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Long‐term outcome of feminization surgery: the London experience
Author(s) -
Creighton S.M.
Publication year - 2004
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/j.1464-410x.2004.04708.x
Subject(s) - medicine , pediatrics
The traditional management of the virilized female infant has centred on restoring ‘normality’. Once the diagnosis has been made and the infant assigned to a female sex of rearing, feminizing genital surgery almost inevitably follows. This management is now being criticised from ethical, social and clinical perspectives [1–3]. The current debate is emotive and distressing both for patients who have undergone surgery and for clinicians striving to do their best for their patients in an increasingly litigious world. There are many complex issues to consider before recommending a course of management. Clinicians must have a good knowledge of the current medical literature and should be very clear as to what is supported by a reasonable evidence base, and what is clinical hunch and surmise.