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Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Case Report
True hermaphroditism: diagnosis and surgical treatment
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1
Institute of Obstetrics and Gynecology, School of Medicine - University of Pavia (Italy)
2
Inst. of Plastic and Reconstructive Surgery, School of Medicine - University of Pavia (Italy)
3
Institute of Pathology, School of Medicine - University of Pavia (Italy)
Clin. Exp. Obstet. Gynecol. 1988, 15(3), 74–79;
Published: 10 September 1988
Abstract
We documented a new case of 46,XY true hermaphroditism in an 18-year-old patient, reared as a female at birth, with ambiguous genitalia and primary amenorrhea. At laparotomy, bilateral dysgenetic ovotestis containing gonadoblastoma were found. Karyotypes of peripheral lymphocytes and cells from tissue of both gonads were all 46,XY. Plastic surgery was conducted to transform ambiguous genitalia to the full female phenotype. Clitoreduction by glans resection and fastening of the corpora cavernosa in the labia major with enlargement of the vaginal orifice were performed. The results was a small eretcile organ with preserved sensitivity and a female capable of normal sexual activity.