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Sample records for groin glans penis

  1. Ischemic glans penis after circumcision

    Institute of Scientific and Technical Information of China (English)

    Yuan-ShengTzeng; Shou-HungTang; EnMeng; Teng-FuLin; Guang-HuanSun

    2004-01-01

    A 33-year-old male receiving dorsal penile nerve block (DPNB) for circumcision exhibited a postoperative ischemic change over the glans penis. The event occurred nearly 24 hours after the procedure. The patient was treated with intravenous pentoxifyllin and hyperbaric oxygenation. Total reverse of the ischemia was observed. The complications associated with circumcision and DPNB were reviewed and discussed.

  2. Glans penis perception of Koro patients.

    Science.gov (United States)

    Chowdhury, A N

    1993-05-01

    Koro is a form of sexual neurosis in which a reaction of acute anxiety accompanies the perception of decreased penis length from intra-abdominal traction. This study attempts to explore the glans penis perception of Koro patients by a grapho-motor projective test--DAPT (Draw-a-penis Test). This controlled DAPT investigation shows that Koro patients have significantly less perception of glans penis than the controls. This perceptual deviation in glans penis image is discussed in relation to the sexual-behavioral profile and Koro vulnerability of the patients.

  3. Rare malformation of glans penis: arteriovenous malformation.

    Science.gov (United States)

    Akin, Y; Sarac, M; Yucel, S

    2013-01-01

    Pediatric glans penis malformations, especially arteriovenous malformations (AVM), are very rare. Herein, we report two rare cases. A 14-year-old boy attended our outpatient clinic with chief complaints of purple swelling and rapidly growing lesion on the glans penis. The lesion was excised surgically after physical and radiological evaluations. Pathology reported AVM and the patient is being followed up. The second case is a 2-year-old boy who was admitted with a big lesion involving glans penis and genital area that has been present since birth. In physical and radiological evaluations, lesion on the glans penis was pulsatile. Parents of the patient did not want any surgery and patient has been in follow-up. Diagnosis of the vascular lesions on glans penis is very easy by physical and radiological examinations today. Long-term follow-up is very important for AVM. Clinicians must make a careful effort to document new glans lesions in the pediatric population and decrease anxiety in the parents of affected children.

  4. Necrotizing granulomatous inflammation of the glans penis.

    Science.gov (United States)

    Christodoulidou, Michelle; Bunker, Christopher B; Trevisan, Giorgia; Muneer, Asif

    2016-08-24

    We describe the case of a 73-year-old man who presented with a 10-month history of an ulcerating lesion on the glans penis. Initially this was thought to be an invasive squamous cell carcinoma but a biopsy showed histological features consistent with necrotizing granulomatous inflammation. Extensive serological, immunological and microbiological tests only showed a positive antinuclear and perinuclear antineutrophil cytoplasmic antibodies indicating a possible autoimmune aetiology but an underlying systemic cause was not identified. Treatment with oral corticosteroids limited the inflammatory process but due to the gross destruction of the glans penis, he still required a glansectomy and split-skin graft reconstruction from which he recovered well. Although this patient ultimately required surgery for this rare presentation, this case highlights the differential diagnosis of penile ulceration (that transcends neoplasia) and the importance of performing and interpreting penile biopsies before undertaking potentially mutilating definitive surgery.

  5. Cutaneous corpuscular receptors of the human glans clitoris: descriptive characteristics and comparison with the glans penis.

    Science.gov (United States)

    Shih, Cheryl; Cold, Christopher J; Yang, Claire C

    2013-07-01

    The female genital sensory pathways that initiate sexual arousal reflexes begin with cutaneous corpuscular receptors in the glabrous genital skin, including those of the glans clitoris. The aim of this study is to characterize the corpuscular receptors of the glans clitoris. In addition, we compared basic features with the receptors of the glans penis. Number of stained receptors. Five cadaveric vulvectomy specimens and four cadaveric penile specimens were used. They were serially sectioned and stained with hematoxylin and eosin. Selected blocks were stained with Masson's trichrome, and immunohistochemical staining was done with neuronal markers S-100 and neurofilament. Using the three stains, we identified an abundance of corpuscular receptors within the glans clitoris, as compared with the surrounding prepuce. These receptors were of varied arrangements, situated in the subepithelial tissues of the glans clitoris. They were indistinguishable from the receptors of the glans penis. The number of receptors per 100× high-powered field ranged from 1 to 14, whereas the receptor density in the glans penis ranged from 1 to 3. A second type of receptor, the Pacinian corpuscle, was identified within the suspensory ligament along the trunks of the dorsal nerve but not within the glans itself. The glans clitoris is densely innervated with cutaneous corpuscular receptors, and these receptors are morphologically similar to the corpuscular receptors of the glans penis. The glans clitoris has greater variability in receptor density compared with the glans penis. © 2013 International Society for Sexual Medicine.

