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Undescend testis

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https://www.readbyqxmd.com/read/28094762/persistent-mullerian-duct-syndrome-with-transverse-testicular-ectopia-a-novel-amh-receptor-mutation
#1
Özlem Korkmaz, Samim Özen, Nurhan Özcan, Petek Bayındır, Sait Şen, Hüseyin Onay, Damla Gökşen, Ali Avanoğlu, Ferda Özkınay, Şükran Darcan
Persistent Mullerian duct syndrome is the result of either anti-Mullerian hormone (AMH) deficiency or AMH receptor resistance. A long tubular structure (testis/?) was palpated during the physical examination of a 13-month-old male patient who admitted because of bilateral undescended testes. Structures suggestive of ovaries, a uterus and fallopian tubes were observed during laparoscopic examination of the ectopic testis. AMHR2 gene sequence analysis performed wıth a preliminary diagnosis of AMH receptor resistance revealed a previously unreported homozygous c...
January 17, 2017: Journal of Clinical Research in Pediatric Endocrinology
https://www.readbyqxmd.com/read/28050387/alobar-holoprosencephaly-associated-with-meningomyelocoele-and-omphalocoele-an-unusual-coexistence
#2
Tejaswini Priyadarshan Waghmare, Pragati Aditya Sathe, Naina Atul Goel, Bhuvaneshwari Mahendra Kandalkar
Holoprosencephaly is a rare congenital disorder which results from failure of cleavage or incomplete differentiation of the forebrain structures at various levels or to various degrees. Depending on the degree of involvement, it is classified into 4 types: Alobar, Semilobar, Lobar and Middle interhemispheric fusion variant. A male child was born to 28-year-old female at 34 weeks of gestation. The mother on antenatal follow-up was detected to have a fetus with multiple congenital anomalies on Ultrasonography (USG) done at 34weeks of gestation...
November 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28029537/-congenital-undescended-testis-should-open-processus-vaginalis-have-any-impact-on-the-elected-surgical-approach
#3
E Bey, O Gaget, J Jund, C Overs, O Skowron
PURPOSE: Compare the position of the undescended testis at clinical examination and under general anesthesia with the patency of an open processus vaginalis. PATIENTS AND METHODS: We included children from 2 to 18 years of age operated for a unilateral or bilateral undescended testis between January 2006 and April 2014 at the Annecy Genevois hospital, France. The analysis was conducted considering that the individual was the testis. Testicular position before surgery, under general anesthesia and patency of open processus vaginalis as a surgical finding were prospectively recorded...
October 28, 2016: Progrès en Urologie
https://www.readbyqxmd.com/read/28027755/a-preliminary-study-of-shear-wave-elastography-for-the-evaluation-of-unilateral-palpable-undescended-testes
#4
Ayse Kalyoncu Ucar, Deniz Alis, Cesur Samanci, Mine Aslan, Hatice Arioz Habibi, Atilla Suleyman Dikici, Yesim Namdar, Mehmet Hamza Gultekin, Bulent Onal, Ibrahim Adaletli
OBJECTIVES: We sought to compare unilateral palpable undescended testes and contralateral descended testes using shear wave elastography (SWE) to show potential quantitative differences in elasticity patterns, which might reflect the histologic features. METHODS: Approval for this prospective study was obtained from the local ethics committee. A total of 29 patients (mean age, 7.52 years; range, 1-18 years) with unilateral palpable undescended testes and contralateral descended testes were examined by greyscale ultrasonography and SWE between February 2015 and April 2016...
January 2017: European Journal of Radiology
https://www.readbyqxmd.com/read/28002344/the-role-of-ultrasound-in-the-management-of-undescended-testes-before-and-after-orchidopexy-an-update
#5
Grzegorz Jedrzejewski, Andrzej Pawel Wieczorek, Pawel Osemlak, Pawel Nachulewicz
The aim of this study was to evaluate the testicular volume and structure using ultrasound (US) before and up to 3 years after orchidopexy in children with different age.A total of 128 patients underwent orchidopexy for undescended testes. Afterwards, patients were invited for annual follow-up and control scrotal US. The total number of analyzed testes after orchidopexy was 184. Patients were divided according to age at the time of surgery: group I (2-4 years old), group II (5-7), and group III (8-10). In all patients, the testicular volume ratio was calculated as the operated testes volume versus the control testes mean volume...
