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https://www.readbyqxmd.com/read/27895374/pediatric-laparoscopic-surgery-initial-experience-from-pakistan-first-100-cases-in-single-center
#1
Hassan Ishaq, Saqib Hamid Qazi, Sohail Dogar, Muhammad Younus Khan Durrani, Ahmad Vaqas Faruque
In a developing country like Pakistan, laparoscopic surgeries are not considered favourable by many, possibly because of high costs or a lack of expertise. It is an established fact that laparoscopic surgery offers better surgical treatments with a shorter hospital stay and fewer complications. The current retrospective study was conducted at a tertiary care hospital in Karachi and comprised of laparoscopy cases performed by a single surgeon from March 2012 to September of 2014. A total of 100laparoscopic surgeries were performed; mostly appendectomies 49(49%) and undescended testes (UDTs) 34(34%)...
October 2016: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/27867845/current-management-of-non-palpable-testes-a-literature-review-and-clinical-results
#2
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/27866870/commentary-to-management-of-undescended-testes-european-association-of-urology-european-society-for-paediatric-urology-guidelines
#3
Thomas F Kolon
No abstract text is available yet for this article.
November 9, 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/27845220/staged-fowler-stephens-and-single-staged-laparoscopic-orchiopexy-for-intra-abdominal-testes-is-there-a-difference-a-single-institution-experience
#4
Alireza Alam, Joan C Delto, Ruben Blachman-Braun, George Wayne, Angela G Mittal, Miguel Castellan, Kristin Kozakowski, Andrew Labbie, Rafael Gosalbez
OBJECTIVE: To compare single stage laparoscopic orchiopexy (SSLO) and staged Fowler-Stephens (SFS) procedures in the management of intra-abdominal undescended testes, and analyze post-operative atrophy and mal-positioning as endpoints. METHODS: A retrospective chart review identified laparoscopic orchiopexy patients with intra-abdominal testes between November 2006 and November 2014. Of 167 patients that had laparoscopic orchiopexy, data for 73 patients (85 testes) were identified to have laparoscopic orchiopexy...
November 11, 2016: Urology
https://www.readbyqxmd.com/read/27785439/malignancy-in-disorders-of-sex-development
#5
REVIEW
Martin Kathrins, Thomas F Kolon
Disorders of sex development (DSD) represent a spectrum of conditions in which chromosomal, gonadal, or anatomic sex are atypical and affect 1 in 4,500-5,000 live births. The diagnosis of DSD raises concerns of tumor risk and treatment as well as future fertility preservation. We review the current understanding of the types of gonadal tumors that arise in DSD patients as well as possible markers and treatment. The goal is to inform the members of the DSD team (urologist, endocrinologist, geneticist, psychologist) of the latest findings regarding malignancy in DSD...
October 2016: Translational Andrology and Urology
https://www.readbyqxmd.com/read/27722006/a-unique-case-of-intraabdominal-polyorchidism-a-case-study
#6
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/27715712/us-of-the-inguinal-canal-comprehensive-review-of-pathologic-processes-with-ct-and-mr-imaging-correlation
#7
Margarita V Revzin, Devrim Ersahin, Gary M Israel, Jonathan D Kirsch, Mahan Mathur, Jamal Bokhari, Leslie M Scoutt
Ultrasonography (US) has a fundamental role in the initial examination of patients who present with symptoms indicating abnormalities of the inguinal canal (IC), an area known for its complex anatomy. A thorough understanding of the embryologic and imaging characteristics of the contents of the IC is essential for any general radiologist. Moreover, an awareness of the various pathologic conditions that can affect IC structures is crucial to preventing misdiagnoses and ensuring optimal patient care. Early detection of IC abnormalities can reduce the risk of morbidity and mortality and facilitate proper treatment...
October 7, 2016: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/27687532/management-of-undescended-testes-european-association-of-urology-european-society-for-paediatric-urology-guidelines
#8
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...
September 15, 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
#9
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/27631723/surgical-management-of-the-undescended-testis-recent-advances-and-controversies
#10
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/27631023/immediate-postpartum-intrauterine-contraceptive-device-insertions-in-caesarean-and-vaginal-deliveries-a-comparative-study-of-follow-up-outcomes
#11
Reetu Hooda, Sonika Mann, Smiti Nanda, Anjali Gupta, Hemant More, Jaikrit Bhutani
Background. Immediate postpartum intrauterine contraceptive device (IPPIUCD) is a lucrative postpartum family planning method which provides effective reversible contraception to women in the delivery setting. Our aim was to study the clinical outcomes of IPPIUCD insertions and compare them as a factor of route of insertion (vaginal versus caesarean). Methods. This is a retrospective analytical study done in a tertiary care teaching institute. A Cohort of 593 vaginal and caesarean deliveries with IPPIUCD insertions, over a two-year period, was studied and compared for follow-up results...