  6. Verrucous hemangioma of the glans penis.

    Science.gov (United States)

    Akyol, Ilker; Jayanthi, Venkata R; Luquette, Mark H

    2008-07-01

    Verrucous hemangioma (VH) is a hyperkeratotic lesion usually presenting in infancy, occurring primarily on the extremities. We report a 5-year-old boy with VH in the glans penis and discuss briefly the hyperkeratotic vascular stains, which constitute a heterogenous group. During a 7-year follow-up, the patient received various local treatments, but the lesion regrew to its original size after each treatment until the second deep excision after which no more recurrences have been observed for 3 years now. VH in this location has never been reported.

  7. Glanuloplasty with Oral Mucosa Graft following Total Glans Penis Amputation

    Directory of Open Access Journals (Sweden)

    Kwaku Appiah

    2014-01-01

    Full Text Available This is a report on the technique of neoglans reconstruction in a patient with amputated glans penis following guillotine neonatal circumcision. A 4 cm long and 2 cm wide lower lip oral mucosa graft was harvested and used to graft the distal 2 cm of the corporal bodies after 2 cm of the distal penile skin had been excised. One edge of the lower lip oral mucosa graft was anastomosed to the urethral margins distally and proximally to the skin. At six months of followup, patient had both satisfactory cosmetic and functional outcomes.

  8. Tuberculous epididymo-orchitis and papulonecrotic tuberculids of the glans penis

    Directory of Open Access Journals (Sweden)

    Murthy S

    2003-11-01

    Full Text Available A 25-year-old male presented with an asymptomatic papulo-pustular eruption over the glans penis. The clinical features and investigations were suggestive of papulonecrotic tuberculids of the glans penis. He had an underlying bilateral active tuberculous epididymo-orchitis and a healed focus of pulmonary tuberculosis.

  9. Reconstruction of an Amputated Glans Penis With a Buccal Mucosal Graft: Case Report of a Novel Technique

    OpenAIRE

    Aboutaleb, Hamdy

    2014-01-01

    Penile amputation is a rare catastrophe and a serious complication of circumcision. Reconstruction of the glans penis may be indicated following amputation. Our report discusses a novel technique for reconfiguration of an amputated glans penis 1 year after a complicated circumcision. A 2-year-old male infant presented to us with glans penis amputation that had occurred during circumcision 1 year previously. The parents complained of severe meatal stenosis with disfigurement of the penis. Peni...

  10. Ischemia of the glans penis following circumcision: case report and revision of the literature

    Directory of Open Access Journals (Sweden)

    Pietro Pepe

    2015-03-01

    Full Text Available Ischemic complications of the glans penis are rare and commonly result from trauma, inadvertent administration of vasoconstrictive solutions, diabetes mellitus, circumcision and vasculitis; we refer about a young man with severe ischemia of the glans penis following circumcision. The patient had undergone circumcision 5 days before in a surgery department under local anesthesia (1% mepivacaine hydrochloride. The patient noticed a brownish color and edema of the glans penis at 24 h after he opened the wound dressing, but arrived to our hospital only 5 days after circumcision because these findings had progressed. Physical examination revealed the black color or necrotic appearance of the glans penis, and edema on the dorsal penile skin. The patient underwent antibiotic, antiplatatelet, corticosteroid and iperbaric therapy achieving a complete restitutio ad integrum.

  11. Ischemia of the glans penis following circumcision: case report and revision of the literature.

    Science.gov (United States)

    Pepe, Pietro; Pietropaolo, Francesco; Candiano, Giuseppe; Pennisi, Michele

    2015-03-31

    Ischemic complications of the glans penis are rare and commonly result from trauma, inadvertent administration of vasoconstrictive solutions, diabetes mellitus, circumcision and vasculitis; we refer about a young man with severe ischemia of the glans penis following circumcision. The patient had undergone circumcision 5 days before in a surgery department under local anesthesia (1% mepivacaine hydrochloride). The patient noticed a brownish color and edema of the glans penis at 24 h after he opened the wound dressing, but arrived to our hospital only 5 days after circumcision because these findings had progressed. Physical examination revealed the black color or necrotic appearance of the glans penis, and edema on the dorsal penile skin. The patient underwent antibiotic, antiplatatelet, corticosteroid and iperbaric therapy achieving a complete restitutio ad integrum.

