What is the current policy of the American Academy of Pediatrics on surgery?

American Academy of Pediatrics Section on Endocrinology and Section on Urology Committee on Genetics. 2000. Evaluation of the Newborn With Developmental Anomalies of the External Genitalia. Pediatrics 106 (01):138-142.

  • “Infants raised as girls will usually require clitoral reduction…”
  • “A low-lying vagina can be exteriorized at the initial surgery, but in other cases this is best deferred until 1 year of age and often later… Additional surgery is often necessary.”
  • “Correction of chordee and urethroplasty in boys with hypospadias is usually performed between 6 and 18 months of age, usually in 1 stage as an outpatient procedure.”
  • “The results of hypospadias repair by an experienced surgeon using current techniques are satisfactory, both cosmetically and functionally.”