Male gender identity in children with 46,XX DSD with congenital adrenal hyperplasia after delayed presentation in mid-childhood.

Background/aim: Girls with congenital adrenal hyperplasia (CAH) diagnosed at birth have some masculine behaviors but rarely convert to male gender. In developing countries, however, diagnosis and treatment (with secondary androgen suppression) are delayed. We aimed to assess effect of delayed treatment of CAH on gender identity.

Cystoscopic removal of leeches in the lower urinary tract: our experience.

Introduction: The purpose of this study is to describe the experience of managing leech infestation in lower urinary tract from a tropical country.

Materials And Methods: Medical records (January 2002 to December 2010) of children with history of leech infestation in the urinary system, admitted in the Department of Pediatric Surgery, Chittagong Medical College & Hospital, Chittagong, Bangladesh were reviewed. All patients underwent saline irrigation through urethral catheter.

Management of male H-type anorectal malformations.

Purpose: H-type anorectal malformations (ARM) are extremely rare in males. Herein, we have described our experience of managing this variety.

Methods: From September 1993 to February 2009, seven boys with H-type ARM were managed in the Department of Pediatric Surgery, Chittagong Medical College and Hospital, Chittagong, Bangladesh.