  12. An infrequent plexiform variant of schwannoma of the glans penis: a rare finding

    Institute of Scientific and Technical Information of China (English)

    Tzu-Chun Lin; Po-Yuan Wu; Tze-Yi Lin; Tsong-Liang Lee

    2010-01-01

    @@ Dear Editor, I am Dr Tzu-Chun Lin, from the Department of Dermatology, China Medical University Hospital,Taichung, Taiwan, China. We write to you to present a rare case of plexiform variant of schwannoma on the glans penis.

  13. Coagulation of a giant hemangioma in glans penis with holmium laser

    Institute of Scientific and Technical Information of China (English)

    Emin Aydur; Bulent Erol; Lutfi Tahmaz; Hasan Cem Irkilata; Cenker Eken; Ahmet Fuat Peker

    2008-01-01

    A 21-year-old man presented with an enlarged giant hemangioma on glans penis which also causes an erectile dysfunction (ED) that partially responded to the intracavernous injection stimulation test. Although the findings in magnetic resonance imaging (MRI) indicated a glandular hemangioma, penile colored Doppler ultrasound revealed an invaded cavernausal hemangioma to the glans. Surgical excision was avoided according to the broad extension of the gland lesion. Holmium laser coagulation was applied to the lesion due to the cosmetically concerns. However, the cosmetic results after holmium laser application was not impressive as expected without an improvement in intracavernous injection stimulation test. In conclusion, holmium laser application should not be used to the heman- giomas of glans penis related to the corpus cavernosum, but further studies are needed to reveal the effects of holmium laser application in small hemangiomas restricted to the glans penis.

  14. Reconstruction of an amputated glans penis with a buccal mucosal graft: case report of a novel technique.

    Science.gov (United States)

    Aboutaleb, Hamdy

    2014-12-01

    Penile amputation is a rare catastrophe and a serious complication of circumcision. Reconstruction of the glans penis may be indicated following amputation. Our report discusses a novel technique for reconfiguration of an amputated glans penis 1 year after a complicated circumcision. A 2-year-old male infant presented to us with glans penis amputation that had occurred during circumcision 1 year previously. The parents complained of severe meatal stenosis with disfigurement of the penis. Penis length was 3 cm. Complete penile degloving was performed. The distal part of the remaining penis was prepared by removing fibrous tissue. A buccal mucosal graft was applied to the distal part of the penis associated with meatotomy. The use of a buccal mucosal graft is a successful and simple procedure with acceptable cosmetic and functional results for late reconfiguration of the glans penis after amputation when penile size is suitable.

  15. Erythema elevatum diutinum på glans penis er en sjælden manifestation

    DEFF Research Database (Denmark)

    Harbjerg, Julie Lykke; Krarup, Kim Predbjørn

    2014-01-01

    Erythema elevatum diutinum (EED) is a rare chronic cutaneous vasculitis, which typically manifests as symmetrical, chronic plaques or nodules on the extensor sides of the extremities, on truncus or nates. We present a case where EED-compatible plaques were located on glans penis. To our knowledge...

  16. Magneto-LED therapy in the treatment of inflammatory lesions and erosions of the glans penis – case report

    Directory of Open Access Journals (Sweden)

    Jarosław Pasek

    2016-10-01

    Full Text Available Introduction . Inflammatory lesions and erosions of the glans penis defined as balanitis or balanoposthitis constitute a disease in which the effectiveness of conservative treatment is not sufficient. Objective. To present the therapeutic efficacy of magneto-LED therapy in the treatment, and to present a patient with inflammatory lesions and erosions of the glans penis. Case report. The patient, 68 years old with inflammatory lesions and erosions of the glans penis of 2–4 years duration, was previously treated with various methods of local therapy without effect. As a result of a 32-week long magneto-LED therapy cycle, complete resolution of skin lesions with subsidence of the burning sensation during urination and reduced swelling and inflammatory erythema of the glans, as well as disappearance of the white coating and unpleasant smell, was achieved. Conclusions . Magneto-LED therapy is an efficient method of treatment of inflammatory lesions and erosions of the glans penis.

