{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T12:55:46Z","timestamp":1781700946413,"version":"3.54.5"},"reference-count":28,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,17]]},"DOI":"10.7759\/cureus.111019","type":"journal-article","created":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T12:03:05Z","timestamp":1781697785000},"source":"Crossref","is-referenced-by-count":0,"title":["Discordant Gender Identity and Surgical Goals in Two Adults with Comparable Ambiguous Genitalia: Two Case Reports from a Resource-Limited Setting"],"prefix":"10.7759","author":[{"given":"Brenda","family":"Ainomugisha","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rogers","family":"Kajabwangu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Onesmus","family":"Byamukama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kalyebara P","family":"Kato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Verena","family":"Geissbuhler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Musa","family":"Kayondo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1080\/15476278.2016.1210749","article-title":"Systematization of ambiguous genitalia","volume":"12","author":"Makiyan Z","year":"2016","unstructured":"Makiyan Z. Systematization of ambiguous genitalia. Organogenesis. 2016, 12:169-82. 10.1080\/15476278.2016.1210749","journal-title":"Organogenesis"},{"key":"ref2","article-title":"Ambiguous genitalia in the newborn","author":"Fl\u00fcck CE","year":"2023","unstructured":"Fl\u00fcck CE, G\u00fcran T. Ambiguous genitalia in the newborn. Endotex. Feingold KR, Adler RA, Ahmed SF, et al. (ed): MDText.com, Inc, South Dartmouth, MA; 2023."},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.beem.2007.11.001","article-title":"Disorders of sex development: a new definition and classification","volume":"22","author":"Hughes IA","year":"2008","unstructured":"Hughes IA. Disorders of sex development: a new definition and classification. Best Pract Res Clin Endocrinol Metab. 2008, 22:119-34. 10.1016\/j.beem.2007.11.001","journal-title":"Best Pract Res Clin Endocrinol Metab"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1038\/s41574-018-0010-8","article-title":"Caring for individuals with a difference of sex development (DSD): a consensus statement","volume":"14","author":"Cools M","year":"2018","unstructured":"Cools M, Nordenstr\u00f6m A, Robeva R, et al.. Caring for individuals with a difference of sex development (DSD): a consensus statement. Nat Rev Endocrinol. 2018, 14:415-29. 10.1038\/s41574-018-0010-8","journal-title":"Nat Rev Endocrinol"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1159\/000363686","article-title":"Chickadees with bigger brains have smaller digestive tracts: a multipopulation comparison","volume":"84","author":"Kozlovsky DY","year":"2014","unstructured":"Kozlovsky DY, Brown SL, Branch CL, Roth TC 2nd, Pravosudov VV. Chickadees with bigger brains have smaller digestive tracts: a multipopulation comparison. Brain Behav Evol. 2014, 84:172-80. 10.1159\/000363686","journal-title":"Brain Behav Evol"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-025-00637-y","article-title":"Differences of sex development","volume":"11","author":"Ahmed SF","year":"2025","unstructured":"Ahmed SF, Armstrong K, Cheng EY, et al.. Differences of sex development. Nat Rev Dis Primers. 2025, 11:54. 10.1038\/s41572-025-00637-y","journal-title":"Nat Rev Dis Primers"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1007\/978-981-13-7864-5","article-title":"Sex chromosome DSD","author":"O\u2019Connell MA","year":"2020","unstructured":"O\u2019Connell MA. Sex chromosome DSD. Disorders| Differences of Sex Development: An Integrated Approach to Management. Hutson JM, Grover SR, O'Connell MA, Bouty A, Hanna CA (ed): Springer, 2020. 103-13. 10.1007\/978-981-13-7864-5"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-09512-2","article-title":"Disorders of puberty","author":"Styne DM","year":"2023","unstructured":"Styne DM. Disorders of puberty. Pediatric Endocrinology: A Clinical Handbook. Styne DM (ed): Springer, 2023. 241-300. 10.1007\/978-3-031-09512-2"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.beem.2025.102002","article-title":"The epidemiology of disorders of sex development","volume":"39","author":"Berglund A","year":"2025","unstructured":"Berglund A, Chang S, Lind-Holst M, Stochholm K, Gravholt CH. The epidemiology of disorders of sex development. Best Pract Res Clin Endocrinol Metab. 2025, 39:102002. 10.1016\/j.beem.2025.102002","journal-title":"Best Pract Res Clin Endocrinol Metab"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.anpedi.2018.06.009","article-title":"Management guidelines for disorders \/ different sex development (DSD) (Article in Spanish)","volume":"89","author":"Guerrero-Fern\u00e1ndez J","year":"2018","unstructured":"Guerrero-Fern\u00e1ndez J, Azcona San Juli\u00e1n C, Barreiro Conde J, et al.. Management guidelines for disorders \/ different sex development (DSD) (Article in Spanish). An Pediatr (Engl Ed). 