116497"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"doi:10.4081/jsas.2009.82","doi":"https://doi.org/10.4081/jsas.2009.82","is_oa":true,"landing_page_url":"https://doi.org/10.4081/jsas.2009.82","pdf_url":"https://www.pagepressjournals.org/jsas/article/download/jsas.2009.82/150","source":{"id":"https://openalex.org/S2764736960","display_name":"Journal of the Siena Academy of Sciences","issn_l":"2279-8811","issn":["2279-8811","2279-882X"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4310319913","host_organization_name":"PAGEPress (Italy)","host_organization_lineage":["https://openalex.org/P4310319913"],"host_organization_lineage_names":["PAGEPress (Italy)"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the Siena Academy of Sciences","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9763000011444092}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4230239341.pdf","grobid_xml":"https://content.openalex.org/works/W4230239341.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2356279864","https://openalex.org/W4294713005","https://openalex.org/W4233569531","https://openalex.org/W2463359996","https://openalex.org/W2012028073","https://openalex.org/W2286904814","https://openalex.org/W2090456487","https://openalex.org/W2026870622","https://openalex.org/W2353651280","https://openalex.org/W170057842"],"abstract_inverted_index":{"Introduction.":[0],"21\u03b1-hydroxylase":[1],"deficiency":[2],"is":[3,61,79,239],"the":[4,95,128,160,176],"most":[5],"frequent":[6],"cause":[7],"of":[8,18,24,32,36,97,100,104,108,116,139,185,223],"virilization":[9],"in":[10,112,119,145,151,159,173,220,231,246],"patients":[11,39],"with":[12,42,46,64,200,248],"female":[13,20,249],"karyotype":[14,44],"due":[15],"to":[16,22,88,130,189,205,210,218,241],"exposure":[17],"a":[19,196,201,221,224],"fetus":[21],"excess":[23],"androgen.":[25],"We":[26],"report":[27],"anatomical":[28],"and":[29,51,57,71,86,91,106,121,133,148,175,178,209],"cosmetic":[30,177],"results":[31],"feminizing":[33,186],"genital":[34,244],"reconstruction":[35,150],"two":[37,171,232],"related":[38],"(second":[40],"cousin)":[41],"XX":[43],"born":[45],"urogenital":[47,101],"sinus":[48],"anomalies":[49],"(UGS)":[50],"not":[52,253],"treated":[53,254],"at":[54,94,255],"birth.":[55,256],"Materials":[56],"Metods.":[58],"Patient":[59,77],"1":[60,147],"6-years":[62],"old":[63],"ambiguous":[65],"genitalia":[66],"graded":[67,82],"as":[68,83,192],"Prader":[69,84],"V":[70],"never":[72],"undergone":[73],"therapy":[74,90],"or":[75],"surgery.":[76],"2":[78],"10-years":[80],"old,":[81],"IV":[85],"subjected":[87],"hormonal":[89],"clitoral":[92],"amputation":[93],"age":[96],"6.":[98],"Mobilization":[99],"sinus,":[102],"pull-through":[103],"vagina":[105,120,202],"tubulization":[107],"urethra":[109],"was":[110,143,157,168,181],"performed":[111],"both":[113],"after":[114,137,170],"placement":[115],"Foley":[117,166],"chateters":[118,167],"bladder":[122],"by":[123],"cisto-vaginoscopy.":[124],"Genitoplasty":[125],"involved":[126],"refashioning":[127],"tissues":[129],"create":[131,242],"minora":[132],"majora":[134],"labia":[135],"and,":[136],"removal":[138],"corpora,":[140],"partial":[141],"clitorectomy":[142],"carried":[144],"patient":[146,152],"clitoridal":[149],"2.":[153],"Result.":[154],"Vaginal":[155],"introitus":[156],"positioned":[158],"vestibule":[161],"region":[162],"below":[163],"urethral":[164],"meatus.":[165],"removed":[169],"weeks":[172],"narcosis":[174],"anatomic":[179],"result":[180],"good.":[182],"Conclusion.":[183],"Goals":[184],"genitoplasty":[187],"are":[188],"restore,":[190],"soon":[191],"possible,":[193],"anatomy":[194],"achieving":[195],"more":[197,225],"feminine":[198,243],"appareance":[199,245],"for":[203],"menstruation,":[204],"preserve":[206],"reproductive":[207],"capacity":[208],"prevent":[211],"urological":[212],"sequelae":[213],"but":[214],"it\u2019s":[215],"also":[216],"important":[217],"contribute":[219],"development":[222],"stable":[226],"gender":[227],"identity.":[228],"This":[229],"procedure":[230],"stage,":[233],"based":[234],"on":[235],"an":[236],"accurate":[237],"diagnosis,":[238],"good":[240],"children":[247],"pseudohermaphroditism":[250],"expecially":[251],"if":[252]},"counts_by_year":[{"year":2023,"cited_by_count":1}],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2022-05-11T00:00:00"}