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
| Recommendations | Strength rating |
| Newborns with DSD conditions warrant a multidisciplinary team approach. | Strong
|
| Refer children to experienced centres where neonatology, paediatric endocrinology, paediatric urology, child psychology and transition to adult care are guaranteed. | Strong
|
| Do not delay diagnosis and treatment of any neonate presenting with ambiguous genitalia since salt-loss in a 46XX CAH girl can be fatal. | Strong
|