Ahmed et al developed a score to describe the degree of phenotypic masculinization in a male. This can help describe males with ambiguous genitalia. The authors are from the University of Cambridge in England.
Features:
(1) scrotal fusion
(2) microphallus
(3) location of the urethral meatus (hypospadias)
(4) location of right testis
(5) location of the left testis
|
Parameter |
Finding |
Points |
|
scrotal fusion |
present |
3 |
|
|
absent |
0 |
|
microphallus |
absent (normal) |
3 |
|
|
present |
0 |
|
location of urethral meatus |
normal |
3 |
|
|
glans |
2 |
|
|
penis |
1 |
|
|
perineal |
0 |
|
location of right testis |
scrotal |
1.5 |
|
|
inguinal canal |
1.0 |
|
|
intra-abdominal |
0.5 |
|
|
absent |
0 |
|
location of left testis |
scrotal |
1.5 |
|
|
inguinal canal |
1.0 |
|
|
intra-abdominal |
0.5 |
|
|
absent |
0 |
total masculinization score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 0
• maximum score: 12
• The higher the score the greater the degree of phenotypic masculinization in the external genitalia.
Specialty: Urology, Pedatrics
ICD-10: ,
