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East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X
EISSN: 1024-297X
Vol. 13, No. 1, 2008, pp. 51-59
Bioline Code: js08009
Full paper language: English
Document type: Research Article
Document available free of charge

East and Central African Journal of Surgery, Vol. 13, No. 1, 2008, pp. 51-59

 en Ambiguous genitalia in rural Africa and the complexities of management: Which way forward?
Nthumba, P.M.; Carter Jr, L.L. & Poenaru, D.

Abstract

Intersex disorders are amongst the most controversial conditions managed by doctors today. Although the diversity of their presentations demands broad classifications to help standardize management guidelines, each patient remains unique, requiring individualized care. The authors review the prevailing schools of thought on gender determination, assignment and re-assignment of intersex patients. The "liberal" views on sexuality, as espoused in current Western literature, vis-a-vis the "traditional" views of the average rural African community on sexuality are noted. The case histories of four patients highlight the diversity of presentations as well as the challenges in their management in a rural Kenyan hospital.

 
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