Rare Congenital Genitourinary Anomalies

Fahmy, Mohamed

doi:10.1007/978-3-662-43680-6

Cited by 11 publications

(15 citation statements)

References 7 publications

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“…An elongated or extended epididymis (Figure 2f,g) is another common epididymal defect, in which a thin, loosely attached and long looping epididymis extends distally beyond the testis into the lower inguinal canal or upper scrotum (Fahmy, 2015;Marshall & Shermeta, 1979;Rosenberg & Urca, 1972;Scorer & Farrington, 1972).…”

Section: Epididymal Anomalie Smentioning

confidence: 99%

Epididymal contribution to male infertility: An overlooked problem

Elbashir

Magdi²,

Rashed

et al. 2020

Andrologia

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The diagnosis and treatment of male infertility, excluding assisted conception, are limited because of, but not limited to, poor understanding of sperm post-testicular development and storage. Many may think that sperm dysfunction is only self-contained in the sperm cell itself as a result of defective spermatogenesis. However, it can also be a consequence of inadequate epididymal maturation following disorders of the epididymis. Improper epididymal functions can disturb semen parameters and sperm DNA integrity, result in high leucocyte concentrations and high numbers of immature germ cells and debris or even cause idiopathic infertility. To date, the data are limited regarding critical markers of sperm maturation and studies that can identify such markers for diagnosis and managing epididymal dysfunction are scarce. Therefore, this article aims to draw attention to recognise a disturbed epididymal environment as a potential cause of male infertility.

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Section: Epididymal Anomalie Smentioning

confidence: 99%

Epididymal contribution to male infertility: An overlooked problem

Elbashir

Magdi²,

Rashed

et al. 2020

Andrologia

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“…Apesar de as anomalias congênitas do trato gênito-urinário, como a agenesia e a imperfuração uretral, serem mais frequentes nos machos e geralmente associadas com a agenesia peniana (Fahmy, 2015), neste relato a anomalia é descrita em uma fêmea, assim como descrito por Hunt e Allen (1989), Hylton e Trent (1987) e Nikahval e Ahrari Khafi (2013). O relato duplo na literatura de ocorrência da imperfuração uretral em fêmeas Charolesas abriu precedentes para a discussão do caráter genético e hereditário para tal enfermidade (Hunt e Allen, 1989).…”

Section: Discussionunclassified

Imperfuração congênita do óstio uretral externo associada à persistência de úraco em bezerra Nelore: relato de caso

Alonso

Rodrigues

Alves

et al. 2017

Arq. Bras. Med. Vet. Zootec.

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 RESUMOA imperfuração uretral associada ou não à persistência do úraco é rara; quando concomitante, o animal mantém o fluxo urinário por via umbilical, entretanto, após o tratamento de correção da persistência do úraco, ocorre o armazenamento de urina, que pode culminar em complicações como bexigoma, hidroureter e ruptura vesical. Uma bezerra Nelore, com 20 dias de idade, foi atendida com persistência de úraco. Prescreveu-se a aplicação local de tintura de iodo a 10% durante cinco dias, e indicou-se retorno para obliteração cirúrgica caso não houvesse resposta à terapia proposta. Após 30 dias, o animal retornou com distensão abdominal, histórico de diminuição gradual do fluxo urinário, com ausência de micção via vaginal e discreto gotejamento de urina através do umbigo. Após diversas tentativas de cateterismo uretral sem sucesso, diagnosticou-se a imperfuração do óstio uretral externo. O exame ultrassonográfico revelou distensão vesical com aproximadamente sete litros de conteúdo, hidroureter e hidronefrose bilateral. Realizou-se a cistocentese e o esvaziamento vesical guiado por ultrassom e optou-se pela abordagem cirúrgica para criação do óstio uretral e correção do úraco persistente. Por meio de cistotomia, realizou-se a sondagem retrógrada da uretra e a perfuração da membrana que recobria o óstio uretral no vestíbulo vaginal, a fim de criar um novo óstio. A sondagem foi mantida por 10 dias, com o intuito de evitar estenose do óstio e, após 30 dias de pós-operatório, o animal recebeu alta com óstio uretral patente no vestíbulo vaginal.Palavras-chave: bovino, má-formação congênita, onfalopatias, uretra ABSTRACT Urethral imperforation associated or not with urachal patency is rare, when concomitant, the animal maintains urinary flow through umbilical via, but when the treatment is performed storage of urine

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“…[2] The scrotum is usually well developed, but testis may be undescended. The urethra opens at any point along perineal midline raphe, but most commonly opens on to anterior wall of anal verge.…”

Section: Discussionmentioning

confidence: 99%

“…An alternative classification has been proposed by Fahmy. [2] The ectopic lower unit in the index case was grossly hydronephrotic with no function on DMSA scan. A high incidence of hydronephrosis has been described previously in renal fusion anomalies.…”

Section: Discussionmentioning

confidence: 99%

“…[4] The management of aphallia is a challenge, and many have been assigned a female gender[56] which can possibly result in subsequent gender dysphoria. [27] Although the role of androgen imprinting prenatally and its long-term psychologic effects are difficult to analyze in a child, a male gender assignment seems to be appropriate. The sexual orientation of these children can only be defined when they reach an appropriate age when they are free to choose the appropriate surgical correction to suit their need.…”

Section: Discussionmentioning

confidence: 99%

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Male gender assignment of a child with aphallia and associated complex urological anomaly

Venkatesh

Babu

Joseph

et al. 2017

J Indian Assoc Pediatr Surg

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A 2-year-old male child presented to us with aphallia. At birth, he was passing urine from the anus and had undergone emergency colostomy and pyelostomy for urinary sepsis at 1 week of life. After a complete evaluation, the child underwent perineal urethrostomy and scrotal phalloplasty followed by buccal mucosal tube urethroplasty in the second stage, which was completed before the child started schooling.

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Rare Congenital Genitourinary Anomalies

Cited by 11 publications

References 7 publications

Epididymal contribution to male infertility: An overlooked problem

Epididymal contribution to male infertility: An overlooked problem

Imperfuração congênita do óstio uretral externo associada à persistência de úraco em bezerra Nelore: relato de caso

Male gender assignment of a child with aphallia and associated complex urological anomaly

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