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Total Vaginectomy in a True Hermaphrodite: A Case Report

A case is reported herein of a true hermaphrodite (TH) with an ovotestis, a uterus, a vagina, and an underdeveloped phallus. The patient was raised by his parents as a male, based on the presence of a phallus with ambiguous genitalia. He started experiencing breast enlargement at the age of 14 and m...

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Detalles Bibliográficos
Autores principales: Das, Susmita, Swain, Uma Rani
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328791/
https://www.ncbi.nlm.nih.gov/pubmed/37425607
http://dx.doi.org/10.7759/cureus.40104
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author Das, Susmita
Swain, Uma Rani
author_facet Das, Susmita
Swain, Uma Rani
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description A case is reported herein of a true hermaphrodite (TH) with an ovotestis, a uterus, a vagina, and an underdeveloped phallus. The patient was raised by his parents as a male, based on the presence of a phallus with ambiguous genitalia. He started experiencing breast enlargement at the age of 14 and menarche by the age of 17. He was reviewed using ultrasound, magnetic resonance imaging of the abdomen, and karyotyping, and the reports showed evidence of Mullerian structures and 46 XX karyotyping. Based on the preferences of the patient and his parents and their psychological outlook toward the male gender, a total mastectomy, hysterectomy, bilateral gonadectomy, and total vaginectomy were performed. This was followed by reconstruction of the male genitalia and supplemented with male hormone replacement therapy. Accordingly, a TH was assigned a male gender.
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spelling pubmed-103287912023-07-09 Total Vaginectomy in a True Hermaphrodite: A Case Report Das, Susmita Swain, Uma Rani Cureus Obstetrics/Gynecology A case is reported herein of a true hermaphrodite (TH) with an ovotestis, a uterus, a vagina, and an underdeveloped phallus. The patient was raised by his parents as a male, based on the presence of a phallus with ambiguous genitalia. He started experiencing breast enlargement at the age of 14 and menarche by the age of 17. He was reviewed using ultrasound, magnetic resonance imaging of the abdomen, and karyotyping, and the reports showed evidence of Mullerian structures and 46 XX karyotyping. Based on the preferences of the patient and his parents and their psychological outlook toward the male gender, a total mastectomy, hysterectomy, bilateral gonadectomy, and total vaginectomy were performed. This was followed by reconstruction of the male genitalia and supplemented with male hormone replacement therapy. Accordingly, a TH was assigned a male gender. Cureus 2023-06-07 /pmc/articles/PMC10328791/ /pubmed/37425607 http://dx.doi.org/10.7759/cureus.40104 Text en Copyright © 2023, Das et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Obstetrics/Gynecology
Das, Susmita
Swain, Uma Rani
Total Vaginectomy in a True Hermaphrodite: A Case Report
title Total Vaginectomy in a True Hermaphrodite: A Case Report
title_full Total Vaginectomy in a True Hermaphrodite: A Case Report
title_fullStr Total Vaginectomy in a True Hermaphrodite: A Case Report
title_full_unstemmed Total Vaginectomy in a True Hermaphrodite: A Case Report
title_short Total Vaginectomy in a True Hermaphrodite: A Case Report
title_sort total vaginectomy in a true hermaphrodite: a case report
topic Obstetrics/Gynecology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328791/
https://www.ncbi.nlm.nih.gov/pubmed/37425607
http://dx.doi.org/10.7759/cureus.40104
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