December 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27919139/-a-case-of-steroid-sulfatase-deficiency-complicated-by-bilateral-undescended-testis
#6
Takuya Okusa, Gaku Yamamichi, Ayumu Taniguchi, Nozomu Kishimoto, Koichi Tsutahara, Go Tanigawa, Tetsuya Takao, Seiji Yamaguchi
Steroid sulfatase (STS) deficiency is one of the causes of ichthyoses. STS genes on the X chromosome is responsible for this disease. Therefore, STS deficiency is also called X-linked ichthyosis. Herein we report a case of STS deficiency complicated by bilateral undescended testis. A5-year-old-boy with STS deficiency was referred to our hospital because of bilateral undescended testis. We performed bilateral orchiopexy.
November 2016: Hinyokika Kiyo. Acta Urologica Japonica
https://www.readbyqxmd.com/read/27900759/torsion-of-the-undescended-testis-detected-by-99mtc-testicular-scintigraphy-a-case-report
#7
Hamed Shayegani, Ghasemali Divband, Mahmoud Tavakkoli, Maliheh Banihasan, Ramin Sadeghi
We reported a case of torsion of the undescended testis in a 9-month-old boy which was diagnosed with 99mTc testicular scin-tigraphy. The scan showed diffuse increased activity in the location of the undescended testis and no photopenic area was visible. At surgery, torsion of the undescended testis was detected and fixed.
2016: Nuclear Medicine Review. Central & Eastern Europe
https://www.readbyqxmd.com/read/27887012/epididymal-papillary-cystadenocarcinoma-metastasising-to-the-testis-in-a-patient-with-infertility-managed-with-onco-microtese
#8
Nisha Pindoria, Yurina Miki, Andrea Tay, Ashish Chandra, Christopher Anderson, Evangelos Zacharakis, Majed Shabbir
Papillary cystadenomas of the epididymis are known to occur in association with Von Hippel-Lindau (VHL) disease. The development of a papillary cystadenocarcinoma, its malignant counterpart, is rare with only a few sporadic cases reported in the literature. Metastatic deposits are exceedingly uncommon; in fact, only a single case report has documented metastases to the paraureteral region, but metastases to the testis have never been reported. A 43-year-old gentleman with VHL disease presented with non-obstructive azoospermia, a right epididymal mass, and an atrophic surgically corrected undescended left testis...
November 24, 2016: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/27867845/current-management-of-non-palpable-testes-a-literature-review-and-clinical-results
#9
REVIEW
Ximena Sepúlveda, Pedro-José López Egaña
Cryptorchidism is a common pathology that occurs in 3% in full term newborns, and it decreases to 0.8-1.2% at 1 year of age. Nearly a 20% of undescended testes are non-palpable. Various surgical treatments have been described, but its management is still controversial. A literature review was made of non-palpable testes, analysing diagnostic tools, treatment and its results. Additionally we reviewed non-palpable testes cases treated in our centre in the last 20 years. Different techniques are described for the management of non-palpable testes; with or without section of the spermatic vessels and/or in 1 or 2 stages...
October 2016: Translational pediatrics
https://www.readbyqxmd.com/read/27770240/does-the-internal-inguinal-ring-need-closure-during-laparoscopic-orchiopexy-with-prentiss-manoeuvre
#10
Sarath Kumar Narayanan, Jagadeesh N Puthenvariath, Prathap Somnath, Arun Mohanan
BACKGROUND: Undescended testis is a common problem, which is prevalent in 3 % of male infants. This study aimed to determine the effect of leaving the deep inguinal ring (DIR) without closure during laparoscopic orchiopexy (LO), with regard to post-operative hernia formation and other outcomes. METHODS: From 2012 to 2014, 63 testicular units were managed with laparoscopy for non-palpable testis (NPT). Diagnostic laparoscopy was performed for all NPTs, and when they were intra-abdominal (42 testicular units), the DIR was left open after mobilization of the testis into the scrotum medial to the inferior epigastric vessels (Prentiss manoeuvre)...
