Gender assignment surgery on children with disorders of sex development: a case report and discussion from South Africa

@article{Rebelo2008GenderAS,
  title={Gender assignment surgery on children with disorders of sex development: a case report and discussion from South Africa},
  author={Ethelwyn Eleonore Rebelo and Christopher Paul Szabo and Graeme J. Pitcher},
  journal={Journal of Child Health Care},
  year={2008},
  volume={12},
  pages={49 - 59}
}
This case report highlights the dilemma faced by staff with regard to the timing of surgery on a child with a disorder of sex development living in a large, lower socio-economic class, South African, urban township. In this community, children with disorders of sex development can sometimes become an object of interest and ridicule or are thought to be bewitched. Many parents of children with such disorders find it difficult to protect their offspring from the marginalization and rejection that… 
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14 Citations
Background Citations
6
Results Citations
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14 Citations

Parents need to protect: influences, risks and tensions for parents of prepubertal children born with ambiguous genitalia.
TLDR
The dilemmas that parents face in the complex and challenging situation following the birth of a child with ambiguous genitalia require early support from insightful professionals such as nurses, drawing attention to the parents' need to be knowledgeable about the impact that disorders of sex development can have on family's emotional, psychosocial well-being and decision-making.
Why do ‘we’ perform surgery on newborn intersexed children?
TLDR
P phenomenologically, why parents decide to have their children undergo genital surgery when it is not necessary for the child’s physiological functions is examined and a critical perspective on the surgical practice is provided.
Women With Amenorrhea and Men With Menstruation: The Qualitative Experiences of People With Disorders of Sex Development in Nigeria.
TLDR
The women with DSD in this study showed a generally poor knowledge of menarche, menstruation, and puberty, indicating that their parents had ignored the initial symptoms of DSD.
Intersex and transgender activism in South Africa
South Africa has come a long way concerning the legal treatment of trans* (in medical literature often categorised as transgenderism, transsexuality, gender dysphoria, or gender identity disorder)…
Experiences of people living with disorders of sex development and sex reassignment as per pdf: Meta‐ethnography of qualitative studies as per pdf
TLDR
There is a need to explore the experiences of nurses in the management of disorders of sex development, and a range of physical, psychological, social, and sexual experiences which affect their quality of life.
Searching for harmony: parents' narratives about their child's genital ambiguity and reconstructive genital surgeries in childhood.
TLDR
For the parents seeking a sense of harmony between their child's genital ambiguity and gender during childhood, searching for this harmony became a dynamic and evolving process, which was built on their knowledge and increasing willingness to engage with professionals, negotiate their social worlds, emotional responses and belief systems.
Parents Of Children With Ambiguous Genitalia: Stories Of Experiences Of Reconstructive Genital Surgeries And Finding Harmony
Ethical perspectives on the management of disorders of sex development in children
TLDR
This work is distributed under the terms of the License http://creativecommons.org/licenses/by-nc/3.0/.
International Considerations & Variations in Practice: An African Perspective
Despite the socio-economic and geopolitical differences across continents, there is an accelerating awareness and recognition of the natural variations of an individual’s sexual orientation, gender…
Commentary Beyond Good Intentions
TLDR
This commentary proposes that normalizing interventions for atypical sex anatomies, both historical and ongoing, be recognized as a kind of medical error, and that attention be focused not simply on prevention, but on repair.
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