66 research outputs found
Flowmetry/pelvic floor electromyographic findings in patients with detrusor overactivity
Management of hydrocele in adolescent patients
Hydrocele is defined as an abnormal collection of serous fluid in the potential space between the parietal and visceral layers of the tunica vaginalis. In the majority of affected adolescents, hydrocele is acquired and is idiopathic in origin. The pathogenesis of idiopathic hydrocele is thought to be an imbalance in the normal process of fluid production and reabsorption. The diagnosis is usually clinical. Taking a thorough history is essential to rule out any fluctuation in size, which is an indication of a patent processus vaginalis. Scrotal ultrasonography is mandatory in nonpalpable testicles to rule out a subtending testicular solid mass requiring inguinal exploration. Otherwise, open hydrocelectomy via a scrotal incision is the standard treatment of idiopathic hydroceles. The second most common cause of hydrocele in adolescents is varicocelectomy. The risk of hydrocele formation is higher with non-artery-sparing procedures or those performed without microsurgical aid, and in surgery requiring cord dissection. If hydrocele occurs after varicocelectomy, initial management should include observation with or without hydrocele aspiration. Large persistent hydroceles are best served by open hydrocelectomy
Penile Reconstruction with a Free Sensate Osteocutaneous Fibula Flap in the Surgical Management of the Intersex Patient
How common are varicocoeles? New data on the prevalence in adolescence and new discussions: Comment on Article by A. Rais, S. Zarka, E. Derazne, D. Tzur, R. Calderon-Margalit, N. Davidovitch, A. Afek, R. Carel, H. Levine "Varicocele among 1,300,000 Israeli adolescent males: time trends and association with body mass index'
Solitary multilocular cystic renal cell carcinoma in adults: Diagnostic problems, pathological features and treatment
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