Multidisciplinary Management of Adults with Differences in Sex Development (DSD): How is Nigeria Positioned? Management of Adults with Differences of Sex Development

Abstract

Background: The management of adults living with disorders of sex development has not been discussed in literature. In Nigeria, adult presenting with DSD is common with no specific route to ensure comprehensive treatment. Methods: In this cross-sectional study, we surveyed 613 plastic surgeons, urologists and gyneacologists targeting response from those who managed adults with DSD. Results: Of the 29 response we got 26(89.7%) were male while 3(10.3%) were female specialist involved with the treatment of adults DSD. Majority of the specialists 10(34.5%) had more than 15 years’ experience as specialist medical doctors.  Fifteen (51.8%) of them worked in hospitals located in the North-Central region of the country, 19(65.5%) were plastic surgeons and gyneacomastia (31.1%) was the most common patient presenting complaint. Though 19(65.5%) specialists treated the patients alongside other specialists, the teams were not comprehensive and lacked key members. Conclusion: The need for a consensus document is important so these group of individuals can enjoy a happy and fulfilled life.