When to address form and when to address function: Timing of surgical reconstruction for a patient with 46 XY DSD

Oscar Li, Andrew Gabrielson, Ming Hsien Wang

Research output: Contribution to journalArticlepeer-review

Abstract

Differences of sexual development (DSD) refers to congenital conditions characterized by discordant appearances of external genitalia with respect to sex chromosomes. We present a case of a 46 XY DSD adolescent with bilateral undescended testes and severe scrotolabial anomalies who was lost to follow-up for several years who recently presented with “recurrent UTIs.” Although the patient desired immediate reconstruction to void while standing, shared-decision making was used to first address his bilateral cryptorchidism, with plans to delay other reconstruction until the patient is older. Pediatric patients with DSD have complicated medical and surgical problems and require a collaborative multidisciplinary team.

Original languageEnglish (US)
Article number102572
JournalUrology Case Reports
Volume51
DOIs
StatePublished - Nov 2023

Keywords

  • Adolescent informed consent
  • Ambiguous genitalia
  • Differences of sexual development (DSD)
  • Disorder of sexual development

ASJC Scopus subject areas

  • Urology

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