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B Mrinakova, K Kajo, M Ondrusova, J Simo, D Ondrus
Paratesticular malignant mesothelioma is an extremely rare type of mesothelioma with only a limited number of reported cases. Its clinical differentiation is challenging, and its diagnosis is almost exclusively accidental. The major risk factor is exposure to asbestos, typically with a long latency between exposure and diagnosis. The current study presents the clinical data of two patients diagnosed with paratesticular malignant mesothelioma. We evaluated a large spectrum of risk factors in the patients histories...
2016: Klinická Onkologie: Casopis Ceské a Slovenské Onkologické Spolecnosti
Furan Wang, Hongji Zhong, Junfeng Zhao
INTRODUCTION: Ascending testis (AT) is a rare complication after repair of an inguinal hernia/hydrocele. However, there has been some controversy concerning the AT following laparoscopic and open procedures. OBJECTIVE: To review the experience of, and discuss the associated mechanisms with, testicular ascent after pediatric inguinal hernia/hydrocele surgery. STUDY DESIGN: A retrospective review of the medical records of male children who underwent inguinal hernia/hydrocele repair at the present hospital between January 2000 and December 2014...
September 28, 2016: Journal of Pediatric Urology
Ankur Jain, Alka Khadwal, Gaurav Prakash, Nalini Gupta, Subhash Varma, Pankaj Malhotra
Testicular involvement in a case of acute lymphoblastic leukemia (ALL) is well reported, but occurrence of "isolated" malignant hydrocele is extremely uncommon. We herein report a case of a 22-year-old man who presented to our hematology clinic with fever and easy fatiguability of 2 weeks' duration. Examination revealed pallor, cervical lymphadenopathy, and bilateral scrotal swellings. He was diagnosed as a case of Philadelphia-positive ALL (B-cell type) based on peripheral smear, bone marrow examination, and flow cytometry of the marrow aspirate...
2016: Clinical Medicine Insights. Pathology
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
Neal E Rowe, Paul Martin, Patrick P Luke
INTRODUCTION: Adult idiopathic hydrocele is a common benign disorder that merits surgical correction when symptomatic. The most popular techniques for repair are plication (Lord's procedure) or excision and eversion of the tunica vaginalis (Jaboulay procedure). Established complications from these traditional repairs include hematoma, recurrence, and infection. These procedures are performed through a scrotal incision. We describe a novel technique of hydrocele repair with gubernaculum preservation through a subinguinal incision...
September 2016: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
V Patil, S M C Shetty, S Das
Ultrasonography(US) of the scrotum has been demonstrated to be useful in the diagnosis of fluid in the scrotal sac. Grayscale US characterizes the lesions as testicular or extratesticular and, with color Doppler, power Doppler and pulse Doppler, any perfusion can also be assessed. Cystic or encapsulated fluid collections are relatively common benign lesions that usually present as palpable testicular lumps. Most cysts arise in the epidydimis, but all anatomical structures of the scrotum can be the site of their origin...
November 2015: Ultrasound Int Open
Kwang Seog Kim, Jun Ho Choi, Hong Min Kim, Kyung Pil Kim, Yu Jin Kwon, Jae Ha Hwang, Sam Yong Lee
No abstract text is available yet for this article.
September 2016: Archives of Plastic Surgery
Tae Ho Lee, Jay Ho Jung, Young Kwon Hong
The aim of this study was to evaluate current practice patterns on diagnosis and management of pediatric varicoceles. Questionnaires of approaches to diagnosis and management of pediatric varicoceles were sent electronically to pediatric urologists. Of the 70 questionnaires e-mailed, 37 (53%) responded to the survey. 10 respondents (27%) chose to operate on varicoceles, whereas 9 (24%) chose to observe, and 18 (49%) chose to decide upon treatment depending on the clinical situation. The most important indication for varicocelectomy was a decrease in ipsilateral testicular size (n=29, 78%) followed by testicular or scrotal pain (n=4, 11%) and varicocele grade (n=4, 11%)...
September 2016: Chonnam Medical Journal
Xiaowei Li, Bin Hu, Shuting Sun, Hanshu Cai
BACKGROUND AND OBJECTIVE: Depression has become a major health burden worldwide, and effectively detection of such disorder is a great challenge which requires latest technological tool, such as Electroencephalography (EEG). This EEG-based research seeks to find prominent frequency band and brain regions that are most related to mild depression, as well as an optimal combination of classification algorithms and feature selection methods which can be used in future mild depression detection...
November 2016: Computer Methods and Programs in Biomedicine
Takaki Emura, Hiroshi Ohta, Noboru Oyachi, Takeyuki Suzuki
INTRODUCTION: Laparoscopic percutaneous extraperitoneal closure (LPEC) in boys is more complex than in girls, because the vas deferens and testicular vessels must be separated from the peritoneum. We therefore developed a needle-shaped surgical instrument that enables blunt separation. Here, we report the effectiveness of this new device. SURGICAL TECHNIQUE: The new device is a ligature carrier consisting of (1) an inner tube (19-G blunt needle) through which slides a rod with a loop wire at its tip that can catch and release suture materials and (2) an outer tube (17-G needle) with a cutting edge...