2018, 89:315 e1-19. 10.1016\/j.anpedi.2018.06.009","journal-title":"An Pediatr (Engl Ed)"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1210\/clinem\/dgag023","article-title":"Approach to the patient: comprehensive multidisciplinary care for adolescents with difference in sex development (DSD)","volume":"111","author":"Claahsen-van der Grinten HL","year":"2026","unstructured":"Claahsen-van der Grinten HL, van Herwaarden A, Kempers M, Klein WM, van der Molen L, Spath M, Westra D. Approach to the patient: comprehensive multidisciplinary care for adolescents with difference in sex development (DSD). J Clin Endocrinol Metab. 2026, 111:e1183-94. 10.1210\/clinem\/dgag023","journal-title":"J Clin Endocrinol Metab"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1515\/almed-2021-0042","article-title":"The laboratory in the multidisciplinary diagnosis of differences or disorders of sex development (DSD): I) Physiology, classification, approach, and methodology II) Biochemical and genetic markers in 46,XX DSD","volume":"2","author":"Granada ML","year":"2021","unstructured":"Granada ML, Aud\u00ed L. The laboratory in the multidisciplinary diagnosis of differences or disorders of sex development (DSD): I) Physiology, classification, approach, and methodology II) Biochemical and genetic markers in 46,XX DSD. Adv Lab Med. 2021, 2:468-93. 10.1515\/almed-2021-0042","journal-title":"Adv Lab Med"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1080\/02646838.2024.2439926","article-title":"Global perspective of psychosocial care of patients with differences of sex development from low-income countries","volume":"43","author":"Utari A","year":"2025","unstructured":"Utari A, Silberkasten M, Musa S, et al.. Global perspective of psychosocial care of patients with differences of sex development from low-income countries. J Reprod Infant Psychol. 2025, 43:366-84. 10.1080\/02646838.2024.2439926","journal-title":"J Reprod Infant Psychol"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.21037\/tau-20-954","article-title":"Cancer screening in the transgender population: a review of current guidelines, best practices, and a proposed care model","volume":"9","author":"Sterling J","year":"2020","unstructured":"Sterling J, Garcia MM. Cancer screening in the transgender population: a review of current guidelines, best practices, and a proposed care model. Transl Androl Urol. 2020, 9:2771-85. 10.21037\/tau-20-954","journal-title":"Transl Androl Urol"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2018.00339","article-title":"Navigating surgical decision making in disorders of sex development (DSD)","volume":"6","author":"Gardner M","year":"2018","unstructured":"Gardner M, Sandberg DE. Navigating surgical decision making in disorders of sex development (DSD). Front Pediatr. 2018, 6:339. 10.3389\/fped.2018.00339","journal-title":"Front Pediatr"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.21037\/tau.2016.08.04","article-title":"Improvement of endothelial function following initiation of testosterone replacement therapy","volume":"5","author":"Shoskes DA","year":"2016","unstructured":"Shoskes DA, Tucky B, Polackwich AS. Improvement of endothelial function following initiation of testosterone replacement therapy. Transl Androl Urol. 2016, 5:819-23. 10.21037\/tau.2016.08.04","journal-title":"Transl Androl Urol"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1186\/s43159-021-00149-w","article-title":"A review of the essential concepts in diagnosis, therapy, and gender assignment in disorders of sexual development","volume":"18","author":"Sarma VP","year":"2022","unstructured":"Sarma VP. A review of the essential concepts in diagnosis, therapy, and gender assignment in disorders of sexual development. Annal Pediatr Surg. 2022, 18:13. 10.1186\/s43159-021-00149-w","journal-title":"Annal Pediatr Surg"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1080\/21642850.2022.2102018","article-title":"'It was supposed to be a secret': a study of disclosure and stigma as experienced by adults with differences of sex development","volume":"10","author":"Medi\u00e5 LM","year":"2022","unstructured":"Medi\u00e5 LM, Fauske L, Sigurdardottir S, Feragen KJ, Heggeli C, W\u00e6hre A. 'It was supposed to be a secret': a study of disclosure and stigma as experienced by adults with differences of sex development. Health Psychol Behav Med. 2022, 10:579-95. 10.1080\/21642850.2022.2102018","journal-title":"Health Psychol Behav Med"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.4324\/9781003219637","article-title":"Understanding people's lived experiences","author":"Monro S","year":"2024","unstructured":"Monro S, Berry A, Carpenter M, Crocetti D, Wall SS. Understanding people's lived experiences. Intersex, Variations of Sex Characteristics, DSD. Routledge, London; 2024. 