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Congenital Absence of the Penis

Penile agenesis


Presentation

  • .- ) Other congenital malformations of male genital organs Approximate Synonyms Congenital absence of penis Present On Admission POA Help "Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that[icd10data.com]
  • Present on Admission symbol identifies the diseases that will always be coded as present on admission. Manifestation code identifies conditions for which it is important to record both the etiology and the symptom of the disease.[books.google.de]
  • We present a case of 1-day neonate who was born preterm at 30 weeks by normal vaginal delivery with a birth weight of 1.9 kg. The neonate's phallus was absent, the scrotum was normal with two normally descended testes with palpable vas deferens.[saudisurgj.org]
  • The urethral opening is either present in front of the anal opening through a skin tag or on anterior wall of anal canal.[jpss.eu]
  • […] grouped in the following Diagnostic Related Group(s) (MS-DRG V35.0) 729 - OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC 730 - OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC Convert to ICD-9 752.69 - Penile anomalies NEC (Approximate Flag) Present[icdlist.com]
Crying
  • Anoscopy revealed an opening where a squirt of urine could be seen on crying and straining by the neonate.[saudisurgj.org]
  • Congenital Heart Disease; Journal of Pediatrics and Congenital Disorders; The New England Journal of Medicine Tetralogy of Fallot Tetralogy of Fallot is a heart defect present at birth, showing the symptoms of bluish colour to the skin when the babies cry[imedpub.com]
Pediatric Disorder
  • Pediatric disorders of sex development. In: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. Williams Textbook of Endocrinology. 13th ed. Philadelphia, PA: Elsevier; 2016:chap 23. Ali O, Donohoue PA. Hypofunction of the testes.[medlineplus.gov]
Tachypnea
  • The neonate was in respiratory distress with tachypnea, tachycardia, central cyanosis, and bilateral coarse crepitations on auscultation.[saudisurgj.org]
Nasal Flaring
  • There was use of accessory muscles of respiration, expiratory grunting, nasal flaring. On auscultation, he had bilateral ronchi and coarse crepitations with normal heart sounds.[saudisurgj.org]
Respiratory Distress
  • The neonate was in respiratory distress with tachypnea, tachycardia, central cyanosis, and bilateral coarse crepitations on auscultation.[saudisurgj.org]
Fecal Incontinence
  • No abnormality detected by per rectal examination and no fecal incontinence. Normal perineum. Investigations: Abdominal and renal ultrasonographies, intravenous pyelogram, chest x-ray, were normal.[jpss.eu]
Macrostomia
  • […] that are listed by the Diseases Database: * Cytochrome P450 oxidoreductase deficiency * Lipoid congenital adrenal hyperplasia * Denys-Drash syndrome * 3-beta hydroxylase deficiency * Mixed gonadal dysgenesis * C17-hydroxylase deficiency * Ablepharon-macrostomia[checkorphan.org]
Tachycardia
  • The neonate was in respiratory distress with tachypnea, tachycardia, central cyanosis, and bilateral coarse crepitations on auscultation.[saudisurgj.org]
Cyanosis
  • The neonate was in respiratory distress with tachypnea, tachycardia, central cyanosis, and bilateral coarse crepitations on auscultation.[saudisurgj.org]
Low Set Ears
  • In a previous study, eight cases were reported and there was presence of congenital anomalies in five of the patients which included hydronephrosis, vesico urethral reflux, imperforate anus, cleft lip, cleft palate, beaked nose, low set ears, high arched[saudisurgj.org]
  • Oligohydramnios leads to pulmonary agenesis (usually with fatal outcome) and characteristic facies (folds under the eyes, flat nose, low-set ears and a receding chin). Bilateral renal agenesis is incompatible with life [ 5 ].[patient.info]
Long Arm
  • This birth defect shares the same gene locus as that of another rare gene disorder, Junger\'s hyperphallus, located on the long arm of the Y chromosome.[checkorphan.org]
Small Hand
  • Also muscular development is retarded and testicular agenetics are of rather frail build with short limbs and small hands and feet.[en.wikipedia.org]
Beaked Nose
  • In a previous study, eight cases were reported and there was presence of congenital anomalies in five of the patients which included hydronephrosis, vesico urethral reflux, imperforate anus, cleft lip, cleft palate, beaked nose, low set ears, high arched[saudisurgj.org]
Grunting
  • There was use of accessory muscles of respiration, expiratory grunting, nasal flaring. On auscultation, he had bilateral ronchi and coarse crepitations with normal heart sounds.[saudisurgj.org]
Renal Stone
  • Nephrocalcinosis and recurrent renal stones are usually seen. Affected women experience more stones, UTIs and complications than men experience.[patient.info]

