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Hypospadia

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https://www.readbyqxmd.com/read/29655861/age-related-changes-in-urinary-flow-following-dorsal-inlay-graft-urethroplasty-for-hypospadias-in-early-childhood-potential-improvement-over-11-years-of-age
#1
Woo Jin Kim, Chihiro Hayashi, Yuichiro Yamazaki
INTRODUCTION: One of the goals of hypospadias repair is to create a neourethra with normal urinary stream and normal growth. Several studies have reported that dorsal inlay graft urethroplasty (DIG) has wide indications for various clinical phenotypes of hypospadias, with good short-term outcomes and few complications. However, there have been no reports that evaluated both short-term and long-term functional outcomes using uroflowmetry in patients with DIG. OBJECTIVE: The aim was to investigate whether uroflowmetry parameters change with time following DIG for hypospadias in early childhood...
March 23, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29642338/re-long-term-functional-outcomes-after-penoscrotal-hypospadias-repair-a-retrospective-comparative-study-of-proximal-tip-onlay-and-duckett
#2
Douglas A Canning
No abstract text is available yet for this article.
April 2018: Journal of Urology
https://www.readbyqxmd.com/read/29627832/somatically-acquired-isodicentric-y-and-mosaic-loss-of-chromosome-y-in-a-boy-with-hypospadias
#3
Mami Miyado, Koji Muroya, Momori Katsumi, Kazuki Saito, Masafumi Kon, Maki Fukami
Isodicentric Y chromosome [idic(Y)] represents a relatively common subtype of Y chromosomal rearrangements in the germline; however, limited evidence supports the postzygotic occurrence of idic(Y). Here, we report a boy with hypospadias and somatically acquired idic(Y). The 3.5-year-old boy has been identified in our previous study for patients with hypospadias. In the present study, cytogenetic analysis including FISH revealed a 45,X[5]/46,X,idic(Y)[7]/46,XY[8] karyotype. MLPA showed a mosaic deletion involving PPP1R12BP1 and RBMY2DP...
April 7, 2018: Cytogenetic and Genome Research
https://www.readbyqxmd.com/read/29624839/proximal-hypospadias-treated-with-a-transverse-preputial-island-tube-long-term-functional-sexual-and-cosmetic-outcomes
#4
S P Rynja, T P V M de Jong, J L H R Bosch, L M O de Kort
OBJECTIVE: To study long-term urinary and sexual function and cosmetic outcomes in adult hypospadias patients, who underwent a single-stage transverse preputial island tube (TPIT) in childhood. Long-term data on outcomes of proximal hypospadias patients with severe coexisting curvature and insufficient urethral plate are scarce, but are necessary to decide which repair technique is most beneficial. PATIENTS AND METHODS: Proximal hypospadias patients operated with TPIT were compared to distal hypospadias (DH) patients and to a control group of male medical students...
April 6, 2018: BJU International
https://www.readbyqxmd.com/read/29621406/is-a-vegetarian-diet-safe-to-follow-during-pregnancy-a-systematic-review-and-meta-analysis-of-observational-studies
#5
Chang Tan, Yudi Zhao, Suqing Wang
BACKGROUND: Whether a vegetarian diet is appropriate for pregnancy remains unclear. OBJECTIVE: This study aimed to determine the association between vegetarian diet during pregnancy and various maternal-fetal outcomes. METHOD: PubMed-Medline, EMBASE, and Cochrane Library databases were searched for relevant articles published by August 30, 2017. Quantitative data were analyzed by a random-effects model with pooled odds ratios or weighted mean difference (WMD) and 95% confidence interval as aggregate estimations...
April 5, 2018: Critical Reviews in Food Science and Nutrition
https://www.readbyqxmd.com/read/29620719/preoperative-illnesses-in-children-do-not-increase-the-risk-of-complications-after-hypospadias-repair
#6
Elisabeth Mj Dokter, Karen Ma Slikboer, Loes Fm van der Zanden, Janette C Rahamat-Langendoen, Stefanie Sv Henriet, Wout Fj Feitz, Barbara Bm Kortmann, Nel Roeleveld, Iris Alm van Rooij
BACKGROUND: Preoperative illnesses might induce immunosuppression and subsequently increase morbidity after surgery. Several studies have tried to identify risk factors for complications after hypospadias correction, but effects of illnesses in the weeks just before surgery are unknown. We aimed to determine the associations between preoperative illnesses not severe enough to postpone surgery and short-term complications after hypospadias repair in children. METHODS: In this retrospective cohort study, data were collected from 681 children with anterior or middle type hypospadias that had initial one-stage repair in the period 1983-2012 in the Radboudumc, The Netherlands...
