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CASE REPORT article

Front. Surg.
Sec. Reconstructive and Plastic Surgery
Volume 11 - 2024 | doi: 10.3389/fsurg.2024.1502340
This article is part of the Research Topic 10th Anniversary of Frontiers in Surgery: Celebrating Progress and Envisioning the Future of Multidisciplinary Surgery View all 4 articles

Diagnosis and Surgical decision-making of a 46, XX Ovotesticular Disorders of Sex Development patient: a case report

Provisionally accepted
Hanxing Zhao Hanxing Zhao 1Zhixing Chen Zhixing Chen 1,2Baoyun Wang Baoyun Wang 2Zhenyu Zhang Zhenyu Zhang 1,2Zhengyong Li Zhengyong Li 1*
  • 1 West China Hospital, Sichuan University, Chengdu, China
  • 2 West China Tianfu Hospital, Sichuan University, Chengdu, Sichuan Province, China

The final, formatted version of the article will be published soon.

    Background: Ovotesticular disorder of sex development is a rare form of disorder of sex development that manifests as ovotestis in individuals. The precise diagnosis and the choice of surgical procedures are still in conflict condition due to the rarity of the disease, diverse clinical presentations, and the lack of evidence-based medical studies on postoperative outcomes. Case presentation: We present a 46, XX ovotesticular disorder of sex development case, aged 19, with Prader stage IV virilization who underwent feminizing genitoplasty surgery. Our surgical strategy prioritized the patient's genitourinary function restoration and cosmetic reconstruction achieved satisfactory results. We attribute the success of the treatment to the systematic diagnostic process and individualized surgical planning. Conclusion: The purpose of this article is to provide an evaluation protocol for the ovotesticular disorder of sex development, improving the diagnostic rate and providing some fresh ideas for surgical management.

    Keywords: Ovotesticular disorder of sex development, disorder of sex development, Diagnostic process, feminizing genitoplasty, External genital abnormalities

    Received: 26 Sep 2024; Accepted: 11 Nov 2024.

    Copyright: © 2024 Zhao, Chen, Wang, Zhang and Li. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Zhengyong Li, West China Hospital, Sichuan University, Chengdu, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.