October 21, 2016: International Urology and Nephrology
https://www.readbyqxmd.com/read/27738401/a-rare-cause-of-acute-abdomen-tumor-rupture-of-nonpalpable-testis
#11
Turan Yıldız, Zekeriya İlçe, Yasemin Gündüz, Gözde Çakar Çakırsoy
Undescended testicle is the most common congenital anomaly among males. Testicular tumor develops in 3-5% of the boys with a complaint of undescended testicle. The clinical presentation of malignant intra-abdominal testicular tumors ranges from asymptomatic cases to acute abdomen. In this study, we present a child with testicular tumor rupture which is observed very rarely. A 16-year-old boy presented 24 hours after the sudden onset of right lower quadrant pain, nausea, vomiting and fever. On physical examination, extensive tenderness in the abdomen and abdominal guarding were found...
September 2016: Türk Pediatri Arşivi
https://www.readbyqxmd.com/read/27722006/a-unique-case-of-intraabdominal-polyorchidism-a-case-study
#12
Javier Otero, Natalie Ben-Yakar, Biruk Alemayehu, Steven D Kozusko, Frank Borao, Thomas S Vates Iii
Background. Polyorchidism, alternatively supernumerary testes (SNT), is a condition where an individual is born with more than two testicles. This congenital anomaly is quite rare and the literature has described various presentations. Questions/Purposes. To our knowledge, this presentation of polyorchidism has yet to be described in the literature. The goal of this case study is to add to the pediatric, general, and urologic surgery's body of knowledge of the subject matter. Case Study. A nine-month-old boy was admitted for an impalpable right testis and phimosis...
2016: Case Reports in Urology
https://www.readbyqxmd.com/read/27687532/management-of-undescended-testes-european-association-of-urology-european-society-for-paediatric-urology-guidelines
#13
REVIEW
Christian Radmayr, Hasan S Dogan, Piet Hoebeke, Radim Kocvara, Rien Nijman, Raimund Stein, Shabnam Undre, Serdar Tekgul
CONTEXT: Undescended testis is the most common endocrinological disease in the male newborn period. Incidence varies between 1.0% and 4.6% in full-term neonates, with rates as high as 45% in preterm neonates. Failure or delay of treatment can result in reduced fertility and/or increased testicular cancer risk in adulthood. OBJECTIVE: To provide recommendations for the diagnosis and treatment of boys with undescended testes which reduce the risk of impaired fertility and testicular cancer in adulthood...
December 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/27649393/what-animal-models-of-testicular-descent-and-germ-cell-maturation-tell-us-about-the-mechanism-in-humans
#14
John Medwyn Hutson, Ruili Li, Jaya Vikraman, Moshe Loebenstein
Testicular descent occurs in most mammals in two main steps that have different hormonal control and anatomical processes. The evolution of testicular descent reveals the same basic processes in humans and animals, with minor differences in timing and anatomy, especially the location of the scrotum and the processus vaginalis. Animal models are useful as they reveal some embryological processes that cannot be studies easily in humans, such as the potential role of the mammary line and the role of the genitofemoral nerve...
October 2016: European Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27631724/comments-to-recent-guidelines-on-undescended-testis
#15
Balazs Kutasy, Joergen M Thorup, Tomas Wester
During the past couple of decades, our understanding of the treatment of undescended testis (UDT) has hugely expanded and it is still dynamically changing: new diagnostic tools are available, and experimental procedures are becoming a real-life treatment options. Our community needs to continuously update our guidelines. It is also our responsibility to build up, not a uniform, but a patient-oriented guideline which can provide information for both primary care providers and pediatric surgeons. Here, in Europe, we endeavor to change the different national guidelines to one common European pediatric surgical guideline in the treatment of UDT...
