PHYSIOTHERAPY IN THE PATIENT WITH DISORDER OF SEXUAL DEVELOPMENT: FUNCTIONALITY AND AESTHETICS

Abstract

Disorder of sexual development (DSD) is defined as a congenital condition in which the development of chromosomes, gonads and sexual anatomy are atypical. DSD patients have life-long repercussions that range from complaints involving components of pelvic floor functionality such as urinary incontinence, vaginal narrowing, sexual dysfunction, and dissatisfaction with genital appearance. There are different features that can be used to reduce these repercussions in which they are part of the arsenal of physiotherapeutic resources, such as vaginal dilators and the use of radiofrequency. However, physiotherapy is not yet part of the multidisciplinary team required by the DSD patient management guidelines due to the lack of studies that prove the evidence of physiotherapy in these patients, but based on the studies developed to treat the genital appearance and functionality of the floor Pelvis, it becomes possible the performance of this professional in this population.