Wrong sex assignment pearls and perils of our experience

Abstract AR

Bakground & Objectives: Sex reassignment in the adult patient remains a challenging issue both for patients and practitioners with significant ethical, social, and biological impacts.

The aims of this study were to estimate ike impact of incorrect gender assignment in Sudanese patients, to evaluate the presentation and approach to management of rearing such individuals, and to detect the location of the error in the incorrect assignment of lender in our practice.

Methods: This was a descriptive cross sectional study conducted at the Gezira Hospital for Renal Diseases and Surgery (GHRDS).

Data were also collected from other nearby hospitals.

Results: Nine patients were included in this study in the last ten years.

Six were wrongly reared males and three were incorrectly raised as females.

Two cases were reassigned to the appropriate sex, three underwent surgery, bee refused any treatment, and one ran away.

The commonest presentations were cyclical pain and abdominal fain and/or masses.

Delivery by a midwife is an obstacle to early detection of sexual ambiguity Conclusions: Most of the cases of wrong sex assignment presented with problems unrelated to incorrect sex assignment.

Family disintegration and depression resulted from this incorrect assignment.