October 2016: European Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27631723/surgical-management-of-the-undescended-testis-recent-advances-and-controversies
#16
Jack S Elder
Undescended testis (UDT) is the most common disorder of sexual development in boys and affects 3.5% of male newborns. Although approximately half of newborn UDTs descend spontaneously, some boys develop an ascending testis later in childhood. Recent guideline recommendations advocate orchiopexy by 18 months of age to maximize potential for fertility and perhaps reduce the risk for testicular carcinoma in the future. For palpable testes, a standard inguinal approach is appropriate. However, the prescrotal approach is often effective for low inguinal testes and reduces surgical time and patient discomfort with an equivalent success rate in boys with an ascending testis...
October 2016: European Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27614808/the-diagnostic-impact-of-testicular-biopsies-for-intratubular-germ-cell-neoplasia-in-cryptorchid-boys-and-the-subsequent-risk-of-testicular-cancer-in-men-with-prepubertal-surgery-for-syndromic-or-non-syndromic-cryptorchidism
#17
Lene Osterballe, Erik Clasen-Linde, Dina Cortes, Gerda Engholm, Rasmus Hertzum-Larsen, Susanne Reinhardt, Jorgen Thorup
INTRODUCTION: Cryptorchidism is a risk factor for testicular cancer in adult life. It remains unclear how prepubertal surgery for cryptorchidism impacts later development of adult testicular cancer. The aim of study was to investigate tools to identify the cryptorchid boys who later develop testicular cancer. METHODS: The study cohort consisted of 1403 men operated prepubertally/pubertally for undescended testis between 1971 and 2003. At surgery testicular biopsies were taken from the cryptorchid testes...
August 27, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27597925/a-case-of-cryptorchidism-with-ipsilateral-congenital-unilateral-absence-of-the-vas-deferens-and-contralateral-renal-agenesis
#18
Young Dong Yu, Young Kwon Hong
Introduction and Aims. Congenital absence of the vas deferens is an uncommon anomaly and this clinical condition is responsible for up to 1-2% of male infertility. It can be either unilateral or bilateral and the associated anomalies include cryptorchidism, seminal vesicles and ejaculatory ducts anomalies, and renal anomalies such as renal agenesis. We hereby present a case of congenital unilateral absence of vas deferens, which was found incidentally during an evaluation of undescended testis in a patient with ipsilateral renal agenesis...
2016: Case Reports in Urology
https://www.readbyqxmd.com/read/27585539/a-caecal-pseoudotumour-with-an-incidental-adenomatoid-testicular-tumour-in-a-man-with-right-undescended-testis-a-case-report
#19
Alex Muturi, Vihar Kotecha, Cynthia Ojee, Desmond Mang'oka, John Muthuri
BACKGROUND: Inflammatory pseudotumour refers to a non-malignant tumour-like mass resulting from an inflammatory reaction that is composed of granulation tissue with leukocyte infiltration that commonly occurs in the paediatric or young adult population. These tumours occur more commonly in the lungs and the orbit but rarely does it affect the gastrointestinal tract. It poses a clinical diagnostic challenge since it is a benign condition than can mimic the malignant counterpart. Our case is a rare presentation of the caecal pseudotumour in the presence of a right undescended abdominal testis evaluated as a caecal tumour with a differential diagnosis of a testicular malignancy...
September 1, 2016: World Journal of Surgical Oncology
https://www.readbyqxmd.com/read/27579208/pantaloon-hernia-obstructed-indirect-component-and-direct-component-with-cryptorchidism
#20
Mohan Kumar Kariappa, Vivek Harihar, Ashwini Rajareddy Kothudum, Vivekanand Kedarlingayya Hiremath
Cryptorchidism is a condition in which one or both testes have not passed down into the scrotal sac. It is categorized as true undescended testis in which testes are present in the normal path of descent, and as ectopic testis, in which testes are present at abnormal site. Common complications of cryptorchidism are testicular torsion, subfertility, inguinal hernia, and testicular cancer. Here we present a rare case of pantaloon hernia of obstructed indirect component and direct component with cryptorchidism...
2016: Case Reports in Surgery
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