46 XX DSD- CAH - Surgical corrections- what & when?
This child was born before 3 months by normal vaginal delivery.
On 10th day of birth diagnosed with salt loosing CAH.
USG/ MRI: All female internal genitalia identified and normal.
Patient receiving medical management under pediatrician.
Child was referred to pediatric surgeon, surgeon 's advice is to do phallus reduction and vaginoplsty at the early possible. Child is 3 months at present.
Now child is referred to me for second opinion on surgical corrections and timing!
I would like to request experts to opine on issues of surgical corrections and timing in severely virilized CAH(Prader 4/5) patient.
10th day and 3rd month images of external genitalia are posted in 5his thread for review.