Background: Disorders of sex development (DSD) are a group of congenital conditions associated with anomalous development of internal and external genital organs. Ovotesticular disorders of sexual development formerly called true hermaphroditism are the rarest of all types of disorders of sexual development. It refers to individuals who have both ovarian and testicular tissues in the same or contralateral gonad, regardless of their karyotype. Case presentation: Ovotesticular DSDs are usually diagnosed in the pediatric age group. We reported a rare case of ovotesticular DSD in an adult, originally assigned as male gender. He was referred to our service with the complaint of difficulty with sexual intercourse and genital ambiguity. On examination, he was found to have gynecomastia, a female pelvic, a left testicle, micropenis, and proximal hypospadias. A total abdominal hysterectomy with penile reconstruction and left orchidopexy was performed. Hypospadias repair was planned to be done later. We aim to highlight the challenges urologists practising in a poor-resource community face in diagnosing and managing of these cases. Conclusions: Ovotesticular DSD is rare. Diagnosis is usually made clinically supported by laboratory, imaging and histological evaluation. Treatment consists of multidisciplinary management including urologists, gynaecologists, endocrinologists, paediatricians, and psychiatrists. It is important to involve the patient and their family in shared decision-making before surgery or gender assignment.
| Published in | International Journal of Clinical Urology (Volume 7, Issue 2) |
| DOI | 10.11648/j.ijcu.20230702.18 |
| Page(s) | 61-64 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2023. Published by Science Publishing Group |
Ovotesticular, Disorders of Sexual Development, Hypospadias, Karyotype
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APA Style
Abdoul-Karim, P., Adama, O., Delphine, Y., Boukary, K., Babagana Mustapha, A., et al. (2023). Late Diagnosis of Ovotesticular Disorders of Sexual Development: A Case Report and Literature Review. International Journal of Clinical Urology, 7(2), 61-64. https://doi.org/10.11648/j.ijcu.20230702.18
ACS Style
Abdoul-Karim, P.; Adama, O.; Delphine, Y.; Boukary, K.; Babagana Mustapha, A., et al. Late Diagnosis of Ovotesticular Disorders of Sexual Development: A Case Report and Literature Review. Int. J. Clin. Urol. 2023, 7(2), 61-64. doi: 10.11648/j.ijcu.20230702.18
AMA Style
Abdoul-Karim P, Adama O, Delphine Y, Boukary K, Babagana Mustapha A, et al. Late Diagnosis of Ovotesticular Disorders of Sexual Development: A Case Report and Literature Review. Int J Clin Urol. 2023;7(2):61-64. doi: 10.11648/j.ijcu.20230702.18
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author = {Pare Abdoul-Karim and Ouattara Adama and Ye Delphine and Kabre Boukary and Abubakar Babagana Mustapha and Simpore Mohamed and Rouamba Mickael and Kabore Aristide Fasnewinde and Kambou Timothee},
title = {Late Diagnosis of Ovotesticular Disorders of Sexual Development: A Case Report and Literature Review},
journal = {International Journal of Clinical Urology},
volume = {7},
number = {2},
pages = {61-64},
doi = {10.11648/j.ijcu.20230702.18},
url = {https://doi.org/10.11648/j.ijcu.20230702.18},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20230702.18},
abstract = {Background: Disorders of sex development (DSD) are a group of congenital conditions associated with anomalous development of internal and external genital organs. Ovotesticular disorders of sexual development formerly called true hermaphroditism are the rarest of all types of disorders of sexual development. It refers to individuals who have both ovarian and testicular tissues in the same or contralateral gonad, regardless of their karyotype. Case presentation: Ovotesticular DSDs are usually diagnosed in the pediatric age group. We reported a rare case of ovotesticular DSD in an adult, originally assigned as male gender. He was referred to our service with the complaint of difficulty with sexual intercourse and genital ambiguity. On examination, he was found to have gynecomastia, a female pelvic, a left testicle, micropenis, and proximal hypospadias. A total abdominal hysterectomy with penile reconstruction and left orchidopexy was performed. Hypospadias repair was planned to be done later. We aim to highlight the challenges urologists practising in a poor-resource community face in diagnosing and managing of these cases. Conclusions: Ovotesticular DSD is rare. Diagnosis is usually made clinically supported by laboratory, imaging and histological evaluation. Treatment consists of multidisciplinary management including urologists, gynaecologists, endocrinologists, paediatricians, and psychiatrists. It is important to involve the patient and their family in shared decision-making before surgery or gender assignment.
},
year = {2023}
}
TY - JOUR T1 - Late Diagnosis of Ovotesticular Disorders of Sexual Development: A Case Report and Literature Review AU - Pare Abdoul-Karim AU - Ouattara Adama AU - Ye Delphine AU - Kabre Boukary AU - Abubakar Babagana Mustapha AU - Simpore Mohamed AU - Rouamba Mickael AU - Kabore Aristide Fasnewinde AU - Kambou Timothee Y1 - 2023/11/11 PY - 2023 N1 - https://doi.org/10.11648/j.ijcu.20230702.18 DO - 10.11648/j.ijcu.20230702.18 T2 - International Journal of Clinical Urology JF - International Journal of Clinical Urology JO - International Journal of Clinical Urology SP - 61 EP - 64 PB - Science Publishing Group SN - 2640-1355 UR - https://doi.org/10.11648/j.ijcu.20230702.18 AB - Background: Disorders of sex development (DSD) are a group of congenital conditions associated with anomalous development of internal and external genital organs. Ovotesticular disorders of sexual development formerly called true hermaphroditism are the rarest of all types of disorders of sexual development. It refers to individuals who have both ovarian and testicular tissues in the same or contralateral gonad, regardless of their karyotype. Case presentation: Ovotesticular DSDs are usually diagnosed in the pediatric age group. We reported a rare case of ovotesticular DSD in an adult, originally assigned as male gender. He was referred to our service with the complaint of difficulty with sexual intercourse and genital ambiguity. On examination, he was found to have gynecomastia, a female pelvic, a left testicle, micropenis, and proximal hypospadias. A total abdominal hysterectomy with penile reconstruction and left orchidopexy was performed. Hypospadias repair was planned to be done later. We aim to highlight the challenges urologists practising in a poor-resource community face in diagnosing and managing of these cases. Conclusions: Ovotesticular DSD is rare. Diagnosis is usually made clinically supported by laboratory, imaging and histological evaluation. Treatment consists of multidisciplinary management including urologists, gynaecologists, endocrinologists, paediatricians, and psychiatrists. It is important to involve the patient and their family in shared decision-making before surgery or gender assignment. VL - 7 IS - 2 ER -
Department of Urology, Souro Sanou University Teaching Hospital, Bobo-Dioulasso, Burkina Faso
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