[The current status of feminism and nursing].
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Complete one-stage genital reconstruction was made in five children with congenital adrenogenital syndrome. Removal of the cavernous body of the clitoris was made by preservation of the glans with its vascular and neural supply. The lesser lips of the pudendum were fashioned from the skin of the penis and the prepuce. During the same operation, the vaginal orifice was created by the inversion of an U-shaped flap taken from the perineum into the introitus vaginae. There were no surgical complications. The patients recovered with good cosmetic results. It is necessary to regularly dilate the new vaginal orifice.
The case of 2 children in a family suffering from testicular feminisation of X-linked recessive inheritance, with 46 XY karyotypes, feminine constitution and external genital organs, rudimentary vaginal stump as well as the absence of uterus and tube is described. The histology of the testicles in the labium majus, hormone examinations and the results of choriogonin and testosterone loading are presented. The cases displayed total androgenic insensitiveness.
Separation from one's primary maternal love object is a crucial prerequisite for the acquisition of female sexual identity, for becoming a productive person and for loving. Using case vignettes, this paper attempts to show that the experience of separation can effectively be developed in the therapy process by means of six forms of experiencing active and passive abandonment.
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