© 2003 BMJ Publishing Group & Royal College of Paediatrics and Child Health
REVIEW
Surgical management of ambiguous genitalia
Correspondence to:
Correspondence to:
Mr L Rangecroft, Consultant Paediatric Surgeon/Urologist, Department of Paediatric Surgery, The Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, UK;
Laurence.rangecroft{at}nuth.northy.nhs.uk
The surgical management of children born with ambiguous genitalia has always been difficult, subject to evolving attitudes and techniques, and at times controversial. Standard protocols have stressed the need for early diagnosis, gender assignment, and appropriate surgery in infancy.1 In recent years some authors, backed by patient support groups, have claimed that such surgery is damaging or mutilating and, as it is essentially cosmetic, should not be performed until the fully informed consent of the patient could be obtained—that is, when the child becomes "Gillick competent".2–4 There are, however, so many specific issues related to the different diagnostic groups that such a policy would seem to be too prescriptive.
Keywords: intersex; ambiguous genitalia; guidelines
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