Abstract
The objective of this article is to analyze the current medical literature about intersex surgery in children, hoping to minimize psychological and social impairment. In the 1920´s, surgical corrections in intersex people were often based on an external examination of the genitalia, ignoring genetics and endocrine characteristics, resulting in inadequate interventions. It was presumed that children between the ages of four and seven whom underwent premature surgery experienced less emotional trauma, as this period coincides with infantile amnesia. However, gonadectomy can compromise growth and result in infertility. For this study, the search engines Pubmed and Scielo were used. In conclusion, there isn't an unanimous consensus about the ideal moment to operate on intersex patients.
References
BEHRENS, K. G. A principled ethical approach to intersex paediatric surgeries. BMC Medical Ethics, v. 21, n. 1, 29 out. 2020.
COSTA, F. V.; SANTOS, R. C. L. E S. S. INTERSEXUALIDADE: A MUTILAÇÃO CIRÚRGICA DE RECÉM-NASCIDOS E CRIANÇAS FRENTE AOS DIREITOS HUMANOS. Revista Paradigma, v. 30, n. 2, p. 175–202, 2021.
ERNST, M. M. et al. Disorders of Sex Development/Intersex: Gaps in Psychosocial Care for Children. Pediatrics, v. 142, n. 2, p. e20174045, 25 jul. 2018.
GREENBERG, J. A. Legal, ethical, and human rights considerations for physicians treating children with atypical or ambiguous genitalia. Seminars in Perinatology, v. 41, n. 4, p. 252–255, jun. 2017.
GUIMARÃES, A.; BARBOZA, H. H. Designação sexual em crianças intersexo: uma breve análise dos casos de “genitália ambígua”. Cadernos de Saúde Pública, v. 30, n. 10, p. 2177–2186, out. 2014.
MEYER-BAHLBURG, H. F. L. The Timing of Genital Surgery in Somatic Intersexuality: Surveys of Patients’ Preferences. Hormone Research in Paediatrics, p. 1–9, 19 jan. 2022.
PAULA, A. A. O. R. DE; VIEIRA, M. M. R. Intersexualidade: uma clínica da singularidade. Revista Bioética, v. 23, n. 1, p. 70–79, abr. 2015.
ROWLANDS, S.; AMY, J.-J. Preserving the reproductive potential of transgender and intersex people. The European Journal of Contraception & Reproductive Health Care, v. 23, n. 1, p. 58–63, 2 jan. 2018.
TILIO, R. D.; HAINES, L. F. Vivência Intersexos: Identidade, Autopercepção, Designação Sexual e Seus Desdobramentos. Psicologia: Ciência e Profissão, v. 41, 29 out. 2021.

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Copyright (c) 2024 Maria Vitoria Cordeiro Vieira, Isabella Felisberto Cândido , Gabriel da Silva Nascimento, Larissa Helena Sacheto Abdo, Mariana Lima de Moura, Lucas Aur Pazetto, Mariana de Vasconcellos Nascimento, Pedro Henrique Soares Silva