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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.
METHODS: 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.
CONCLUSIONS: The advantages of deferring surgical reconstruction with psychological counseling after early assessment need to be considered to prevent inappropriate gender assignment.
METHODS: 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.
CONCLUSIONS: The advantages of deferring surgical reconstruction with psychological counseling after early assessment need to be considered to prevent inappropriate gender assignment.
摘要：
背景：性发育障碍是男性和女性儿童泌尿生殖脊发育未分化的异常现象。成像在调查大体解剖结构和相关异常中起着至关重要的作用。超声检查,如生殖器造影和磁共振，是展示内部性腺和生殖器的主要方式。包括早期手术干预在内的模棱两可的生殖器管理中的早期多学科方法是主要做法，目前很少考虑将生殖器重建推迟到青少年年龄。
方法：我们报告了一例罕见的病例：来自沃尔塔地区多数族裔的24岁成年女性，加纳被诊断为男性，现在需要手术恢复女性。手术小组决定指定外生殖器与已经完整的内脏器官相对应，从而构建外阴。客户及其家人同意进行管理和手术干预。该手术已安排好，并获得了成功的结果。寻求患者的理解和同意，目的是使用她的图像进行教学，科学出版物,和示威。
结论：在早期评估后，需要考虑推迟手术重建的优势，以防止不适当的性别分配。
方法：我们报告了一例罕见的病例：来自沃尔塔地区多数族裔的24岁成年女性，加纳被诊断为男性，现在需要手术恢复女性。手术小组决定指定外生殖器与已经完整的内脏器官相对应，从而构建外阴。客户及其家人同意进行管理和手术干预。该手术已安排好，并获得了成功的结果。寻求患者的理解和同意，目的是使用她的图像进行教学，科学出版物,和示威。
结论：在早期评估后，需要考虑推迟手术重建的优势，以防止不适当的性别分配。
