Ambiguous genitalia: clinical management of adult female with male assigned gender: a case report
Abstract Background Disorders of sex development are anomalies in which the development of urogenital ridge is undifferentiated for the male and female child. Imaging plays a vital role in investigating the gross anatomy and associated anomalies. Ultrasonography, such as genitography and magnetic re...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-07-01
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| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13256-021-02914-2 |
| _version_ | 1818590026627284992 |
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| author | Mahamudu Ayamba Ali Raymond Saa-Eru Maalman Yaw Otchere Donkor James Edward Mensah |
| author_facet | Mahamudu Ayamba Ali Raymond Saa-Eru Maalman Yaw Otchere Donkor James Edward Mensah |
| author_sort | Mahamudu Ayamba Ali |
| collection | DOAJ |
| description | Abstract Background Disorders of sex development are anomalies in which the development of urogenital ridge is undifferentiated for the male and female child. Imaging plays a vital role in investigating the gross anatomy and associated anomalies. Ultrasonography, such as genitography and magnetic resonance, is the primary modality for demonstrating internal gonads and genitalia. Early multidisciplinary approach in the management of ambiguous genitalia including early surgical intervention is the predominant practice, with few current considerations on deferral of genital reconstruction until adolescent age. Case presentation We report the rare case of a 24-year-old adult female from a majority ethnic group of the Volta region, Ghana who was diagnosed and raised as male, now requiring surgical restoration to the female gender. The surgical team decided to assign external genitalia to correspond with the already intact internal organs, thus constructing the vulva. Consent was given by the client and her family members for management and surgical intervention. The surgery was scheduled and duly performed with a successful outcome. Understanding and consent was sought from the patient for the purpose of using her images for teaching, scientific publication, and demonstrations. Conclusion The advantages of deferring surgical reconstruction with psychological counseling after early assessment need to be considered to prevent inappropriate gender assignment. |
| first_indexed | 2024-12-16T09:50:00Z |
| format | Article |
| id | doaj.art-cbb8a5f4b63247178e809ac76bce0540 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-12-16T09:50:00Z |
| publishDate | 2021-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-cbb8a5f4b63247178e809ac76bce05402022-12-21T22:36:05ZengBMCJournal of Medical Case Reports1752-19472021-07-011511510.1186/s13256-021-02914-2Ambiguous genitalia: clinical management of adult female with male assigned gender: a case reportMahamudu Ayamba Ali0Raymond Saa-Eru Maalman1Yaw Otchere Donkor2James Edward Mensah3Department of Basic Medical Sciences, School of Medicine, University of Health and Allied SciencesDepartment of Basic Medical Sciences, School of Medicine, University of Health and Allied SciencesDepartment of Basic Medical Sciences, School of Medicine, University of Health and Allied SciencesConsultant Urologist, Department of Surgery, Korle Bu Teaching HospitalAbstract Background Disorders of sex development are anomalies in which the development of urogenital ridge is undifferentiated for the male and female child. Imaging plays a vital role in investigating the gross anatomy and associated anomalies. Ultrasonography, such as genitography and magnetic resonance, is the primary modality for demonstrating internal gonads and genitalia. Early multidisciplinary approach in the management of ambiguous genitalia including early surgical intervention is the predominant practice, with few current considerations on deferral of genital reconstruction until adolescent age. Case presentation We report the rare case of a 24-year-old adult female from a majority ethnic group of the Volta region, Ghana who was diagnosed and raised as male, now requiring surgical restoration to the female gender. The surgical team decided to assign external genitalia to correspond with the already intact internal organs, thus constructing the vulva. Consent was given by the client and her family members for management and surgical intervention. The surgery was scheduled and duly performed with a successful outcome. Understanding and consent was sought from the patient for the purpose of using her images for teaching, scientific publication, and demonstrations. Conclusion The advantages of deferring surgical reconstruction with psychological counseling after early assessment need to be considered to prevent inappropriate gender assignment.https://doi.org/10.1186/s13256-021-02914-2Disorders of sex developmentAmbiguous genitaliaClinical managementSurgical approachAdult female |
| spellingShingle | Mahamudu Ayamba Ali Raymond Saa-Eru Maalman Yaw Otchere Donkor James Edward Mensah Ambiguous genitalia: clinical management of adult female with male assigned gender: a case report Journal of Medical Case Reports Disorders of sex development Ambiguous genitalia Clinical management Surgical approach Adult female |
| title | Ambiguous genitalia: clinical management of adult female with male assigned gender: a case report |
| title_full | Ambiguous genitalia: clinical management of adult female with male assigned gender: a case report |
| title_fullStr | Ambiguous genitalia: clinical management of adult female with male assigned gender: a case report |
| title_full_unstemmed | Ambiguous genitalia: clinical management of adult female with male assigned gender: a case report |
| title_short | Ambiguous genitalia: clinical management of adult female with male assigned gender: a case report |
| title_sort | ambiguous genitalia clinical management of adult female with male assigned gender a case report |
| topic | Disorders of sex development Ambiguous genitalia Clinical management Surgical approach Adult female |
| url | https://doi.org/10.1186/s13256-021-02914-2 |
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