Paediatric Urology

For the 2019 Paediatric Urology Guidelines, six chapters of the Guidelines have been updated through a structured assessment of the literature and these additional references and text updates have been incorporated.

Key changes in the 2019 publication:

  • Section 3.5 – Hypospadias: Both the literature and the text have been updated;
  • Section 3.7 - Varicocele in children and adolescents: The summary of evidence table and the level of evidence in a recommendation have been updated following the outcome of a systematic review by the Panel;
  • Section 3.13 - Vesicoureteric reflux: Both the literature and text have been updated;
  • Section 3.14 - Urinary stone disease: The literature has been updated resulting in minor amendments to the text;
  • Section 3.16 - Disorders of sex development: The text has been revised extensively;
  • Section 3.17 - Posterior urethral valves: Both the literature and the text have been updated.

1.5.1      New and changed recommendations

               3.16.6        Recommendations for the management of disorders of sex development

RecommendationsStrength rating
Newborns with DSD conditions warrant a multidisciplinary team approach.



Refer children to experienced centres where neonatology, paediatric endocrinology, paediatric urology, child psychology and transition to adult care are guaranteed.



Do not delay diagnosis and treatment of any neonate presenting with ambiguous genitalia since salt-loss in a 46XX CAH girl can be fatal.