Policymakers consider intersex surgical standards

2017-05-18 | , AACU and Urology Times

Based on a partnership with Urology Times, articles from the American Association of Clinical Urologists (AACU) provide updates on legislative processes and issues affecting urologists. We welcome your comments and suggestions. Contact the AACU government affairs office at 847-517-1050 or info@aacuweb.org for more information.

May 2017 - Proposals to regulate treatment of sex development differences threaten to further confuse patients and physicians. Too often, urologists fail to make their voices heard when policymakers consider instituting intersex surgical standards. A lone voice in Nevada hopes to add nuance to legislation governing a child's consent.

As indicated by a dialogue taking place at UrologyTimes.com following the July 5, 2016, publication of an awareness-raising post entitled, The transgender community: Urology has a role and responsibility, physicians might well-benefit from continuing education on distinctions between differences of sex development (DSD) and gender dysphoria. Responding to the online publication, a concerned grandmother pointed out that associating congenital adrenal hyperplasia (CAH) with "bathroom bill" controversies overstates any connection between an inherited condition and one's psychological understanding of their gender identity. In fact, CAH patients and all other intersex people identify as transgendered or transsexual at the same rate as the non-DSD population, according to the Intersex Society of North America.

Organizations that promote national medical policy standards and lawmakers in several states (Texas, Indiana, Nevada) have recently considered proposals that would direct scrutiny upon surgical procedures undertaken in infancy to assign or confirm gender.