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Undescended testis

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https://www.readbyqxmd.com/read/29148186/undescended-testis-what-paediatricians-need-to-know
#1
REVIEW
John M Hutson, Jaya Vikraman, Ruili Li, Joergen Thorup
Undescended testis (UDT) occurs when something goes wrong with testicular descent from high in the abdominal cavity to the scrotum. Normal descent occurs in two steps, with the transabdominal phase controlled by a new testicular hormone, insulin-like hormone 3, and the inguinoscrotal phase controlled by androgens. The latter phase requires a complex process of migration from the inguinal abdominal wall to the scrotum and is commonly defective, leading to the high incidence (2-4%) of UDT at birth. The clinical examination of babies and infants aims to confirm the persistence of congenital UDT by 3-6 months, so surgery can be optimally timed at 6-12 months...
November 2017: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/29132494/seminoma-in-undescended-testis-presenting-as-metastatic-enlarged-cervical-lymph-nodes
#2
Rupesh Gupta, Sweta Gupta, Supriya Basu, Partha Pratim Deb
No abstract text is available yet for this article.
November 2017: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/29124248/circumcision-incision-orchidopexy-a-novel-technique-for-palpable-low-inguinal-undescended-testis
#3
Michael E Chua, Jan Michael A Silangcruz, Odina Gomez, Jun S Dy, Marcelino L Morales
Given that both orchidopexy and circumcision are commonly done in a single operative setting, we adopted a technique of combined orchidopexy and circumcision using a single circumcision incision. We applied this new technique to boys with palpable, low inguinal cryptorchidism. Here we describe a case series of 7 boys who underwent concurrent orchidopexy via the circumcision site. We present this novel technique and discuss our preliminary outcomes, including the anatomic basis and feasibility. The technique appears to be an alternative for concurrent circumcision and cryptorchid cases with palpable, low inguinal testes...
November 2017: Investigative and Clinical Urology
https://www.readbyqxmd.com/read/29102151/age-at-orchiopexy-for-undescended-testis-in-the-united-states
#4
Kibileri Williams, Lauren Baumann, Adil Shah, Fizan Abdullah, Emilie K Johnson, Tolulope A Oyetunji
PURPOSE: Undescended testis (UDT) is the most common congenital anomaly of the male genitalia. The American Urological Association guidelines recommend orchiopexy by age 18months to ameliorate the risk of subfertility. The study aim was to assess adherence to these guidelines on a national level. METHODS: We retrospectively reviewed both the State Ambulatory Surgery Database (SASD) in 2012 and the Pediatric Health Information System (PHIS) for 2015. All patients aged 18years or less with a diagnosis of UDT who underwent orchiopexy were included...
October 12, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29089736/early-experience-with-laparoscopic-management-of-nonpalpable-undescended-testes
#5
Okechukwu Hyginus Ekwunife, Victor Ifeanyichukwu Modekwe, Jideofor Okechukwu Ugwu, Chuka Abunike Ugwunne
BACKGROUND: Nonpalpable undescended testes (NPT) constitute 20%-30% of undescended testes, and its management has been a challenge both in diagnosis and treatment. Worldwide, laparoscopy is the current gold standard of management. In Nigeria, the management of NPT has largely been by open surgery with consequent high morbidity. In Nigeria, the trend is changing from a largely open management with its attendant high morbidity, to laparoscopic management which is the current worldwide gold standard of care...
July 2017: Nigerian Journal of Surgery: Official Publication of the Nigerian Surgical Research Society
https://www.readbyqxmd.com/read/29079483/urinary-carbohydrate-antigen-19-9-creatinine-ratio-a-non-invasive-marker-for-follow-up-of-unilateral-ureteropelvic-junction-obstruction-in-children
#6
Farshid Alizadeh, Ali Mohammad Taefnia, Saeid Haghdani
INTRODUCTION: Ureteropelvic junction obstruction (UPJO) is the most common cause of hydronephrosis in children. One major challenge in the management of UPJO is to select the patients that must be subjected to early obstruction relief. Currently, there is no gold standard for this assessment. Therefore, the aim of the present study was to evaluate the urinary levels of carbohydrate antigen (CA) 19-9 and normalized CA 19-9 (Ca 19-9/Cr ratio) in UPJO patients before and after surgery and compare them with a control group to assess their potential clinical application as an assisting tool in diagnosis of UPJO patients...
