Concepedia

Abstract

ABSTRACT Genitography was carried out in 86 intersex patients: 45 patients with congenital adrenal hyperplasia, 16 non-adrenal pseudo-hermaphrodites. 13 male pseudo-hermaphrodites, 7 patients with mixed gonadal dysgenesis and 5 true hermaphrodites. The ratio of the horizontal versus the vertical segments of the lower urinary tract was used to assess radiologically the degree of virilization of the uro-genital sinus. Injection of the vagina presented serious difficulties in 14 cases. Failures in genitography were usually ascribed to inadequate techniques, but were sometimes due to lack of communication between a highly placed vaginal pouch and the urinary tract. Genitography did not help to distinguish between the various types of intersexuality. However, it is of great value when sex-assignment of an intersex child is discussed.