Weill Cornell Medicine Urology
Weill Cornell Medicine Urology
Genitoplasty - Symptoms & Evaluation

Genitoplasty - Symptoms & Evaluation

Medical Treatment

The major cause of morbidity and mortality in children with adrenal hyperplasia is the salt-wasting crisis. The enzyme defects most commonly associated with mortality are the salt-wasting 21-hydroxylase defect and the 3B-hydroxysteroid dehydrogenase deficiency. Fatalities were commonplace in the past because this syndrome went unrecognized. In Hendren's landmark 1969 paper, all seven patients described were salt-wasting CAH females who were inappropriately assigned as males. The diagnosis was only established when each child underwent an adrenal crisis in the first month of life.

Identification of a salt-wasting component is essential, and consultation with a pediatric endocrinologist is necessary to implement proper treatment. Glucocorticoids are given to replace the absent cortisol. Steroid replacement is also required to suppress ACTH so that additional excess androgen production is avoided. In females with CAH, glucocorticoid replacement is also necessary to prevent the stigmata of hyperandrogenism such as alopecia, acne, irregular menses and infertility.

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To request an appointment, please call our office at 212-746-5337. Our phone staff are available to help you Monday-Friday, from 9AM-5PM (EST).

You can find the office contact information for each physician specializing in Genitoplasty by visiting their profile listed on the bottom of this webpage.

If you'd like to learn more about our providers that specialize in Genitoplasty, please review the Physicians & Faculty profiles listed at the bottom of this page.

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Physicians & Faculty

Ardavan Akhavan

M.D.

212.746.5361
212.746.5361
AETNA-HMO, AETNA-PPO, Aetna-Weill Cornell POS, Affinity Access, Affinity Health Plan, Blue Priority Network, CIGNA, EBCBS HMO, EBCBS Mediblue, EBCBS Pathway X, EBCBS Pathway X Enhanced, EBCBS PPO/EPO, Empire BCBS HealthPlus, Empire BCBS HealthPlus (CHP), Fidelis Care, Health First, Health Insurance Plan of NY (HIP), Health Insurance Plan of NY (HIP) [Medicaid], Oxford Freedom, Oxford Health Plans [Liberty], Oxford Health Plans [Metro/Core/Charter], Rockefeller University-CoreSource, UHC Compass, United Empire Plan, United Health Care [Community Plan], United Healthcare Commercial, VNSNY CHOICE SelectHealth
The LeFrak Center for Robotic Surgery
Dr. Dix Phillip Poppas, M.D., F.A.A.P., F.A.C.S. | Cornell Urology

Dix P. Poppas

M.D., F.A.C.S., F.A.A.P., F.C.P.

212.746.5337
212.746.5337
AETNA-HMO, AETNA-PPO, Aetna-Weill Cornell POS, Affinity Access, Affinity Essential, Affinity Health Plan, Blue Priority Network, CIGNA, EBCBS HMO, EBCBS Pathway X, EBCBS Pathway X Enhanced, EBCBS PPO/EPO, Empire BCBS HealthPlus, Empire BCBS HealthPlus (CHP), Fidelis Care, Health First, Health Insurance Plan of NY (HIP) [Medicaid], Medicaid, Medicare, Oxford Freedom, POMCO, Rockefeller University-CoreSource, VNSNY CHOICE SelectHealth
Klinefelter Syndrome Care Center
Dr. Jeremy B. Wiygul, M.D. | Cornell Urology

Jeremy Wiygul

M.D.

(718) 224-2644
(718) 224-2644
AETNA, AETNA [Medicare], AETNA-HMO, AETNA-PPO, Affinity Essential, Affinity Health Plan, Amida Care, CIGNA, EBCBS HMO, EBCBS Mediblue, EBCBS Pathway X, EBCBS Pathway X Enhanced, EBCBS PPO/EPO, Elderplan, Empire BCBS HealthPlus, Empire BCBS HealthPlus (CHP), Empire BCBS HealthPlus (Medicaid), Empire Plan, Fidelis (Medicare, Medicaid & CHP ), GHI, Health First, Health First (Medicare, Medicaid, FIDA, CHP, Exchange and Essential Plans), Health Insurance Plan of NY (HIP), Health Insurance Plan of NY (HIP) [Medicaid], Health Insurance Plan of NY (HIP) [Medicare], Healthcare Partners (Commercial, Medicaid, Medicare only underwritten by HIP), HIP (Incl. Comprehealth) (Emblem Exchange Products: Select Care Bronze, Silver, Gold, Platinum, Basic), Local 1199, MagnaCare (PPO, Direct Plus), Medicaid Fee for Service, Medicare Fee for Service, MultiPlan, Oxford (NY State of Health), Oxford Freedom, Oxford Health Plans [Liberty], Oxford Health Plans [Medicare], Oxford Health Plans [Metro/Core/Charter], Oxford Medicare, UHC Community Plan - Essential Plan, UHC Community Plan - Medicaid Plan, UHC Compass, UHC Compass-HMO, UHC Medicare, United Empire Plan, United Health Care, United Health Care [Community Plan], United Healthcare Commercial, VNSNY CHOICE Medicare, VNSNY CHOICE SelectHealth, VNSNY Choice/VNS FIDA (formerly Select Health), Wellcare (Medicare, Medicaid, CHP)
Weill Cornell Medicine Urology - Queens

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