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PEDI GU REVIEW-External Genitalia

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George Chiang
George Chiang
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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]
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]
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
Incidence* * The Epidemiology of Congenital Cryptorchidism, Testicular Ascent and Orchiopexy . Barthold et al.Jn of Urology, 2003
Incidence ,[object Object],[object Object],[object Object]
Examine Incidence Data
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]
Classification
Clinical Classification
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],[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]
Testicular Torsion ,[object Object],[object Object],[object Object],[object Object],[object Object]
Testicular Torsion ,[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]
Varicoceles ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[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]
QUESTIONS
[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],[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],[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]
[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],[object Object],[object Object]

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PEDI GU REVIEW-External Genitalia

  • 1. 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)
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  • 16. Incidence* * The Epidemiology of Congenital Cryptorchidism, Testicular Ascent and Orchiopexy . Barthold et al.Jn of Urology, 2003
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