  17. Medicinal Leech Therapy for Glans Penis Congestion After Primary Bladder Exstrophy-Epispadias Repair in an Infant: A Case Report.

    Science.gov (United States)

    Wagenheim, Gavin N; Au, Jason; Gargollo, Patricio C

    2016-01-01

    Many postoperative complications have been reported after repair of classic bladder exstrophy. We present a case of medicinal leech therapy for glans penis congestion following exstrophy repair in an infant. A 2-week-old male with classic bladder exstrophy underwent complete primary repair. On postoperative day 1, he developed rapidly worsening glans penis venous congestion. Medicinal leech therapy was instituted with antibiotics and blood transfusions to maintain a hematocrit >30%. After 24 hours, venous congestion improved and therapy was discontinued. The patient's remaining hospital course was uncomplicated. Medicinal leeches are an effective therapy to relieve glans penis venous congestion.

  18. Quantitative analysis of development and aging of genital corpuscles in glans penis of the rat.

    Science.gov (United States)

    Shiino, Mizuho; Hoshi, Hideo; Kawashima, Tomokazu; Ishikawa, Youichi; Takayanagi, Masaaki; Murakami, Kunio; Kishi, Kiyoshi; Sato, Fumi

    2015-02-01

    The aim of the present postnatal developmental study was to determine densities of unique genital corpuscles (GCs) in glans penis of developing and aged rats. GCs were identified as corpuscular endings consisting of highly branched and coiled axons with many varicosities, which were immunoreactive for protein gene product 9.5. In addition, GCs were immunoreactive for calcitonin gene-related peptide and substance P, but not for vasoactive intestinal polypeptide and neuropeptide Y. GCs were not found in the glans penis of 1 week old rats. Densities of GCs were low at 3 weeks, significantly increased at 5 and 10 weeks, reached the peak of density at 40 weeks, and tended to decrease at 70 and 100 weeks. Sizes of GCs were small in 3 weeks old rats, increased at 5 and 10 weeks, reached the peak-size at 40 weeks and reduced in size at 70 and 100 weeks. Considering sexual maturation of the rat, the results reveal that GCs of the rat begins to develop postnatal and reaches to the peak of their development after puberty and continues to exist until old age, in contrast to prenatal and early postnatal development of other sensory receptors of glabrous skin.

  19. Primary tuberculosis of glans penis after intravesical Bacillus Calmette Guerin immunotherapy

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    V K Sharma

    2011-01-01

    Full Text Available A 55-year-old male with carcinoma in situ of urinary bladder was treated with weekly intravesical injections of Bacillus Calmette Guerin (BCG vaccine. Three days after the sixth injection, he developed low grade fever and multiple grouped punched out, 2-3 mm ulcers around meatus and corona glandis. In addition, multiple, firm, indurated, nontender papules and few deeper nodules were present on the proximal part of glans penis, along with bilateral enlarged, matted and nontender inguinal lymph nodes. There was no history suggestive of sexually transmitted diseases and high risk behavior. Chest X-ray was within normal limits, and Mantoux, Venereal Disease Research Laboratory (VDRL and HIV antibody tests were negative. The biopsy from the penile ulcer revealed epithelioid cell granuloma with Langhans giant cells. Fine needle aspiration cytology from the lymph node also revealed epithelioid cell granuloma and acid fast bacilli on Ziehl Neelsen′s stain. The tissue biopsy grew Mycobacterium tuberculosis. The BCG immunotherapy was stopped and patient was treated with four drug antitubercular therapy with isoniazid, rifampicin, ethambutol, and pyrazinamide in standard daily doses along with pyridoxine. The edema resolved and the ulcers started healing within 2 weeks, and at 6 weeks after starting antitubercular therapy almost complete healing occurred. To the best of our knowledge, we describe the first case of an Indian patient with BCG induced primary tuberculosis of penis after immunotherapy for carcinoma urinary bladder and review the previously described cases to increase awareness of this condition in dermatologists and venereologists.

