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Shane D Morrison, Afaaf Shakir, Krishna S Vyas, Johanna Kirby, Curtis N Crane, Gordon K Lee
BACKGROUND: Acquired or congenital absence of the penis can lead to severe physical limitations and psychological outcomes. Phallic reconstruction can restore various functional aspects of the penis and reduce psychosocial sequelae. Moreover, some female-to-male transsexuals desire creation of a phallus as part of their gender transition. Because of the complexity of phalloplasty, there is not an ideal technique for every patient. This review sets out to identify and critically appraise the current literature on phalloplasty techniques and outcomes...
September 2016: Plastic and Reconstructive Surgery
Marissa L Gredler
An intromittent phallus is used for sperm transfer in most amniote taxa; however, there is extensive variation in external genital morphology within and among the major amniote clades. Amniote phalluses vary in number (paired, single, or rudimentary), spermatic canal morphology (closed tube or open sulcus), and mode of transition between resting and tumescent states (inflation, rotation, eversion, or muscle relaxation). In a phylogenetic context, these varying adult anatomies preclude a clear interpretation for the evolutionary history of amniote external genitalia; as such, multiple hypotheses have been presented for the origin(s) of the amniote phallus...
October 2016: Integrative and Comparative Biology
J P York
In brief Most injuries to the penis and scrotum in sports result from direct blows and require prompt evaluation. Bicycler's penis is a paresthesia and numbness in the perineum and phallus that resolve spontaneously. A direct blow to the scrotum usually causes a testicular contusion that responds to elevation of the scrotum and bed rest. Athletes wear athletic supporters and plastic cups for scrotal protection. Sexually transmitted diseases-nongonococcal urethritis, condyloma acuminatum, and herpes progenitalis-are common urologic problems in athletes...
October 1990: Physician and Sportsmedicine
Wagner Rafael M De Souza, Allan Paulo Moreira Santos, Daniela Maeda Takiya
Approximately 300 species are assigned to Stactobiinae, most of them occurring in the Old World. Seven species have been recorded from Brazil, six of Flintiella and one of Bredinia. Herein, three new species are described and illustrated based on specimens collected in Maranhão and Piauí states from Northeastern Region of Brazil: Orinocotrichia angelus sp. nov. (Holotype male deposited in CZMA: Maranhão State) can be distinguished by the subgenital plate conspicuous, mesally divided; Flintiella pallida sp...
2016: Zootaxa
Isabela Cristina Rocha, Leandro Lourenço Dumas, Jorge Luiz Nessimian
Three new species of Smicridea McLachlan 1871 are described and illustrated based on specimens collected in Parque Nacional da Serra da Canastra and its surrounding area, Minas Gerais state, southeastern Brazil. Smicridea (Rhyacophylax) necator sp. nov. possibly belongs to the S. (R.) dispar Group, but its placement in this group is weakly supported; S. (Smicridea) franciscana sp. nov. belongs to the S. (S.) nigripennis Group based on morphology of the phallus; S. (S.) sepala sp. nov. is a member of the S. (S...
2016: Zootaxa
Carina Mara De Souza, Eliana Buenaventura
Three new species of Oxysarcodexia Townsend (Diptera: Sarcophagidae) from the Colombian Andes are described based on male specimens collected using decaying animal matter as bait: Oxysarcodexia catica sp. n., O. laclaricola sp. n., and O. liliarum sp. n. The straight and narrow cercal prong with an acute apex, and the juxta enlarged distally and folded backwards of O. catica sp. n. resemble these structures in O. fraterna Lopes, O. peruviana (Lopes) and O. vittata (Walker). The shape of the cercus of O. laclaricola sp...
2016: Zootaxa
Fereshteh Talebpour Amiri, Davood Nasiry Zarrin Ghabaee, Ramezan Ali Naeimi, Seyed Javad Seyedi, Seyed Abdollah Mousavi
BACKGROUND: Aphallia or penile agenesis is a rare malformation accompanying with no phallus. This anomaly is extremely rare with abnormality of urogenital system and psychological consequences. Its outbreak is estimated 1 out of 10-30 million births. CASE: Reviewing 3 cases of male external genitalia agenesis, which associated with multiple anomalies of musculoskeletal, cardiovascular and genitourinary system. CONCLUSION: Aphallia has psychosocial consequences and a guarded prognosis...