October 13, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29022558/klinefelter-syndrome-in-childhood-variability-in-clinical-and-molecular-findings
#7
Neşe Akcan, Şükran Poyrazoğlu, Firdevs Baş, Rüveyde Bundak, Feyza Darendeliler
OBJECTIVE: Klinefelter syndrome (KS) is the most common (1/500-1/1000) chromosomal disorder in males, but only 10% of cases are identified in childhood. This study aimed to review the data of the children with KS to assess the age and reason for diagnosis, clinical and laboratory findings, as well as the presence of comorbidities. METHODS: Twenty-three KS patients were analyzed retrospectively. Age at admission, presenting symptoms, comorbid problems, height, weight, pubertal status, biochemical findings, hormone profiles, bone mineral density, and karyotype were evaluated...
October 12, 2017: Journal of Clinical Research in Pediatric Endocrinology
https://www.readbyqxmd.com/read/28974880/neonatal-appendicitis-and-incarcerated-inguinal-hernia-case-report-and-review-of-the-literature
#8
Francesco Fascetti-Leon, William Sherwood
Neonatal appendicitis carries a high mortality rate. We describe a peculiar case presented after an incarcerated hernia manually reduced in a 4-week-old male neonate with ipsilateral undescended testis. Laparoscopy allowed a prompt recognition of an unexpected intra-abdominal life-threatening condition. Pathogenesis, treatment, and outcome are discussed on the light of a comprehensive literature review.
October 2017: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/28974876/laparoscopy-in-the-evaluation-of-impalpable-testes-and-its-short-term-outcomes-a-7-years-experience
#9
Rajarshi Kumar, Kartik Chandra Mandal, Pankaj Halder, Md Hadiuzzaman, Madhumita Mukhopadhyay, Biswanath Mukhopadhyay
AIMS: The aim of this study is to report and analyze results of laparoscopy in impalpable testes performed between 2009 and 2016 and its short-term outcomes. MATERIALS AND METHODS: Demographic data, laterality, laparoscopic findings, operative time, procedure, hospital stay, complications, and follow-up data of 76 patients with 79 impalpable testes from 2009 to 2016 were retrospectively collected and analyzed. Successful outcome was defined as maintenance of intrascrotal position with no atrophy at a follow-up of at least 6 months...
October 2017: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/28969231/femoral-hypoplasia-with-unusual-facies-syndrome
#10
Sreekanth R Shenoy, Dipankar Mondal, Manas Ranjan Upadhyay, Bhupendra Kumar Gupta, Jatadhari Mahar
Femoral facial syndrome is a rare clinical entity characterized by unilateral or bilateral femoral hypoplasia along with various malformations of face. Only few cases have been detected by antenatal ultrasonography so far. We present the case of one-day-old, male child, born to a primi gravida with oligohydramnios and severe growth restriction. The child had unusual facies with posterior cleft palate, non-communicating hydrocephalus and complete absences of left femur, hypoplasia of right femur, bilateral club foot and bilateral undescended testis...
August 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28964408/frequency-of-revision-orchidopexy-in-australia-1995-2014
#11
Jaya Vikraman, Suzanna Vidmar, Susan Donath, John M Hutson
BACKGROUND/AIM: International criteria currently suggest orchidopexy at 6-12months for congenital undescended testis (UDT). Some children require repeat orchidopexy for recurrent UDT. This study aimed to assess practice in Australia over a 20-year period. METHODS: We examined 20years of Australian orchidopexy data (1995-2014) from the Department of Human Services to explore the national revision orchidopexy rates over time. RESULTS: The total number of orchidopexy revisions was 890 over 20years compared with 25,984 primary operations...
September 5, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28944978/bloating-due-to-massive-seminoma-in-an-undescended-testis
#12
Julia L Zhu, Matthew J Roberts, Anojan Navaratnam, Eric Chung, Simon T Wood
No abstract text is available yet for this article.
September 25, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28878839/a-case-report-of-9p-deletion-syndrome-associated-with-partial-trisomy-of-1q42
#13
Ali Vahabi, Filiz Hazan, Isa Abdi Rad
We report a case of partial deletion of 9p with partial trisomy of 1q42 syndrome, which is a rare clinical and cytogenetic report. The dysmorphic features of the patient include microcephaly, plagiocephaly, trigonocephaly with metopic ridge, arched eyebrows, hypertelorism, down-slanting palpebral fissure, ptosis, blepharophimosis, unilateral left epicanthic fold, long eyelashes, low-set and posteriorly rotated ears, long philtrum, anteverted nares, retrognathia and unilateral undescended testis. Chromosomal analysis revealed partial monosomy of 9p24 associated with partial trisomy of 1q42q>ter...