  20. Long-term results of brachytherapy for carcinoma of the penis confined to the glans (N- or NX).

    Science.gov (United States)

    de Crevoisier, Renaud; Slimane, Khemais; Sanfilippo, Nicholas; Bossi, Alberto; Albano, Maryvonne; Dumas, Isabelle; Wibault, Pierre; Fizazi, Karim; Gerbaulet, Alain; Haie-Meder, Christine

    2009-07-15

    To analyze the results of exclusive interstitial low-dose-rate brachytherapy (BT) for squamous cell carcinoma (SCC) of the penis, strictly confined to the glans. A total of 144 patients with SSC of the glans penis were treated with BT. Inguinal nodal dissection was performed in 19% of patients (all N-). After circumcision, BT was performed using the hypodermic needle technique. Median iridium length per patients was 24 cm (range, 4-108) and median dose was 65 Gy (range, 37-75). Median treated volume was 22 cm(3) (range, 5-110) and median reference isodose rate was 0.4 Gy/h (range, 0.2-1.2). Median follow-up was 5.7 years (range, 0.5-29). The 10-year penile recurrence, inguinal lymph node recurrence, and inguinal nodal metastasis rates were: 20% (CI 95%, 11-29), 11% (CI 95%, 5-17), and 6% (CI 95%, 2-10), respectively. After salvage treatment, 86% patients with local failure were in a complete remission at last follow-up. The 10-year probability of avoiding penile surgery (for complication or local recurrence) was 72% (CI 95%, 62-82). The 10-year cancer-specific survival rate was 92% (CI 95%, 87-97). Diameter of tumor significantly increased the risk of recurrence (p = 0.02). The 10-year painful ulceration and stenosis risk rates were: 26% (CI 95%, 17-35) and 29% (CI 95%, 18-40), respectively. Seven patients required excision for necrosis. Treated volume and reference isodose rate significantly increased the risk of complications. BT is an effective conservative treatment for SCC confined to the glans. Salvage local treatment is effective. Dose rate should be limited to decrease toxicity.

  1. Urethrotomy of the glans penis in three male dogs with urolithiasis.

    Science.gov (United States)

    Cinti, F; Pisani, G; Carusi, U; Buracco, P

    2015-11-01

    Three intact male dogs with stranguria and haematuria caused by uroliths in the penile urethra underwent urethrotomy using a novel surgical approach directly over the caudal part of the os penis because conservative procedures to resolve the obstructions had failed. Haemorrhage was minimal, and the incisions healed rapidly by second intention. Complications did not occur during the 6-month follow-up period. Urethrotomy directly over the os penis is straightforward, associated with few complications and holds promise for the removal of urinary calculi in the penile urethra.

  2. Pilonidal Sinus of the Glans Penis Associated with Actinomyces Case Reports and Review of Literature

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    Shylashree Chikkamuniyappa

    2004-01-01

    Full Text Available Pilonidal sinus is a well-recognized condition that occurs most commonly in the sacrococcygeal area of younger men. It is hypothesized to be an acquired chronic inflammation condition due mainly to hair trapped beneath the surface. A pilonidal sinus in the sacrococcygeal region is associated with recurrent infection, abscess formation, cellulitis, fistulae, and rarely, squamous cell carcinoma. A pilonidal sinus of the penis is a rare entity. The association of a penile pilonidal cyst and Actinomyces is even more uncommon with only three cases reported previously. Two cases of pilonidal sinus are reported in this paper. One of the cases was associated with actinomycosis. Pilonidal sinus of the penis should be considered in the clinical and pathological differential diagnosis and has to be distinguished from balanoposthitis, epidermal cyst, and carcinoma. The knowledge about possible association with actinomycosis is important to ensure early treatment.

  3. Distinct subclassification of DRG neurons innervating the distal colon and glans penis/distal urethra based on the electrophysiological current signature.

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    Rau, Kristofer K; Petruska, Jeffrey C; Cooper, Brian Y; Johnson, Richard D

    2014-09-15

    Spinal sensory neurons innervating visceral and mucocutaneous tissues have unique microanatomic distribution, peripheral modality, and physiological, pharmacological, and biophysical characteristics compared with those neurons that innervate muscle and cutaneous tissues. In previous patch-clamp electrophysiological studies, we have demonstrated that small- and medium-diameter dorsal root ganglion (DRG) neurons can be subclassified on the basis of their patterns of voltage-activated currents (VAC). These VAC-based subclasses were highly consistent in their action potential characteristics, responses to algesic compounds, immunocytochemical expression patterns, and responses to thermal stimuli. For this study, we examined the VAC of neurons retrogradely traced from the distal colon and the glans penis/distal urethra in the adult male rat. The afferent population from the distal colon contained at least two previously characterized cell types observed in somatic tissues (types 5 and 8), as well as four novel cell types (types 15, 16, 17, and 18). In the glans penis/distal urethra, two previously described cell types (types 6 and 8) and three novel cell types (types 7, 14, and 15) were identified. Other characteristics, including action potential profiles, responses to algesic compounds (acetylcholine, capsaicin, ATP, and pH 5.0 solution), and neurochemistry (expression of substance P, CGRP, neurofilament, TRPV1, TRPV2, and isolectin B4 binding) were consistent for each VAC-defined subgroup. With identification of distinct DRG cell types that innervate the distal colon and glans penis/distal urethra, future in vitro studies related to the gastrointestinal and urogenital sensory function in normal as well as abnormal/pathological conditions may be benefitted.

