Abstract
Practical relevance:
Any congenital or developmental abnormality of any part of the male or female
reproductive tract is a ‘disorder of sexual development’ (DSD). The
tricolored male cat phenotype, cryptorchidism, gonadal hypoplasia and
incidental abnormalities such as cystic remnants or embryonic ducts are
well-known feline DSDs.
Clinical challenges:
Full characterization of DSDs requires sex chromosome determination and
identification of genes related to development of the gonads, internal
tubular genitalia and external genitalia. Fortunately, affected cats are
seen sporadically and the clinical effects are usually minimal.
Classification:
The classification nomenclature has changed. In place of intersex,
hermaphrodite, pseudohermaphrodite and sex reversal, the newer standard
classification, based on sex chromosomes, designates sex chromosome DSD when
there is an abnormality in the sex chromosomes, and XX (female) and XY
(male) DSDs where there is not. Identification of the gonadal type (testes,
ovaries, ovotestes or gonadal dysgenesis) and documentation of the internal
and external genital components completes the classification.
Evidence base:
The original basis of the DSD classification was a consensus reached in
humans. It was quickly accepted in veterinary pathology, courtesy of its
logic and ease of application, and it has subsequently begun to appear in
peer-reviewed papers and clinical reviews. This article reviewing the
various disorders in cats is based on application of the classification and
draws on the feline peer-reviewed literature encompassing chromosome
analysis and definition of reproductive abnormalities, syndromes and
diseases.
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