A pediatric urologist who told a teenage boy on puberty blockers that his bloody urine wasn't a side effect of the drugs now stands charged with possessing child pornography. The case of Dr. Bryan Sack, exposed in a declaration filed this week in the FTC's lawsuit against the World Professional Association for Transgender Health, reveals how the industry pushing gender-transition drugs on minors shields and enables predators.
Jonni Skinner, a detransitioner, submitted a declaration Wednesday describing how Sack dismissed his alarming symptoms as "dysfunctional voiding" when he was 15. Skinner had been referred to Sack by a gender clinic endocrinologist in 2018. He was taking the puberty blocker Histrelin, among other transition drugs. His urine turned "strawberry colored" and contained "flakes of skin," according to his declaration. He suffered incontinence and "full-body Charlie horses." When his mother asked Sack whether the drugs were to blame, he insisted they weren't. He then noted in Skinner's medical chart that the boy's symptoms were "secondary to dysfunctional social voiding" — blaming the patient's bathroom habits rather than the pharmaceutical regimen. The school then directed the biological male student to use the girls' bathroom and cut off his access to the nurse's office.
Sack was arraigned in February on six felony charges related to possession of "child sexually abusive material" involving a minor under 12, according to local reporting. Investigators found nude pictures of prepubescent girls linked to his email and screen name. He was working at Nationwide Children's Hospital in Toledo, Ohio, which fired him upon learning of the arrest.
The Daily Caller reported that Skinner's declaration was filed as part of the FTC's ongoing lawsuit against WPATH. The suit alleges the organization engaged in deceptive practices related to standards of care for gender-transition treatments. Skinner's account joins a growing body of evidence that WPATH's guidelines prioritize ideological conformity over patient welfare. When a child's body is breaking down under prescribed drugs and the prescribing physician turns out to be a collector of child sexual abuse material, the institutional safeguards are clearly not working.
Meanwhile, in North Carolina, a separate case underscores how schools facilitate harm. The Asheville Citizen-Times reported that Colby Saltz, a 25-year-old teacher's assistant at East Henderson High School, was arrested June 19 and charged with statutory sex offense with a child and a sexual act with a student. The Henderson County Sheriff's Office said its investigation found an "inappropriate sexual relationship" between Saltz and a student. The school district fired him immediately upon notification.
Both cases share a common thread: adults in positions of trust over children who used that access and authority to exploit minors. In Sack's case, the institution that was supposed to oversee his practice failed, and the drugs he prescribed did measurable harm to a teenage boy — harm that was dismissed as psychosomatic. The question the FTC lawsuit poses is whether organizations like WPATH are creating conditions where such failures become inevitable. When the standard of care is written to protect the protocol rather than the patient, children pay the price.