  4. Angiosarcoma of penis.

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    Gogoi, Debojit; Hazra, Shankar; Ghosh, Bastab; Pal, DilipKumar

    2013-12-18

    A 29-year-old male patient presented with proliferative lesion in the glans penis without any inguinal lymphadenopathy. The biopsy showed a highly vascular malignant lesion. Subsequent metastasis work-up was negative. Partial amputation of the penis with close follow-up was performed. Final histopathology was consistent with angiosarcoma of the penis.

  5. Angiosarcoma of penis

    Science.gov (United States)

    Gogoi, Debojit; Hazra, Shankar; Ghosh, Bastab; Pal, DilipKumar

    2013-01-01

    A 29-year-old male patient presented with proliferative lesion in the glans penis without any inguinal lymphadenopathy. The biopsy showed a highly vascular malignant lesion. Subsequent metastasis work-up was negative. Partial amputation of the penis with close follow-up was performed. Final histopathology was consistent with angiosarcoma of the penis. PMID:24351513

  6. Glans-preserving surgery for superficial penile cancer.

    Science.gov (United States)

    Li, Pengchao; Song, Ninghong; Yin, Changjun; Zhang, Wei; Li, Jie; Hua, Lixin; Wang, Zengjun; Cheng, Gong

    2012-01-01

    In this study, we investigated the safety and feasibility of glans-preserving surgery for superficial penile squamous cell carcinoma. Young patients with penile primary tumors exhibiting favorable histologic features were best suited for organ-sparing procedures, enabling them to avoid sexual disturbances. The study included 12 patients, 38-53 years of age (median age 46 years), with superficial lesions involving the glans penis, coronary sulcus, or shaft skin. After clinical staging and grading, those patients were offered a glans-preserving procedure to preserve the normal appearance and functional integrity of the glans penis. Of the 12 patients referred, the tumors were TaG1 in 4 patients, TaG2 in 3, TisG1 in 1, TisG2 in 1, T1G1 in 2, and T1G2 in 1. All patients returned to normal sexual activity 1 month postoperatively. Sexual function and sexual satisfaction were well maintained after surgery. The cosmetic results were considered satisfying/very satisfying by 83% (10 of 12 patients). Follow-up data were available on 12 patients at a mean follow-up of 62.5 months. Only 1 patient had recurrence 6 months after surgery, which was managed by a second glans-preserving surgery without recurrence. With careful patient selection and vigilant follow-up, anatomically suitable superficial penile cancer can be offered this glans-preserving surgery, while preserving function of the penis wherever possible.

  7. Groin pain

    Science.gov (United States)

    Pain - groin; Lower abdominal pain; Genital pain; Perineal pain ... Common causes of groin pain include: Pulled muscle, tendon, or ligaments in the leg: This problem often occurs in people who play sports such as ...

  8. Penis cancer: a case report

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    Gregorio Sampalmieri

    2014-06-01

    Full Text Available Penis cancer appears as a small lesion that extends gradually to affect the whole of the glans and the shaft of the penis. Its peak incidence is in men aged 40 to 70 years. The most frequent malignant penis tumour is squamous cell carcinoma, which occurrence is probably favoured by smegma accumulation, HPV16 and 18 infection, smoke, and balanitis xerotica obliterans. Here we discuss the case of a 74-year-old man with sovrapubic pain and swelling. Physical examination reveals swollen glans with purulent secretions and oedema. The final diagnosis of squamous cell carcinoma is established by means of RMN and biopsy. Partial penectomy surgery follows. Histopathological examination shows poorly differentiated endophytic infiltrative growth. The tumour infiltrates corpus spongiosum, corpora cavernosa, and urethra. The proximal uretheral stump is free from infiltration (pT3.http://dx.doi.org/10.7175/cmi.v8i2.906 

