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Lookup NU author(s): Laurence Rangecroft
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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.
Author(s): Rangecroft L, British Assoc Paediat Surg Working
Publication type: Review
Publication status: Published
Journal: Archives of Disease in Childhood
Year: 2003
Volume: 88
Issue: 9
Pages: 799-801
ISSN (print): 0003-9888
ISSN (electronic):