Barry Kogan
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Postoperative Pediatric Urology Opioid Prescriptions at a Tertiary Academic Medical Center
Summary Introduction Opioid abuse is a public health crisis, and often this starts postoperatively. Limited data are available on pediatric urology practitioners. We examined the likelihood of postoperative opioid prescriptions in our practice. Objective To determine rates of post-operative opioid prescriptions following urologic surgery in a tertiary academic center, and to identify what factors are related to opioid prescriptions.
Individualized Care for Patients with Intersex (Differences of Sex Development): Part 4/4.Considering the Ifs, Whens, and Whats Regarding Sexual-Reproductive System Surgery
Summary Issues and concerns regarding surgery of the sexual-reproductive anatomy during infancy and early childhood are discussed using four actual examples. A case of a 46, XX infant with 21 hydroxylase deficiency congenital adrenal hyperplasia (CAH) with atypical (ambiguous) genitalia is discussed regarding timing and potential harms and benefits of surgery.
Gender identity: A psychosocial primer for providing care to patients with a Disorder/difference of Sex Development and their families [Individualized Care for Patients with Intersex (Disorders/Differences of Sex Development): Part 2]
Summary Introduction/background: Many parents of infants born with a DSD describe the process of initial sex assignment at birth as highly stressful. Parents of children with a DSD also note high distress when their children engage in behaviors that are not considered typical for their gender.
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