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Testicular Atrophy


Presentation

  • A series of ten cases of testicular atrophy occurring after hernia repair in nine patients is presented. Identifiable risk factors were present in eight instances.[ncbi.nlm.nih.gov]
  • Will sperm count decrease testicular atrophy is present? Testicular atrophy is when shrinkage in the testicles is present. When this occurs, individuals may have issues with the sperm count being low or even missing altogether.[justanswer.com]
Male Hypogonadism
  • Male hypogonadism occurs when a man's testicles cannot produce adequate levels of testosterone. According to Northwestern Memorial Hospital urologist, Dr.[livestrong.com]
  • Hypogonadism Can Result From Defects at Several Levels Last Updated on Sun, 02 Sep 2018 Skeletal Muscle Male hypogonadism may result from defects in spermato-genesis, steroidogenesis, or both.[78stepshealth.us]
Proximal Muscle Weakness
  • The disease started with finger tremor, proximal muscle weakness and facial muscle twitching at the second and fourth decades, accompanied by bulbar signs and glove-stocking type sensory disturbance.[ncbi.nlm.nih.gov]
Anger
  • Abstract Testicular atrophy is a sequela of inguinal hernioplasty which angers men of all ages.[ncbi.nlm.nih.gov]
Anorchia
  • […] counseling is mandatory in patients found to have AZF deletions, as any Y-deletions will be transmitted to male offspring, putting them at risk for spermatogenic failure, Turner syndrome (45, XO), and other phenotypic abnormalities. [33, 34, 35] Bilateral anorchia[emedicine.medscape.com]

Workup

  • Case contributed by Dr Maulik S Patel Diagnosis probable Diagnosis probable Presentation Infertility workup.[radiopaedia.org]
  • […] the following: Granulomatous disease – Leprosy and sarcoidosis may infiltrate the testicle Sickle cell disease – Sickling of cells within the testis leads to microinfarcts Excessive use of alcohol, cigarettes, caffeine, or marijuana Despite a thorough workup[emedicine.medscape.com]

Treatment

  • The RR in men who were treated for cryptorchidism increased with age at treatment. This effect may be due wholly or in part to increased treatment of boys with testes that would have descended spontaneously if they had not been treated.[ncbi.nlm.nih.gov]
  • If treatment keeps the testicles enlarged, there may be a chance the treatment is working and not permanent. Some men may need to have testicular implants in order to help treat this condition.[justanswer.com]

Prognosis

  • Thus, MAT characteristics may be predicted in prepubertal cryptorchid patients, allowing a fertility prognosis. The pathogenesis of these lesions, and their possible inclusion into the spectrum of the testicular dysgenesis syndrome, are discussed.[ncbi.nlm.nih.gov]
  • Danniell concludes that the demonstration of testicular atrophy at the time of therapeutic orchiectomy for prostate cancer is associated with poor post-orchiectomy prognosis.[ahcmedia.com]

Etiology

  • Apart from the postsurgical etiology, ischemic orchitis and subsequent testicular atrophy may occur secondary to compression of the testicular vessels by chronically incarcerated hernias.[clinicsandpractice.org]
  • […] only rudimentary epididymis and spermatic cord with vas deferens Possibly due to testicular infarct ( Histopathology 1991;19:269 ) Post vasectomy : thickening of tubular wall, reduced spermatids, reduced Sertoli cells, variable interstitial fibrosis Etiology[pathologyoutlines.com]
  • The etiology is unknown but is probably multifactorial. Patients have with small- to normal-sized testes and azoospermia, but normal secondary sex characteristics.[emedicine.medscape.com]
  • Late presentation of cryptorchidism: the etiology of testicular re-ascent. J Urol. 1997;157:1892–4. 17. Redman JF. Impalpable testes: observations based on 208 consecutive operations for undescended testes. J Urol. 1980;124:379–81. 18.[aafp.org]

Pathophysiology

  • Pathophysiology Of Hivinfection In The Reproductive Tract And Potential Mechanisms Of Gonadal Dysfunction Testicular atrophy is a common finding in autopsy series of patients infected with HIV (8-11).[78stepshealth.us]

Prevention

  • Abstract Testicular atrophy can be prevented by limiting dissection trauma to the spermatic cord, specifically, leaving the distal part of the indirect inguinal hernia sacs in situ; never dissecting beyond the pubic tubercle; and using the properitoneal[ncbi.nlm.nih.gov]
  • You can prevent that easily. And how can you prevent testicular atrophy and testicular sensitivity from developing while you are on a steroid cycle? The answer is simple, you can avoid it by stacking HCG to your steroid cycle.[whatsteroids.com]
  • Bibliografische Informationen Titel Complications of Urologic Surgery and Practice: Diagnosis, Prevention, and Management Herausgeber Kevin R.[books.google.de]
  • Prevention of Testicular Atrophy Since childhood diseases, especially mumps , increase the risk of testicular atrophy, vaccination is essential.[health.ccm.net]

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