Treatment

  • The final chapter deals with the etiology, pathology, clinical diagnosis, and treatment of priapism. This book is a valuable resource for physicians.[books.google.com]
  • Treatment - Penis agenesis Treatment is psychological and surgical. Resources - Penis agenesis Not supplied.[checkorphan.org]
  • The goal of treatment is an early female gender assignment and feminizing reconstruction of the perineum. Keywords: Aphallia, Penile agenesis, Ambiguous genitalia How to cite this article: Bangroo A K, Khetri R, Tiwari S. Penile agenesis.[jiaps.com]
  • In Skandalakis JE, Gray SW (eds): 1994 The Embryonic Basis for the Treatment of Congenital Anomalies. Baltimore: Williams’s and Wilkins, 1994; Pp: 733.77, 789.91[jpss.eu]
  • Management is initially aimed toward treatment of any life threatening co-existing conditions.[saudisurgj.org]

Prognosis

  • Home Hormone Tests, Home Libido Tests, Home Menopause Tests, Home Andropause Tests * Prostate Health: Home Testing: Home Prostate Tests, Home PSA Antigen Tests, Home Testosterone Tests * Liver Health: Home Testing Home Hepatitis Tests, Home Liver Tests Prognosis[checkorphan.org]
  • The prognosis depends not only on the associated cardiac or renal anomalies but also on the location of the urethral opening [2].[jpss.eu]
  • Treatment and prognosis Most individuals with unilateral renal agenesis lead normal lives although there is an increased risk of renal infections, nephrolithiasis, hypertension and/or renal failure. No specific treatment is necessary.[radiopaedia.org]
  • Associated malformations are more common in the fusiform type and the prognosis is worse (13). Urethral diverticulum (saccular and localized protrusion of mucosa from the urethral valve into the corpus spongiosum located in the floor of the urethra.[fetalultrasound.com]
  • Outlook for Growth Hormone Deficiency The prognosis is determined by the patient’s response to growth hormone replacement therapy and the underlying cause of the deficiency. Muscle mass may increase. The patient may lose weight .[emedicinehealth.com]

Etiology

  • The final chapter deals with the etiology, pathology, clinical diagnosis, and treatment of priapism. This book is a valuable resource for physicians.[books.google.com]
  • Manifestation code identifies conditions for which it is important to record both the etiology and the symptom of the disease.[books.google.de]
  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10coded.com]
  • The wide variety of approaches to correcting this problem reflects the different perceptions of etiology. Treatment for hidden penis should aim to restore an aesthetic and functional penis.[omicsonline.org]

Epidemiology

  • Articles highlighting various aspects of teratology and etiology of congenital diseases, abnormal physiological development, birth defects, pregnancy, epidemiology, pathology and anatomy are solicited.[imedpub.com]
Sex distribution
Age distribution

Pathophysiology

  • Adult buried penis is viewed largely as an acquired condition with a different pathophysiology from that of children, although some authors consider that some milder forms of dysgenic dartos fasical bands may not be present until adulthood, which somewhat[omicsonline.org]

Prevention

  • Persistent mullerian duct syndrome type 1 * Incomplete androgen insensitivity * Robinow-Silverman-Smith syndrome * Leydig cell agenesis * 5-Alpha reductase deficiency * Camptomelic dysplasia * 17-beta hydroxysteroid dehydrogenase deficiency of testis Prevention[checkorphan.org]
  • In most males, the development of the embryo into a female is prevented by Anti-Müllerian hormones. These hormones are commonly believed to be created in the testes, but they nevertheless still appear to be produced in male embryos lacking testes.[en.wikipedia.org]
  • Treatable - 0% Emergent - ED Care Needed - Preventable/Avoidable - 0% Emergent - ED Care Needed - Not Preventable/Avoidable - 0% Primary diagnosis of injury 0% Primary diagnosis of mental health problems 0% Primary diagnosis of substance abuse 0% Primary[codelay.com]
  • Postoperatively, erections were discouraged to prevent the penile skin from retracting.[cirp.org]
  • The protective effect of circumcision might give a false sense of security and should not be advocated over other preventive measures.[hkmj.org]

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