March 31, 2018: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/29615040/multicentre-cross-sectional-clinical-evaluation-study-about-quality-of-life-in-adults-with-disorders-differences-of-sex-development-dsd-compared-to-country-specific-reference-populations-dsd-life
#7
Marion Rapp, Esther Mueller-Godeffroy, Peter Lee, Robert Roehle, Baudewijntje P C Kreukels, Birgit Köhler, Anna Nordenström, Claire Bouvattier, Ute Thyen
BACKGROUND: Previous studies in quality of life (QOL) in individuals with disorders/differences of sex development (DSD) have been restricted to subpopulations of the condition. We describe QOL in adult persons with DSD compared to country specific references and assess the impact of diagnosis. METHODS: The multicentre cross-sectional clinical evaluation (dsd-LIFE) took place in 14 specialized clinics in six European countries. Adolescents (≥16 years) and adults having a DSD condition were included from 02/2014 to 09/2015...
April 3, 2018: Health and Quality of Life Outcomes
https://www.readbyqxmd.com/read/29610615/surgical-management-of-facial-features-of-robinow-syndrome-a-case-report
#8
Aida M Mossaad, Moustapha A Abdelrahman, Mostafa A Ibrahim, Hatem H Al Ahmady
BACKGROUND: Robinow Syndrome is an extremely rare genetic disorder characterised by abnormalities in head, face and external genitalia. This disorder exists in dominant pattern with moderate symptoms and recessive pattern with more physical and skeletal abnormalities. It was first introduced by Menihard Robinow in 1969. It was related to chromosome 9q22 ROR2 gene related to bone and cartilage growth aspects. CASE PRESENTATION: A 17-year-old Egyptian male presented to National Research Centre Orodental genetics Clinic with typical features of short stature and facial dysmorphism weighted 50 Kg and measured 150 cm height complaining of facial dis figurement...
March 15, 2018: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/29610178/proximal-hypospadias-and-a-novel-wt1-variant-when-should-genetic-testing-be-considered
#9
Elizabeth Dabrowski, Amy E Armstrong, Elizabeth Leeth, Emilie Johnson, Earl Cheng, Yasmin Gosiengfiao, Courtney Finlayson
We present a case of an infant with proximal hypospadias, penoscrotal transposition, and bilaterally descended testes found to have a clinically significant WT1 gene alteration on a customized disorder of sex development genetic panel in which 62 genes associated with 46, XY disorders of sex development were evaluated. This diagnosis led to early screening for and diagnosis and treatment of Wilms tumor. Patients with proximal hypospadias are not routinely evaluated by genetic testing, and when initial hormonal analyses are within normal ranges for a typical male patient, the genital atypia is usually attributed to an isolated anatomic abnormality...
April 2018: Pediatrics
https://www.readbyqxmd.com/read/29609831/birth-defects-in-children-of-men-exposed-in-utero-to-diethylstilbestrol-des
#10
Michel Tournaire, Emmanuel Devouche, Sylvie Epelboin, Anne Cabau, Annabel Dunbavand, Anne Levadou
OBJECTIVE: Prenatal exposure to diethylstilbestrol (DES) is associated with adverse effects, including genital anomalies and cancers in men and women. Animal studies showed birth defects and tumors in the offspring of mice prenatally exposed to DES. In humans, birth defects, such as hypospadias were observed in children of prenatally exposed women. The aim of this research was to assess the birth defects in children of prenatally exposed men. METHODS: In a retrospective study conceived by a patients' association (Réseau DES France), the reports of men prenatally exposed to DES on adverse health effects in their children were compared with those of unexposed controls and general population...
March 3, 2018: Thérapie
https://www.readbyqxmd.com/read/29605435/endocrine-disruptors-and-testicular-function
#11
Stefania Lymperi, Aleksander Giwercman
Despite concerns of the scientific community regarding the adverse effects of human exposure to exogenous man-made chemical substances or mixtures that interfere with normal hormonal balance, the so called "endocrine disruptors (EDs)", their production has been increased during the last few decades. EDs' extensive use has been implicated in the increasing incidence of male reproductive disorders including poor semen quality, testicular malignancies and congenital developmental defects such as hypospadias and cryptorchidism...
March 29, 2018: Metabolism: Clinical and Experimental
https://www.readbyqxmd.com/read/29601924/anterior-urethroplasty-using-a-new-tissue-engineered-oral-mucosa-graft-surgical-techniques-and-outcomes
#12
Guido Barbagli, Ilgar Akbarov, Axel Heidenreich, Vahudin Zugor, Roberto Olianas, Maurizio Aragona, Giuseppe Romano, Ulf Balsmeyer, Dirk Fahlenkamp, Udo Rebmann, Diana Standhaft, Massimo Lazzeri
PURPOSE: We investigated if the tissue-engineered material may be adopted using the standard techniques for anterior urethroplasty. MATERIALS AND METHOD: Retrospective, multicenter study including patients with recurrent strictures and excluding patients with failed hypospadias, lichen sclerosus, traumatic and posterior strictures. An oral mucosa biopsy of 0.5 cm2 was taken from patient's cheek and sent to the laboratory for manufacturing the graft. After 3 weeks, the tissue engineered oral mucosal graft (MukoCell®) was sent to the hospital for urethroplasty...