April 2016: International Journal of Reproductive Biomedicine (Yazd, Iran)
S Carnaccini, N M Ferguson-Noel, R P Chin, T Santoro, P Black, M Bland, A A Bickford, C G Sentíes-Cué
In April 2014, poor fertility in a major commercial goose breeder operation in California triggered the submission of six live affected Toulouse ganders ( Anser anser ) to the California Animal Health and Food Safety Laboratory, Turlock branch (University of California-Davis). Toulouse were principally affected among all breeds, and their egg fertility dropped from 65.7% to less than 33.9% in the first 40 days of the 2014 breeding season. The flock consisted of 410 adult birds, 90 males and 320 females, between 2 and 5 yr of age...
June 2016: Avian Diseases
Pranab Kumar Sahana, Krishna Shankar Gopal Sankar, Nilanjan Sengupta, Kaustubh Chattopadhyay
A 6½ years Indian boy was brought by his parents, who were anxious about the excessive increase in the size of the boy's phallus, from the age of 2 years. On physical examination, the child had a penis length greater than the 97th centile for age, a sexual maturity rating of gonads at stage 2 and pubic hair at stage 3, with height in the high normal range (90-97th centile). The bone age was 12 years. Laboratory evaluation showed pubertal levels of testosterone and pubertal gonadotropin response to stimulation, confirming central precocious puberty (CPP)...
2016: BMJ Case Reports
Brandon C Moore, David Spears, Taylor Mascari, Diane A Kelly
The distal part of the crocodilian phallus consists of a bulbous glans containing well-developed vascular tissues that can inflate before or during sexual activity, enlarging and elaborating the glans into a complex, though still functionally undefined, copulatory structure. An enlarged glans putatively interacts with the female cloaca and may change the shape of her reproductive tract to facilitate insemination and increase the probability of fertilization. Here, we investigated the cellular-level properties of the glans and other inflatable phallic tissues associated with the sperm-conducting sulcus spermaticus in the American alligator (Alligator mississippiensis)...
October 2016: Integrative and Comparative Biology
Hamed M Seleim, Mohamed M Elbarbary
AIM: To report a grading system for complications of male circumcision, and to represent our experience with salvage surgery for postcircumcision electro-cautery penile ablation injuries. PATIENTS AND METHODS: Circumcision injuries presented to our department between January 2010 and January 2015 were collected and graded into five categories according to the degree of penile injury, and the possibility for surgical reversibility. RESULTS: Salvage surgery was carried out on 5 cases of post circumcision total phallic loss (grade V injuries)...
September 2016: Journal of Pediatric Surgery
Manish Raisingani, Maria F Contreras, Kris Prasad, John G Pappas, Michelle L Kluge, Bina Shah, Raphael David
Gonadotropin independent sexual precocity (SP) may be due to congenital adrenal hyperplasia (CAH), and its timing usually depends on the type of mutation in the CYP21A2 gene. Compound heterozygotes are common and express phenotypes of varying severity. The objective of this case report was to investigate the hormonal pattern and unusual genetic profile in a 7-year-old boy who presented with pubic hair, acne, an enlarged phallus, slightly increased testicular volume and advanced bone age. Clinical, hormonal and genetic studies were undertaken in the patient as well as his parents...
July 1, 2016: Journal of Pediatric Endocrinology & Metabolism: JPEM
Hestia O Idiodi-Thomas, Adesoji O Ademuyiwa, Olumide A Elebute, Felix M Alakaloko, Christopher O Bode
AIMS: Hypospadias is a common congenital anomaly of the urethra and phallus, which is not life threatening. It is thus less prioritised in a resource-limited setting. The aim of this study was to evaluate the management of hypospadias by our paediatric surgery unit and determine the factors affecting the delay between presentation and surgical repair while proffering possible solutions to such delay in hypospadias repair surgery. PATIENTS AND METHODS: This was a retrospective review of all hypospadias repair surgeries carried out by our paediatric surgery unit over a 38-month period, evaluating the period between presentation and first surgery for each patient...
January 2016: Nigerian Postgraduate Medical Journal
Yang Zhe, Li Yangqun, Tang Yong, Zhao Muxin, Chen Wen, Ma Ning, Wang Weixin
OBJECTIVE: To introduce the application of pedicled anterolateral thigh (ALT) flap for total penile reconstruction and to investigate its feasibility and effect. METHODS: From May 2011 to May 2015, 12 male patients presented with absence of the penis or congenital malformation received phalloplasty with the pedicled ALT flap. Of them, the median age was 35 years old (range, 20-57 years). The size of the flaps ranged from 11 cm x 11 cm to 12 cm x 15 cm. 8 patients underwent urethra reconstruction with tube-in-tube flaps and other 4 patients with scrotal septal flaps...
