Surgical Management of Ambiguous Genitalia in the Infant and Child

l Proper gender assignment to a neonate born with ambig-uous genitalia is a social emergency of the newborn period. Once an appropriate sex assignment has been made, the next critical step is performance, if needed, of a reconstructive procedure in a timely fashion. In an attempt to evaluate our experience with this unique group of patients, we have retrospectively reviewed the course of 69 children with ambiguous genitalia managed surgically at this institution between 1974 and 1969. This series consists of 32 genotypic females with congenital adrenal hyperplasia (CAH), 10 chil-dren with mixed gonadal dysgenesis (MGD), 10 male pseudohermaphrodites, 3 true hermaphrodites, 6 genotypic females with urogenital sinus anomalies (UGS), and 6 geno-typic males with bilateral undescended testes and penoscro-tal hypospadius. All newborns initially seen at this institutio