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2.1
Congenital Absence of the Testis
Absence and Aplasia of Testis

Presentation

We present two interesting patients with URA, encountered recently. Our first case was diagnosed with URA at the age of 11 years, which was detected on sonography, when he presented with pain abdomen. [sjkdt.org]

) Other congenital malformations of male genital organs Approximate Synonyms Absent testicle (congenital) Congenital absence of both testes Congenital absence of testicle Present On Admission POA Help "Present On Admission" is defined as present at [icd10data.com]

Present on Admission symbol identifies the diseases that will always be coded as present on admission. Hospital Acquired Condition symbol notes specific conditions that will always be coded as hospital acquired. UNIQUE! [books.google.com]

Presentation A 20 year old male presented to the emergency room with severe left scrotal pain. Caption: Transverse scan of the testicles Description: Color Doppler demonstrates blood flow in both testes. [sonoworld.com]

Kleinfelter's syndrome- This condition occurs when an extra x chromosome is present. It results in the individual having small, poorly functioning testes, and azoospermia. [familybuilding.resolve.org]

Entire Body System

  • Proportionate Short Stature

    Anthropometric evaluation revealed a proportionate short stature with height of 127 cm ( th centile) and weight of 22 kg ( th centile) with blood pressure of 102/78 mmHg. [sjkdt.org]

Workup

Available online at https://emedicine.medscape.com/article/922038-workup#c6. Accessed March 2018. (Updated 2018 March). Male Hypogonadism. ARUP Laboratories. Available online at https://arupconsult.com/content/hypogonadism-male. Accessed March 2018. [labtestsonline.it]

Treatment

Here, the practicing urologist will find informative, easy-to-read reviews of the modern evaluation of prenatal hydronephrosis, the standard treatment of reflux vs the newer injectable techniques, and the spectrum of hypospadias treatment along with new [books.google.de]

[…] varicocelectomy treatment for condition of abnormal fluid collection in scrotum requires a hydrocelectomy treatment for seminoma malignant neoplasm of the testis, requires bilateral orchiectomy (removal of both testes) treatment for condition of phimosis [studystack.com]

In cases of vasectomy surgical correction in the form of vasectomy reversal may offer another treatment to this problem. This is a self-funded treatment that is not avaialable at CRM. [uhcw.nhs.uk]

In most cases, the testes pass down by age 6 months without any treatment. In other cases, treatment may be needed. This may include: Surgery. The undescended testicle may be moved into the scrotal sac with surgery. [cedars-sinai.edu]

Prognosis

Treatment and prognosis Most undescended testes at birth descend in the first three months after birth Orchiopexy is the preferred mode of management in case of viable testes high-up in the scrotum or within inguinal canal / abdomen. [radiopaedia.org]

(Outcome/Resolutions) The prognosis of Congenital Bilateral Absence of Vas Deferens, in a majority of individuals, depends upon the severity of cystic fibrosis. [dovemed.com]

Although the prognosis for sperm retrieval is poor for patients with large deletions involving AZF region a or b, the results of Y chromosome deletion analysis cannot absolutely predict the absence of sperm. References 1. [auanet.org]

Advances in prenatal diagnosis, fetal surgery and targeted therapies have improved the prognosis and quality of life in affected families [ 1 ]. The kidney [ 1 ] The kidney is the most common site of congenital abnormalities. [patient.info]

Etiology

Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]

Cryptorchidism Definition : failure of one or both testicles to descend to their natural position in the scrotum Epidemiology : most common congenital anomaly of the genitourinary tract Etiology : unknown, possibly multifactorial Risk factors Prematurity [amboss.com]

These findings support prenatal torsion rather than endocrinopathy as the etiology for the congenitally absent testis. [ncbi.nlm.nih.gov]

Manifestation code symbol spotlights certain conditions for which it is important to record the etiology (cause) and the manifestation (symptom) of the disease. [books.google.com]

Testicular etiologies (primary testicular failure) involve disorders of spermatogenesis intrinsic to the testes. [auanet.org]

Epidemiology

Epidemiology 2-5% of full-term and 30% of premature male infants are born with an undescended testicle. [pedclerk.bsd.uchicago.edu]

Cryptorchidism Definition : failure of one or both testicles to descend to their natural position in the scrotum Epidemiology : most common congenital anomaly of the genitourinary tract Etiology : unknown, possibly multifactorial Risk factors Prematurity [amboss.com]

[…] thyroid hormones 3.1.3 Clinical assessment of the thyroid patient 3.1.4 Thyroid function tests and the effects of drugs 3.1.5 Nonthyroidal illness 3.1.6 Thyroid imaging: nuclear medicine techniques 3.1.6.1 Thyroid imaging: nonisotopic techniques 3.1.7 Epidemiology [oxfordmedicine.com]

Pathophysiology

Hypothalamic dysfunction (hypothalamic syndromes) 2.4.2 Craniopharyngiomas 2.4.3 Perisellar tumours including cysts, hamartomas, and vascular tumours 2.4.4 Lymphocytic hypophysitis and other inflammatory conditions of the pituitary 2.5 Pineal physiology and pathophysiology [oxfordmedicine.com]

[…] into the scrotum Ectopic testis : testis is situated away from normal path of descent, differs from undescended testicle ICD coding Q53.1: undescended testicle, unilateral Q53.2: undescended testicle, bilateral Q53.9: undescended testicle, unspecified Pathophysiology [pathologyoutlines.com]

Prevention

Currently, there are no specific methods or guidelines to prevent Congenital Bilateral Absence of Vas Deferens, since it is a genetic condition Genetic testing of the expecting parents (and related family members), as well as prenatal diagnosis (molecular [dovemed.com]

Is chronic lung disease in low birth weight infants preventable? A survey of eight centers. ‎ Página 84 - Tanner JM, Whitehouse RH, Marubini E, Resele LF. The adolescent growth spurt of boys and girls of the Harpenden growth study. ‎ [books.google.es]

Find a Fertility Specialist Obstructive Azoospermia Obstructive azoospermia is caused when there is a plumbing problem that prevents the sperm from traveling out of the testes and into the penis. [healthcare.utah.edu]

Surgical sperm retrieval may be a treatment option for men with: An obstruction preventing sperm release, due to injury or infection Congenital absence of the vas deferens (men born without the tube that drains the sperm from the testicle) Vasectomy Non-obstructive [uhcw.nhs.uk]

Hydroceles usually resolve spontaneously, but surgery may be indicated in prolonged congenital forms to prevent inguinal hernia. [amboss.com]

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