November 2015: Zhonghua Zheng Xing Wai Ke za Zhi, Zhonghua Zhengxing Waike Zazhi, Chinese Journal of Plastic Surgery
Inas Mazen, Heba Amin, Alaa Kamel, Mona El Ruby, Joelle Bignon-Topalovic, Anu Bashamboo, Ken McElreavey
Congenital heart diseases (CHDs) are the most common cause of all birth defects and account for nearly 25% of all major congenital anomalies leading to mortality in the first year of life. Extracardiac anomalies including urogenital aberrations are present in ∼30% of all cases. Here, we present a rare case of a 46,XY patient with CHD associated with ambiguous genitalia consisting of a clitoris-like phallus and a bifid scrotum. Exome sequencing revealed novel homozygous mutations in the FGFR1 and STARD3 genes that may be associated with the phenotype...
2016: Sexual Development: Genetics, Molecular Biology, Evolution, Endocrinology, Embryology, and Pathology of Sex Determination and Differentiation
Barnaby B Barratt
The intergenerational transmission of psychic life has been difficult to explore psychoanalytically given that a treatment of both parent and child is rarely, if ever, feasible. Here the issue is explored in terms of father-son relationships. Three legendary fathers (Abraham, Laius, Shiva) are discussed as illustrating the filicidal legacy they imposed psychically and corporeally on their sons. Three contemporary case vignettes are then presented, indicating ways in which sons ambivalently memorialize their fathers...
April 2016: Psychoanalytic Review
S Carnaccini, L J Lowenstine, C G Sentíes-Cué, A Nyaoke, M Bland, A A Bickford, H L Shivaprasad, S T Stoute
Trichodinid ciliophorans are opportunistic parasites of many species of fish, amphibians, and molluscs, but yet never reported in association with lesions in birds. Postmortem and histopathological evaluation of a commercial adult Toulouse gander and female goose, and a wild Mallard drake revealed the presence of severe pathological parasitic colonization of their reproductive tracts. Histopathological findings included moderate to severe granulocytic inflammation, acanthosis, accentuation of the rete pegs, and proliferative hyperplastic squamous metaplasia of the mucosa of the ejaculatory ducts and groove, sulcus spermaticus, glandular part of the phallus (cavum penis), and oviduct in association with large numbers of ciliated protozoa anchored to the tissues or free in the lumen...
August 2016: Avian Pathology: Journal of the W.V.P.A
Leily Mohajerzadeh, Alireza Mirshemirani, Mohsen Rouzrokh, Naser Sadeghian, Ahmad Khaleghnejad-Tabari, Alireza Mahdavi, Sareh Poorhasan
BACKGROUND: Hypospadias is one of the most common congenital genital anomalies in males that necessitates to be operated early in infancy (when 6 to 9 months old). On the other hand, hypospadias is a challenging field of pediatric urology with multiple reconstruction techniques. A perfect hypospadias repair is supposed to return urethral continuity with sufficient caliber, eradicate phallus curvature, and supply an acceptable appearance with low complications. OBJECTIVES: This study aimed to evaluate the outcomes of using onlay island flap technique in the repair of hypospadias with shallow urethral plate...
February 2016: Iranian Journal of Pediatrics
James R Craig, Chad Wallis, William O Brant, James M Hotaling, Jeremy B Myers
Hypospadias is one of the most prevalent anomalies of the male genitalia. Contemporary hypospadias repair is very successful, but patients that have the surgery fail often require multiple surgeries throughout their life. Complications from failed hypospadias repairs have a significant impact on patients both psychologically and physically. Failed hypospadias repair encompasses a spectrum of problems that include hypospadias recurrence with an ectopic meatus, urethral fistula, urethral stricture, and ventral penile curvature...
June 2014: Translational Andrology and Urology
Maurice M Garcia, Nim A Christopher, Francesco De Luca, Marco Spilotros, David J Ralph
BACKGROUND AND PURPOSE: What factors influence transgender men's decisions to undergo (and to not undergo) specific genital gender confirming surgeries (GCS) has not been described in the literature. Sexual function outcomes related to clitoral transposition and penile prosthesis placement is also not well described. Durability of neophallus dimensions after phalloplasty has not been described. A better understanding of these factors is necessary for pre-op counseling. We sought to assess patient genital-GCS related satisfaction, regret, pre/post-op sexual function, genital preferences, and genital measurements post-op...
June 2014: Translational Andrology and Urology
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