Gender Assignment for Newborns With 46XY Cloacal Exstrophy: A 6-Year Followup Survey of Pediatric Urologists

Abstract

Most pediatric urologists favor male gender assignment for 46XY cloacal exstrophy, which is a significant increase in 6 years. This change represents an evolution from female to male gender assignment and virtual unanimity among fellowship directors to gender assign male. Longer practicing clinicians perceived better outcomes for female gender assignment. If this reflects true clinical outcomes, the trend toward the eventual disappearance of female gender assignment for 46XY cloacal exstrophy is concerning.