26-59. 10.4324\/9781003219637"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.6065\/apem.2040240.120","article-title":"Patients with disorders of sex development","volume":"26","author":"Markosyan R","year":"2021","unstructured":"Markosyan R. Patients with disorders of sex development. Ann Pediatr Endocrinol Metab. 2021, 26:74-9. 10.6065\/apem.2040240.120","journal-title":"Ann Pediatr Endocrinol Metab"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.3390\/jpm15120613","article-title":"Reconstructive surgery of the female genital, urethral, and anal tract: a multidisciplinary review and future perspectives","volume":"15","author":"Del Sorbo V","year":"2025","unstructured":"Del Sorbo V, Pentangelo P, Verrazzo P, Papa R, Alfano C. Reconstructive surgery of the female genital, urethral, and anal tract: a multidisciplinary review and future perspectives. J Pers Med. 2025, 15:613. 10.3390\/jpm15120613","journal-title":"J Pers Med"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.6061\/clinics\/2019\/e408","article-title":"Germ cell tumors in dysgenetic gonads","volume":"74","author":"Piazza MJ","year":"2019","unstructured":"Piazza MJ, Urbanetz AA. Germ cell tumors in dysgenetic gonads. Clinics (Sao Paulo). 2019, 74:e408. 10.6061\/clinics\/2019\/e408","journal-title":"Clinics (Sao Paulo)"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1016\/j.beem.2009.10.002","article-title":"Gonadal tumours and DSD","volume":"24","author":"Looijenga LH","year":"2010","unstructured":"Looijenga LH, Hersmus R, de Leeuw BH, et al.. Gonadal tumours and DSD. Best Pract Res Clin Endocrinol Metab. 2010, 24:291-310. 10.1016\/j.beem.2009.10.002","journal-title":"Best Pract Res Clin Endocrinol Metab"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.4324\/9781003219637","article-title":"Ethical principles for the management of DSD","author":"Gillam L","year":"2020","unstructured":"Gillam L. Ethical principles for the management of DSD. Disorders| Differences of Sex Development: An Integrated Approach to Management. Springer, 2020. 179-192. 10.4324\/9781003219637"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-009-1086-x","article-title":"Ethical principles and recommendations for the medical management of differences of sex development (DSD)\/intersex in children and adolescents","volume":"169","author":"Wiesemann C","year":"2010","unstructured":"Wiesemann C, Ude-Koeller S, Sinnecker GH, Thyen U. Ethical principles and recommendations for the medical management of differences of sex development (DSD)\/intersex in children and adolescents. Eur J Pediatr. 2010, 169:671-9. 10.1007\/s00431-009-1086-x","journal-title":"Eur J Pediatr"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.2147\/MB.S63708","article-title":"Ethical perspectives on the management of disorders of sex development in children","volume":"2015","author":"Lathrop B","year":"2015","unstructured":"Lathrop B, TB Cheney. Ethical perspectives on the management of disorders of sex development in children. Medicolegal Bioethics. 2015, 2015:27-34. 10.2147\/MB.S63708","journal-title":"Medicolegal Bioethics"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1007\/s11154-008-9084-2","article-title":"Disorders of sex development (DSDs), their presentation and management in different cultures","volume":"9","author":"Warne GL","year":"2008","unstructured":"Warne GL, Raza J. Disorders of sex development (DSDs), their presentation and management in different cultures. Rev Endocr Metab Disord. 2008, 9:227-36. 10.1007\/s11154-008-9084-2","journal-title":"Rev Endocr Metab Disord"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1016\/j.arcped.2022.09.002","article-title":"Disorders of sex development: challenges in a low-resource country","volume":"30","author":"Ehua AM","year":"2023","unstructured":"Ehua AM, Moulot MO, Agbara KS, Enache T, Bankole SR. Disorders of sex development: challenges in a low-resource country. Arch Pediatr. 2023, 30:10-3. 10.1016\/j.arcped.2022.09.002","journal-title":"Arch Pediatr"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/501895-discordant-gender-identity-and-surgical-goals-in-two-adults-with-comparable-ambiguous-genitalia-two-case-reports-from-a-resource-limited-setting","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T12:03:10Z","timestamp":1781697790000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/501895-discordant-gender-identity-and-surgical-goals-in-two-adults-with-comparable-ambiguous-genitalia-two-case-reports-from-a-resource-limited-setting"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,17]]},"references-count":28,"URL":"https:\/\/doi.org\/10.7759\/cureus.111019","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6,17]]}}}