title: [Surgical correction of hermaphroditism].
abstract: By their documents people worldwide are of male or female gender. But in fact, four genders exist: male, female, hermaphroditism and eunuchoidism. Neonatologists must know how to diagnose minimum three sexual anomalies: true hermaphroditism, false male hermaphroditism and false female hermaphroditism. Such knowledge leads to surgical correction of hermaphroditism early in childhood. Six criteria of sex diagnosis is described: chromosomal (genetic) sex; gonadal (true) sex; hormonal sex; phenotypical (somatic) sex; psychological sex; legal sex. Variants of false male, false female and true hermaphroditism, principles of surgical correction of hermaphroditism are outlined. 3 true hermaphrodits are described. A 22-year-old and 13-year-old true hermaphrodits were operated to be a male and female, respectively. Sex correction is based on the patient's and his parents' will. This will, as a rule, coincides with a legal sex documented in the maternity home and sexual psychoorientation obtained from the associates.
authors.forename: I M
authors.initials: IM
authors.lastname: Derevianko
authors.forename: T I
authors.initials: TI
authors.lastname: Derevianko
authors.forename: V V
authors.initials: VV
authors.lastname: Ryzhkov
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D012734:Disorders of Sex Development / Q000601:surgery*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D050090:Ovotesticular Disorders of Sex Development / Q000601:surgery; D016896:Treatment Outcome