Urology
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Treatment for Atypical Genitalia
Treatments for disorders of sexual differentiation (DSD) vary depending on the degree and type of disorder. Each treatment plan is individualized to each child and their family. This is done by maintaining a close relationship between the family and the specialists at the CHOC Children’s Urology Center Disorders of Sexual Differentiation Program. The child’s family is directly involved in every step and decision made regarding their their child’s care. As the child ages, they too will become vital in helping to make decisions about their care.
Treatments for DSD can include management with medications or hormones, surgical management and/or psychosocial support. Treatments are determined on a case-by-case basis depending on the type and degree of the child’s disorder.
- Some surgeries may be required, while others may be optional. Surgeries may be needed for children whose conditions interfere with the child’s sexual or reproductive function or general health. Other surgeries may be completed to create genitalia that appear closer to the norm for the child’s sex or gender. Families will discuss all surgical options with our surgeons.
- Hormone replacement therapy is common for children with DSD and helps normalize their hormone levels during their entire life. The endocrinology team works closely with patients and their families to determine which hormonal medications are best now and in the future.