January 2017: Mædica
https://www.readbyqxmd.com/read/28868229/a-very-unlikely-finding-in-a-male-child-urethral-prolapse
#14
Çiğdem Ulukaya Durakbaşa, Gonca Gercel, Murat Huseyin Mutus, Burhan Aksu, Seyma Ozkanli
Urethral prolapse is a disease of prepubertal black girls and postmenopausal women with an unknown cause. It may be congenital in origin or an acquired condition. It has never been reported in males. We report a 10-year-old Caucasian boy who presented because of recurrent right undescended testis. He had been operated on for bilateral undescended testes 7 years ago in another hospital, and circumcision was done during the same operation. The boy complained of a weak urinary stream during voiding. The physical examination was consistent with recurrent right undescended testis...
January 2017: European Journal of Pediatric Surgery Reports
https://www.readbyqxmd.com/read/28860052/management-of-bilateral-undescended-bilobed-testes-and-review-of-the-literature
#15
Tal Cohen, Hannah Agard, Neel Parekh, Curtis Clark
Polyorchidism is a rare anomaly of testicular development. Particularly, a bilobed testis is an extremely rare congenital malformation, which is thought to be a variant expression of polyorchidism. Only 5 cases of bilobed testis have been reported in the literature to date. This report is of bilateral, undescended, bilobed testes in a 15-month-old boy who has multiple other malformations of possible genetic etiology.
August 30, 2017: Urology
https://www.readbyqxmd.com/read/28836968/infrarenal-high-intra-abdominal-testis-fusion-of-t2-weighted-and-diffusion-weighted-magnetic-resonance-images-and-pathological-findings
#16
Seiji Hoshi, Yuichi Sato, Junya Hata, Hidenori Akaihata, Soichiro Ogawa, Nobuhiro Haga, Yoshiyuki Kojima
BACKGROUND: Several recent reports have demonstrated that the preoperative sensitivity and accuracy of identifying and locating non-palpable testes increases with the use of conventional MRI, in addition to diffusion-weighted imaging (DWI). Therefore, pre-operative prediction of the presence and location of testes using imaging techniques may guide management of intra-abdominal testis. Fowler-Stephens orchiopexy is effective for treating patients with intra-abdominal testis; however, long-term testicular function after this procedure has not been clarified...
August 24, 2017: BMC Urology
https://www.readbyqxmd.com/read/28790029/twisted-intra-abdominal-cyst-in-a-neonate-a-surprise-revelation
#17
Ferzine Mohamed, Ramesh Babu Telugu, Immanuel Sampath Karl
We, herein, present a male neonate with an antenatally detected intra-abdominal cyst who presented at 18 days of life at which time, the ultrasound revealed a 5×4 cm cyst. Since he was asymptomatic, we planned to repeat the ultrasound a month later and operate if the cyst showed no regression. However, a week later, he presented with an acute abdomen, irritable cry and a repeat ultrasound showing a larger (8×6 cm) cystic mass with debris within. He was taken up for an emergency laparotomy. Intraoperatively, the cyst was found arising from the left lateral abdominal wall free from all structures with a twisted pedicle...
August 8, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28780301/prevalence-and-chronological-changes-of-testicular-microlithiasis-in-isolated-congenital-undescended-testes-operated-on-at-less-than-3-years-of-age
#18
Yoko Nishimura, Kimihiko Moriya, Michiko Nakamura, Mutsumi Nishida, Megumi Sato, Yusuke Kudo, Satomi Omotehara, Takahito Iwai, Yamato Wakabayashi, Yukiko Kanno, Takeya Kitta, Masafumi Kon, Nobuo Shinohara
OBJECTIVE: To clarify the prevalence and chronological changes of testicular microlithiasis in isolated congenital undescended testes, retrospective chart review was performed. MATERIALS AND METHODS: Among children with palpable isolated undescended testes who underwent orchiopexy at less than 3 years of age between January 2009 and May 2016, those who had preoperative testicular ultrasonography were enrolled. Testicular microlithiasis was classified as limited or classic...
November 2017: Urology
https://www.readbyqxmd.com/read/28753880/paediatric-urology-and-the-dilemma-of-low-quality-evidence-for-the-management-of-common-urological-conditions-vesicoureteral-reflux-lower-urinary-tract-dysfunction-undescended-testis-in-children
#19
Christian Radmayr, Serdar Tekgul
We have to strive for a more prospective scientific approach to every specific urological condition in children, with contributions from all parties involved and an emphasis on proper outcome research.
April 25, 2017: European Urology Focus
https://www.readbyqxmd.com/read/28753808/undescended-testes-diagnostic-algorithm-and-treatment
#20
Bernhard Haid, Patrick Rein, Josef Oswald
Undescended testis persistently present at the 6th month of life in a term born boy should be treated, with the aim of bringing them to a scrotal position until the 12th month of life. Acquired undescended testes has to be looked for actively and treated at the earliest possible after diagnosis, that might be deferred due to a lack of attention and less access to a regular physical exam in older boys as opposed to infants.
June 3, 2017: European Urology Focus
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