September 28, 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Li-Qiang Guo, Xiu-Lin Zhang, Yu-Qiang Liu, Wen-Dong Sun, Sheng-Tian Zhao, Ming-Zhen Yuan
The aim of this study is to evaluate the benefits of laparoscopic Doppler ultrasound (LDU) application during laparoscopic varicocelectomy (LV), and to compare the surgical outcomes and complications between LDU-assisted LV (LDU-LV) and conventional LV for infertile patients with varicoceles; 147 infertile patients were randomly divided into two groups. Operative and postoperative parameters, semen parameters, and the pregnancy rate were compared. There were no differences in baseline demographics. The operative time was significantly longer in LDU-LV group than LV group...
September 27, 2016: Asian Journal of Andrology
Harnam Singh Rekhi, Sushil Kumar Mittal, Srinath Reddy Mannem, Sahil Arora, Kaushal Seth, Sathya Pakkiri, Ravitej Singh, Saryu Gupta, Manoj Mathur
A 20-day-old boy was presented with left scrotal swelling, clinically diagnosed as hydrocele. Ultrasonographic findings suggested hydrocele with paratesticular mass. Intraoperatively we found paratesticular mass, separate from left testis. Specimen revealed fibroconnective tissue with mucoid degeneration and focal areas of calcification suggesting meconium periorchitis. It is important to consider meconium periorchitis as one of the etiologies, thereby avoiding unnecessary orchidectomies.
September 2016: Clinical Case Reports
Erik Berg, Åse Sivertsen, Anja Maria Steinsland Ariansen, Charles Filip, Halvard A Vindenes, Kristin B Feragen, Dag Moster, Rolv Terje Lie, Øystein A Haaland
BACKGROUND: It has been reported that people born with orofacial clefts do worse in life than their peers regarding a range of social markers, such as academic achievement and reproduction. We have compared otherwise healthy individuals with and without clefts, to investigate if these differences are due to the cleft or other background factors. MATERIALS AND METHODS: In a retrospective national cohort study, based on compulsory registers with data collected prospectively, we included everybody born in Norway between 1967 and 1992 (1490279 individuals, 2584 with clefts)...
2016: PloS One
Antonio Cicione, Pietro Saldutto, Guevar Maselli, Luigi Ascalone, André Schumann, Paolo Fornara
No abstract text is available yet for this article.
September 13, 2016: Minerva Urologica e Nefrologica, the Italian Journal of Urology and Nephrology
Fadi Zu'bi, Jessica Ming, Walid Farhat
Repair of abdominoscrotal hydrocele is surgically demanding and may be associated with complications. Herein we describe a surgical technique with laparoscopic assisted approach. A 6-month boy with right hydrocele and left absent testis was surgically treated with scrotal approach using one laparoscopic port. In the presence of abdominoscrotal hydrocele and contralateral absent testis, we opted to correct the hydrocele while minimally mobilizing the solitary testis cord and blood vessels. The patient had minimal drainage-postoperatively, he developed fever and was treated with antibiotics...
September 7, 2016: Urology
Y Peng, C Li, Z Han, X Nie, W Lin
PURPOSE: Single-port laparoscopic herniorrhaphy is widely employed for indirect inguinal hernia repair in children. However, few surgeons utilize the single-port technique to repair such hernias with concealed deferent ducts. The aim of this study was to assess the application of the modified single-port laparoscopic technique (MSPT) in cases with concealed deferent ducts and to compare the results to those obtained with the two-port technique (TPT). METHODS: Between January 2006 and January 2012, all consecutive cases were retrospectively studied...
September 6, 2016: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Hossein Karami, Amin Hassanzade Hadad, Morteza Fallahkarkan
PURPOSE: To evaluate postoperative results of laparoscopic varicocelectomy using bipolar electrosurgery and analyze semen according to the grade of varicocele after surgery. MATERIALS AND METHODS: In a six-year period, 416 men with clinical varicocele and impaired semen parameters or infertility underwent laparoscopic varicocelectomy using bipolar electrosurgery. All patients were assessed for hydrocele and recurrence of varicocele six months and one year after the procedure...
August 25, 2016: Urology Journal
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
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
Ching-Di Chang, Jui-Wei Lin, Chen-Chang Lee, Yen-Ta Chen, Chung-Cheng Huang, Yi-Wei Lee, Shu-Hang Ng, Sheung-Fat Ko
Acute epididymo-orchitis (AEO)-related global testicular infarction (GTI) is rare. We report herein the clinical and ultrasound findings of 6 patients with AEO-related GTI. Seventeen patients with torsion-related GTI were also reviewed and compared. The echotexture of AEO-related GTI ranged from mildly inhomogeneous to diffuse heteroechoic, depending on the severity of testicular necrotic changes. All of the patients showed a juxta-epididymal string-of-bead pattern on color Doppler ultrasound, which was ascribed to patent arteries (5/6, 87%) and collateral vessels (1/6, 13%) in the tunica albuginea...
September 2016: Ultrasound Quarterly
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