2016: International Journal of Reproductive Medicine
https://www.readbyqxmd.com/read/27628837/re-pre-and-postoperative-status-of-gonadotropins-fsh-and-lh-and-inhibin-b-in-relation-to-testicular-histopathology-at-orchiopexy-in-infant-boys-with-unilateral-undescended-testes
#12
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
#13
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/27614119/urological-findings-in-beckwith-wiedemann-syndrome-with-chromosomal-duplications-of-11p15-5-evaluation-and-management
#14
Carmen C Tong, Kelly A Duffy, David I Chu, Dana A Weiss, Arun K Srinivasan, Douglas A Canning, Jennifer M Kalish
Beckwith-Wiedemann Syndrome (BWS) is an overgrowth disorder with various congenital anomalies. Although the most classic constellation includes macrosomia, macroglossia, and omphalocele, nephrourological findings are commonly associated with BWS. Clinical presentation is highly variable because of its complex molecular heterogeneity, which involves changes in DNA methylation and disruption of growth regulatory genes. We report 3 pediatric patients, ages 13 months to 3 years old, who presented with clinical features consistent with BWS...
September 7, 2016: Urology
https://www.readbyqxmd.com/read/27593922/benign-prostatic-hyperplasia-case-report-of-a-17-year-old
#15
Ismail Yağmur, Burak Turna, Ali Tekin, Emir Akıncıoğlu, Bnu Sarsık, İbrahim Ulman
INTRODUCTION: Benign prostatic hyperplasia (BPH) is generally common in men older than 50 years of age but is extremely rare in childhood. In the literature to date, fewer than five cases have been reported under 18 years of age. Owing to the limited number of cases, the etiology and management of BPH in the first two decades is not clear. OBJECTIVE: We herein report a 17-year-old boy who presented with acute urinary retention due to BPH and was treated with endoscopic transurethral resection of the prostate (TUR-P)...
August 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/27579208/pantaloon-hernia-obstructed-indirect-component-and-direct-component-with-cryptorchidism
#16
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
https://www.readbyqxmd.com/read/27575492/undescended-testis-how-best-to-teach-the-physical-examination
#17
S Zundel, G Blumenstock, A Herrmann-Werner, M Trueck, A Schmidt, S Wiechers
BACKGROUND: Undescended testis in boys is common. Guidelines recommend surgical treatment between the ages of 6 months and 2 years; nevertheless, orchidopexy is frequently performed at later ages. One reason is the belated diagnosis due to a perceived difficulty in the physical examination (PE) and correct localization of the testis. OBJECTIVES: We aimed to find an effective method for teaching the physical examination of the testis in a child. STUDY DESIGN: An interdisciplinary team developed teaching sessions, including an educational video and a simulator...
August 8, 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/27567446/first-trimester-phthalate-exposure-and-male-newborn-genital-anomalies
#18
Sheela Sathyanarayana, Richard Grady, Emily S Barrett, Bruce Redmon, Ruby H N Nguyen, Julia S Barthold, Nicole R Bush, Shanna H Swan
BACKGROUND: Anti-androgenic phthalates are environmental chemicals that affect male genital development in rodents leading to genitourinary birth defects. We examined whether first trimester phthalate exposure may exert similar effects in humans leading to an increased incidence of newborn male genital anomalies in a multi-center cohort study. METHODS: We recruited first trimester pregnant women within The Infant Development and the Environment Study (TIDES) from 2010 to 2012 from four study centers and limited analyses to all mother/male infant dyads who had complete urinary phthalate and birth exam data (N=371)...
August 18, 2016: Environmental Research
https://www.readbyqxmd.com/read/27567307/pediatric-inguinal-and-scrotal-surgery-practice-patterns-in-u-s-academic-centers
#19
Yvonne Y Chan, Blythe Durbin-Johnson, Eric A Kurzrock
PURPOSE: Both pediatric urologists and pediatric surgeons perform hernia repairs, hydrocelectomies and orchiopexies. We hypothesized that surgeons perform more incarcerated and female hernia repairs while urologists perform more orchiopexies and hydrocelectomies. METHODS: The Vizient-AAMC Faculty Practice Solutions Center® database was queried from January 2009 to December 2014 to identify patients 10years or younger who underwent the above procedures performed by pediatric specialists...
November 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27567037/evaluation-of-postoperative-undescended-testicles-using-point-shear-wave-elastography-in-children
#20
Salih Hattapoğlu, Cemil Göya, Serkan Arslan, Bircan Alan, Faysal Ekici, Güven Tekbaş, İsmail Yıldız, Cihad Hamidi
PURPOSE: To demonstrate the difference in tissue stiffness by comparing the value of the shear wave velocity (SWV) of postoperative undescended testicles with that of normal testes. METHODS: This study included 39 patients and 30 healthy controls. US and p-SWE (VTQ) were performed using with a linear probe (4-9MHz). Forty-seven operated undescended testicles comprised "Group A", 27 testes with normal scrotal placement since birth in patient population comprised "Group B"...
December 2016: Ultrasonics
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