Pediatric penile testicular abnormalities
Download
1 / 34

- PowerPoint PPT Presentation


  • 683 Views
  • Uploaded on

Pediatric Penile/Testicular Abnormalities. Case #1. Testicular abnormalities. What is the most likely diagnosis? What causes this abnormality? What is the proper management? When should a specialist be consulted?. Hydrocele. Communicating hydrocele. Case #2. Testicular abnormalities.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about '' - Audrey


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript


Testicular abnormalities l.jpg
Testicular abnormalities

  • What is the most likely diagnosis?

  • What causes this abnormality?

  • What is the proper management?

  • When should a specialist be consulted?





Testicular abnormalities8 l.jpg
Testicular abnormalities

  • What is the most likely diagnosis?

  • What causes this abnormality?

  • What is the proper management?

  • When should a specialist be consulted?



Undescended testicle l.jpg
Undescended testicle

  • In 100 male newborn exams, how often would you expect to see this?

  • When should a specialist be consulted?

  • What is the main reason to perform orchipexy?

    http://www.aafp.org/afp/20001101/2037.html. Accessed 6/22/09




Case 414 l.jpg
Case #4

  • What is the most likely diagnosis?

  • What causes this abnormality?

  • What complications can occur from this condition?

  • When should a specialist be consulted?


Varicocele l.jpg
Varicocele

  • Occurs from venous dilation

  • Almost always asymptomatic

  • Incidence among boys 10-19 = 8%

  • Main complication infertility –

    VERY CONTRAVERSIAL


Case 5 l.jpg
Case #5

  • 16 year-old presents to the ED with acute lower abdominal pain. R>L

  • +Vomiting

  • No fever or chills

  • LFT’s, Chem7, and CBC are WNL

  • What is the most likely diagnosis?


Case 517 l.jpg
Case #5

  • On the way to the CT scanner his gown lifts up and remember to examine his groin. You see this!


Case 518 l.jpg
Case #5

  • What is the most likely diagnosis?

  • What causes this abnormality?

  • What complications can occur from this condition?

  • When should a specialist be consulted?





Case 6 l.jpg
Case #6

  • 6 month-old male

  • Reddish blood-stain appearing in diaper around penis x 3 days

  • Crying after urination

  • Uncircumcised (Intact) foreskin



Case 624 l.jpg
Case #6

  • What is the most likely diagnosis?

  • What causes this abnormality?

  • What complications can occur from this condition?

  • When should a specialist be consulted?




Case 727 l.jpg
Case #7

  • What is the most likely diagnosis?

  • What causes this abnormality?

  • What complications can occur from this condition?

  • When should a specialist be consulted?


Paraphimosis l.jpg
Paraphimosis

  • Anesthesia

  • Manual reduction of the foreskin to normal position

  • Can use methods to reduce swelling

  • Dorsal slit is last treatment


Outline l.jpg
Outline

  • Hydrocele/ inguinal hernia – hydroceles are very common and can be left alone until 2 years of age. Indirect inguinal hernias are occassionally seen and require immediate surgical repair.

  • Undescended testicle – Can be difficult to distinguish on physicial exam. If still un-descended at 6 months it is unlikely to descend. hCG and orchipexy are treatment options. Orchipexy main purpose is to promote fertility and promote easier detection of testicular cancer.

  • Testicular torsion – Uncommon before age 10. Spermatogenesis can be lost within 6 hours of torsion. While imaging studies are 95% sensitive for diagnosing interrupted blood flow, they should not delay surgical referral for de-torsion.


Hypospadias l.jpg
Hypospadias

  • urethral opening is ectopically located on the ventrum of the penis proximal to the tip of the glans penis


Hypospadias31 l.jpg
Hypospadias

  • Incidence 1/300 male infants

  • Some genetic influence



Hypospadias33 l.jpg
Hypospadias

  • An example of chordae

  • Why is circumcision contraindicated?



ad