  9. Penis Allotransplantation in Beagle Dog.

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    Zhao, Yongbin; Hu, Weilie; Zhang, Lichao; Guo, Fei; Wang, Wei; Wang, Bangqi; Zhang, Changzheng

    2016-01-01

    This is an original research of penis allotransplantation. The paper presents an experiment allogenic penis transplantation model in Beagles, with a focus on recovery of blood supply and changes in tissue architecture. Twenty adult Beagles were allocated to 10 pairs for penile transplantation. After operation, the skin and glans were observed. If adverse symptoms occurred, the transplanted penis was resected and pathologically examined. Frequency of urination, urinary stream, and patency level were recorded 7 days after transplantation. Cystourethrography was performed on Day 10. The transplanted penises were resected on Day 14 for pathological examination. The research showed that transplanted penises survived after allotransplantation, and the dogs regained urination ability. Penis autotransplantation in Beagles is feasible. This preliminary study shows a potential for application of this new procedure for penis transplantation in humans.

  10. Penis Allotransplantation in Beagle Dog

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    Yongbin Zhao

    2016-01-01

    Full Text Available This is an original research of penis allotransplantation. The paper presents an experiment allogenic penis transplantation model in Beagles, with a focus on recovery of blood supply and changes in tissue architecture. Twenty adult Beagles were allocated to 10 pairs for penile transplantation. After operation, the skin and glans were observed. If adverse symptoms occurred, the transplanted penis was resected and pathologically examined. Frequency of urination, urinary stream, and patency level were recorded 7 days after transplantation. Cystourethrography was performed on Day 10. The transplanted penises were resected on Day 14 for pathological examination. The research showed that transplanted penises survived after allotransplantation, and the dogs regained urination ability. Penis autotransplantation in Beagles is feasible. This preliminary study shows a potential for application of this new procedure for penis transplantation in humans.

  11. Glomus tumor of penis- A rare case

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    Madhuri S. Kate

    2013-01-01

    Full Text Available Glomus tumors are rare, painful, and benign soft tissue tumors of the skin arising from the glomus body, an arteriovenous thermoregulatory structure. This lesion is usually found on the extremities. Glomus tumor involving the external genital organs including penis is extremely rare. Until now, only few cases have been reported in the available literature. A 22 year old male patient presented with a painful nodule over the penis. The pathologic diagnosis was glomus tumor of the glans penis. We report herewith a case of glomus tumor of penis diagnosed on histopathologic examination. Glomus tumor, being a benign neoplasm, complete extirpation of the glomus tumor is the treatment of choice.

  12. Cytotoxiciteitsanalyse van glans/ontspanningsmiddelen

    NARCIS (Netherlands)

    Geffen MF van; Orzechowski TJH; Machielsen JCA; Asten JAAM van; LGM

    1994-01-01

    Twee cytotoxiciteitstesten, gevalideerd voor de bepaling van de biocompatibiliteit van medische hulpmiddel extracten, zijn toegepast op glans/ontspanningsmiddelen. Glans/ontspanningsmiddelen ("instrumenten-melk") worden gebruikt bij de laatste processtap voor het reinigen van chirurgis

  13. Divided or kissing nevus of the penis.

    Science.gov (United States)

    Hardin, Carolyn A; Tieu, Kathy D

    2013-10-16

    The divided or kissing nevus is an unusual congenital melanocytic nevus. By definition, these nevi appear on skin that separates during embryological development. These lesions have been reported on the eyelids, fingers, and rarely the penis. We describe an 18 year old uncircumcised male who presented with an asymptomatic darkly pigmented patch on the glans penis. He reported that the lesion had appeared recently and was enlarging. Physical examination revealed a second symmetric lesion on the adjacent foreskin. Punch biopsy of the lesion on the glans penis showed abundant intradermal melanocytes devoid of mitoses and atypia, consistent with an intradermal melanocytic nevus. Based on the benign histologic nature and clinical exam, the lesion was diagnosed as a divided or kissing nevus of the penis. Proposed treatments include excision and grafting as well as Nd:YAG laser therapy. However, these patients may be safely monitored with regular follow-up skin examinations because there is minimal risk of malignant transformation.

  14. Penis Pump

    Science.gov (United States)

    ... claim that they can be used to increase penis size, but there's no evidence that they work for ... circumstances, using a penis pump might help your penis maintain its natural size and shape after prostate surgery or if you ...

