PEDI GU REVIEW-External Genitalia

ABNORMALITIES OF THE EXTERNAL GENITALIA Pediatric GU Review UCSD Pediatric Urology George Chiang MD Sara Marietti MD Outlined from The Kelalis-King-Belman Textbook of Clinical Pediatric Urology 2007 (not for reproduction, distribution, or sale without consent)

Hypospadias ,[object Object],[object Object],[object Object],[object Object],[object Object]

Hypospadias ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hypospadias ,[object Object],[object Object],[object Object],[object Object]

Hypospadias ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Micropenis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Micropenis ,[object Object],[object Object],[object Object],[object Object],[object Object]

Micropenis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Interlabial masses ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Introital Cysts ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cryptorchidism ,[object Object],[object Object],[object Object],[object Object],[object Object]

Basic Differences ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Incidence* * The Epidemiology of Congenital Cryptorchidism, Testicular Ascent and Orchiopexy . Barthold et al.Jn of Urology, 2003

Incidence ,[object Object],[object Object],[object Object]

1.) Spontaneous Descent ,[object Object],Insert table Barthold, pg2397.

Clinical Implication: ,[object Object],(Barthold et at, 2003)

[object Object],[object Object],[object Object],[object Object],What is The Rate of Spontaneous Testicular Descent in Infants with Cryptorchidism? Wenzler et al. Journal of Urology, 2004

2.) Smaller/Premature Neonates ,[object Object],Characteristic Premature % Full Term % Cryptorchidism 8-20% 2-4 Bilateral presentation 50-75 10-45 Complete spontaneous descent * *may occur later in first year of life 80-90 50-70

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Palpable: Retractile ,[object Object],[object Object],[object Object],[object Object]

Palpable: Ectopic ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Impalpable ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Prevalence of Nonpalpable is 20-30%

Classify by Position ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cryptorchidism ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cryptorchidism ,[object Object],[object Object],[object Object],[object Object]

Cryptorchidism ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cryptorchidism:Hormonal Tx ,[object Object],[object Object],[object Object],[object Object],[object Object]

Vasal Agenesis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hernia/Hydrocele ,[object Object],[object Object],[object Object],[object Object],[object Object]

H&P ,[object Object],[object Object],[object Object],[object Object]

H&P ,[object Object],[object Object],[object Object]

Management of Contralateral Side ,[object Object],[object Object],[object Object],[object Object]

Complications of Repair ,[object Object],[object Object],[object Object],[object Object],[object Object]

Testicular Torsion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Testicular Torsion ,[object Object],[object Object],[object Object],[object Object],[object Object]

Testicular Torsion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Varicoceles ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Varicocele ,[object Object],[object Object],[object Object]

Varicocele ,[object Object],[object Object],[object Object],[object Object]

Varicocele ,[object Object],[object Object]

Presentation ,[object Object],[object Object],[object Object]

Treatment ,[object Object],[object Object],[object Object]

Surgical Treatment ,[object Object],[object Object],[object Object]

Post-Op Hydrocele/Recurrence ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PEDI GU REVIEW-External Genitalia

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PEDI GU REVIEW-External Genitalia