{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T13:16:11Z","timestamp":1781529371490,"version":"3.54.1"},"reference-count":15,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2018,10,1]],"date-time":"2018-10-01T00:00:00Z","timestamp":1538352000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2018,10,1]],"date-time":"2018-10-01T00:00:00Z","timestamp":1538352000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jpurol.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pediatric Urology"],"published-print":{"date-parts":[[2018,10]]},"DOI":"10.1016\/j.jpurol.2018.04.029","type":"journal-article","created":{"date-parts":[[2018,6,1]],"date-time":"2018-06-01T05:40:59Z","timestamp":1527831659000},"page":"416.e1-416.e5","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":14,"title":["Management of pediatric patients with DSD and ambiguous genitalia: Balancing the child's moral claims to self-determination with parental values and preferences"],"prefix":"10.1016","volume":"14","author":[{"given":"David A.","family":"Diamond","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Swartz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Tishelman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"Johnson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yee-Ming","family":"Chan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jpurol.2018.04.029_bib1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.juro.2016.05.080","article-title":"The ethics of gender in pediatric reconstructive urology","volume":"196","author":"Diamond","year":"2016","journal-title":"J Urol"},{"key":"10.1016\/j.jpurol.2018.04.029_bib2","doi-asserted-by":"crossref","first-page":"1796","DOI":"10.1016\/j.juro.2007.03.167","article-title":"Corporeal sparing dismembered clitoroplasty: an alternative technique for feminizing genitoplasty","volume":"178","author":"Salle","year":"2007","journal-title":"J Urol"},{"key":"10.1016\/j.jpurol.2018.04.029_bib3","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.urology.2016.08.010","article-title":"Initial management of disorders of sex development in newborns","volume":"101","author":"McNamara","year":"2017","journal-title":"Urology"},{"key":"10.1016\/j.jpurol.2018.04.029_bib4","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1016\/j.jpurol.2011.12.012","article-title":"Clinical and gonadal features and early surgical management of 45, X\/46, XY and 45, X\/47, XYY chromosomal mosaicism presenting with genital anomalies","volume":"9","author":"Farrugia","year":"2013","journal-title":"J Pediatr Urol"},{"issue":"2","key":"10.1016\/j.jpurol.2018.04.029_bib5","article-title":"Psychological long term outcome in intersex conditions","author":"Cohen-Kettenis","year":"2005","journal-title":"Horm Res"},{"issue":"5","key":"10.1016\/j.jpurol.2018.04.029_bib6","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1210\/er.2006-0005","article-title":"Germ Cell tumors in the intersex gonad: old paths, new directions, moving frontiers","volume":"27","author":"Cools","year":"2006","journal-title":"Endocr Rev"},{"issue":"7","key":"10.1016\/j.jpurol.2018.04.029_bib7","doi-asserted-by":"crossref","first-page":"E1171","DOI":"10.1210\/jc.2011-0232","article-title":"Gonadal pathology and tumor risk in relation so clinical characteristics in patients with 45, X\/46, XY mosaicism","volume":"96","author":"Cools","year":"2011","journal-title":"J Clin Endocrinol Metab"},{"issue":"8","key":"10.1016\/j.jpurol.2018.04.029_bib8","doi-asserted-by":"crossref","first-page":"E1540","DOI":"10.1210\/jc.2012-1388","article-title":"45, X\/46, XY mosaicism: phenotypic characteristics, growth, and reproductive function \u2013 a retrospective longitudinal study","volume":"97","author":"Johansen","year":"2012","journal-title":"J Clin Endocrinol Metab"},{"key":"10.1016\/j.jpurol.2018.04.029_bib9","doi-asserted-by":"crossref","first-page":"1497","DOI":"10.1007\/s00431-012-1754-0","article-title":"The clinical and genetic heterogeneity of mixed gonadal dysgenesis: does \u201cdisorders of sexual development (DSD)\u201d classification based on new Chicago consensus cover all sex chromosome DSD?","volume":"171","author":"Ocal","year":"2012","journal-title":"Eur J Pediatr"},{"key":"10.1016\/j.jpurol.2018.04.029_bib10","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1016\/j.jpag.2007.03.096","article-title":"A psychosexual follow-up study of patients with mixed or partial gonadal dysgenesis","volume":"20","author":"Szarras-Czapnik","year":"2007","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"10.1016\/j.jpurol.2018.04.029_bib11","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1515\/JPEM.2005.18.6.549","article-title":"Gender identity and sex-of-rearing in children with disorders of sexual differentiation","volume":"18","author":"Reiner","year":"2005","journal-title":"J Pediatr Endocrinol Metab"},{"key":"10.1016\/j.jpurol.2018.04.029_bib12","doi-asserted-by":"crossref","first-page":"1532","DOI":"10.1016\/j.juro.2013.10.037","article-title":"Long-term followup of a large cohort of patients with ovotesticular disorder of sex development","volume":"191","author":"Siricili","year":"2014","journal-title":"J Urol"},{"key":"10.1016\/j.jpurol.2018.04.029_bib13","doi-asserted-by":"crossref","first-page":"e488","DOI":"10.1542\/peds.2006-0738","volume":"118","author":"Lee","year":"2006","journal-title":"Pediatrics"},{"key":"10.1016\/j.jpurol.2018.04.029_bib14","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1016\/j.jpurol.2009.02.200","article-title":"Treatment of clitoromegaly of culturally diverse patients","volume":"5","author":"Merali","year":"2009","journal-title":"J Pediatr Urol"},{"key":"10.1016\/j.jpurol.2018.04.029_bib15","series-title":"Principles of biomedical ethics","author":"Beauchamp","year":"2001"}],"container-title":["Journal of Pediatric Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1477513118302225?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1477513118302225?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T13:46:01Z","timestamp":1761486361000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1477513118302225"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,10]]},"references-count":15,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2018,10]]}},"alternative-id":["S1477513118302225"],"URL":"https:\/\/doi.org\/10.1016\/j.jpurol.2018.04.029","relation":{},"ISSN":["1477-5131"],"issn-type":[{"value":"1477-5131","type":"print"}],"subject":[],"published":{"date-parts":[[2018,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Management of pediatric patients with DSD and ambiguous genitalia: Balancing the child's moral claims to self-determination with parental values and preferences","name":"articletitle","label":"Article Title"},{"value":"Journal of Pediatric Urology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jpurol.2018.04.029","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2018 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}