March 27, 2018: Journal of Urology
https://www.readbyqxmd.com/read/29596095/dexamethasone-as-an-adjuvant-for-caudal-blockade-in-pediatric-surgical-patients-a-systematic-review-and-meta-analysis
#13
Matthew A Chong, Daniel J Szoke, Nicolas M Berbenetz, Cheng Lin
BACKGROUND: Caudal block is commonly used to provide postoperative analgesia after pediatric surgery in the lower abdomen. Typically administered as a single-shot technique, 1 limitation of this block is the short duration of analgesia. To overcome this, dexamethasone has been used as an adjuvant to prolong block duration. However, there are concerns about steroid-related morbidity and the optimal route of dexamethasone administration (eg, caudal or intravenous) is unknown. METHODS: We conducted a systematic review and random-effects meta-analysis of randomized controlled trials recruiting pediatric surgical patients receiving a caudal block for surgical anesthesia or postoperative analgesia...
March 27, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29595517/parental-perception-of-terminology-of-disorders-of-sex-development-in-western-turkey-running-head-parental-perception-of-dsd-terminology
#14
Sibel Tiryaki, Ali Tekin, Ismail Yagmur, Samim Özen, Burcu Özbaran, Damla Gökşen, Şükran Darcan, İbrahim Ulman, Ali Avanoğlu
OBJECTIVE: "Disorders of sex development (DSD)" is a nomenclature proposed to defeat the discomfort of families and patients and has found worldwide usage. The aim of this study is addressing the perception and usage of terminology among the parents of DSD patients in a tertiary center in western Turkey. METHODS: The records of the DSD council between years 2008-2015 were reviewed retrospectively and data including details of the management process, patient characteristics and follow-up details were noted...
March 29, 2018: Journal of Clinical Research in Pediatric Endocrinology
https://www.readbyqxmd.com/read/29594086/the-megameatus-intact-prepuce-variant-of-hypospadias-use-of-the-inframeatal-vascularized-flap-for-surgical-correction
#15
Marc Cendron
Introduction: The megameatus intact prepuce (MIP) variant of hypospadias is a rare variant of hypospadias that is diagnosed either early at the time of circumcision or later as the foreskin is retracted. The true incidence of the anomaly is difficult to determine precisely as some patient never come to medical attention but is felt to under 5% of all cases of hypospadias. The purposes of this study are to review the embryology and clinical findings of MIP and then, in light of a personal experience, present a series of patients evaluated for MIP who were treated with a modification of the Mathieu technique...
2018: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/29584806/placental-weight-and-risk-of-cryptorchidism-and-hypospadias-in-the-collaborative-perinatal-project
#16
Armen A Ghazarian, Britton Trabert, Barry I Graubard, Matthew P Longnecker, Mark A Klebanoff, Katherine A McGlynn
Cryptorchidism and hypospadias are the most common congenital anomalies of the genitourinary tract in males, but their etiology remains unclear. Placental insufficiency has been suggested to be linked to both conditions. Placental weight is a commonly used proxy measure for placental insufficiency, thus, we examined placental weight and other placental characteristics in relation to cryptorchidism and hypospadias in the Collaborative Perinatal Project (CPP). The CPP was a mother-child cohort study conducted in the United States...
January 16, 2018: American Journal of Epidemiology
https://www.readbyqxmd.com/read/29580732/non-stented-versus-stented-urethroplasty-for-distal-hypospadias-repair-a-systematic-review-and-meta-analysis
#17
REVIEW
Michael Chua, Christopher Welsh, Bisma Amir, Jan Michael Silangcruz, Jessica Ming, Michele Gnech, Stephanie Sanger, Armando Lorenzo, Luis H Braga, Darius Bägli
INTRODUCTION: Studies have shown that non-stented distal hypospadias repair eliminates stent-related bladder spasm and stent removal discomfort without increasing complications; however, results are inconsistent. We performed a systematic review to assess the complication rates of non-stented compared to the stented distal hypospadias repair. METHODS: The literature search included randomized control trials (RCTs) and cohort studies published prior to October 2016 in all languages (PROSPERO CRD42016047563)...
February 9, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29577435/acu-lecture-one-stage-hypospadias-repair-future-is-asia-the-east
#18
Tomohiko Koyanagi
No abstract text is available yet for this article.
March 25, 2018: International Journal of Urology: Official Journal of the Japanese Urological Association
https://www.readbyqxmd.com/read/29539915/re-meatal-mobilization-and-glanuloplasty-a-viable-option-for-coronal-and-glanular-hypospadias-repair
#19
Allen F Morey
No abstract text is available yet for this article.
May 2017: Journal of Urology
https://www.readbyqxmd.com/read/29523296/the-aberrant-urethral-meatus-as-a-possible-aetiological-factor-of-recurrent-post-coital-urinary-infections-in-young-women
#20
Kostis Gyftopoulos
Recurrent urinary tract infections (rUTI) in women is a common cause of morbidity worldwide. In young women recurrent cystitis associated with sexual intercourse is quite common; however not all sexually active women will suffer a post-coital UTI episode. A variety of possible predisposing factors has been described, including behavioral risk patterns, genetic factors and increased virulence of certain subtypes of uropathogens. It has long been regarded that anatomical anomalies are rare in this setting of rUTIs...
April 2018: Medical Hypotheses
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