  15. Penis wound by scorpion sting

    Directory of Open Access Journals (Sweden)

    Adriano Scaff Garcia

    1999-03-01

    Full Text Available CONTEXT: The majority of scorpion stings are oligosymptomatic, occurring mainly on the hands and feet. Fatality is rare. CASE REPORT: A 33-year old man suffered a severe sting on his penis from a scorpion of the species Tytius trivittatus. Alcohol and salt were used without success in an effort to relieve pain. Medical assistance was sought 4 hours after the event, at which time diffuse erythema, edema and punctiform injury on the glans penis were observed, with no systemic manifestation. Intravenous meperidine was administered with immediate relief of the pain. The local signs disappeared within 48 hours, with the patient remaining asymptomatic.

  16. Ischemic Gangrene of the Glans following Penile Prosthesis Implantation

    OpenAIRE

    Borja García Gómez; Javier Romero Otero; Laura Díez Sicilia; Estibaliz Jiménez Alcaide; Eduardo García-Cruz; Alfredo Rodríguez Antolín

    2013-01-01

    The development of ischemic gangrene of the penis following implantation of prosthesis is unusual, and very few cases are available in the literature. As a result, no established treatment protocol is available. We report our experience within a case of gangrene of the glans following implantation of a three-component prosthesis. We present a 53-year-old male, smoker with diabetes and hypercholesterolemia, who underwent surgery for the insertion of a penile prosthesis with 3 components to cor...

  17. High-flow priapism and glans hypervascularization following deep dorsal vein arterialization for vasculogenic impotence.

    Science.gov (United States)

    Wolf, J S; Lue, T F

    1992-01-01

    Microsurgical penile revascularization is becoming an increasingly applied technique in patients with arteriogenic or mixed arteriogenic and venogenic impotence. Deep dorsal vein arterialization has been used successfully in selected patients. Aside from failure of the procedure and the occasional problems associated with vascular surgery, priapism and glans hypervascularization are specific complications of deep dorsal vein arterialization. Priapism in these cases is 'high-flow'; the functional arterial-cavernous fistula can overcome the maintenance of the flaccid state and cause persistent erection. Glans hypervascularization, a syndrome of glans enlargement, skin changes and pain secondary to excessive retrograde filling of the glans penis and corpus spongiosum, can result in urethral compression and glans ulceration. Along with the presentation of the case of a man who suffered both complications, we discuss their pathophysiology, prevention, and treatment.

  18. Kissing nevus of the penis.

    Science.gov (United States)

    Yun, Sook Jung; Wi, Hyun Seung; Lee, Jee-Bum; Kim, Seong-Jin; Won, Young Ho; Lee, Seung-Chul

    2011-11-01

    Kissing or divided nevi are similar in shape to congenital melanocytic nevi located on an adjacent part of the body that are separated during embryogenesis. Kissing nevi of the upper and lower eyelids have been reported infrequently since the first report in 1908. Kissing nevi of the penis are very rare, with only 12 cases being reported until now, and this is the first case report in the Korean dermatological literature. A previously healthy 27-year-old man presented with asymptomatic black colored patches, which were detected 10 years ago, on the glans penis and the prepuce with growth in size. We report here a case of kissing nevus of the penis, which showed an obvious mirror-image symmetry relative to the coronal sulcus.

  19. Corona glans clitoroplasty and urethropreputial vestibuloplasty in male-to-female transsexuals: the vulval aesthetic refinement by the Andalusia Gender Team.

    Science.gov (United States)

    Giraldo, Francisco; Esteva, Isabel; Bergero, Trinidad; Cano, Guadalupe; González, Carlos; Salinas, Pablo; Rivada, Eva; Lara, José S; Soriguer, Federico

    2004-11-01

    For more than a decade the pedicled island neurovascular flap of the glans penis has been the standard procedure for clitoroplasty in intersex anomalies and in male-to-female genital sex reassignment surgery. Most authors focusing on genitoperineal reconstructions have used the island neurovascular flap of the dorsal shaft of the penis, including a variable-sized dorsal chip of the glans penis as the distal and functional portion of the flap. Although this dorsal glans clitoroplasty technique for neoclitoral reconstruction is well known, it nevertheless deserves scientific revision, with a view to improving several neglected aesthetic and functional points. The authors describe a new method for reconstruction of the neoclitoris in male-to-female transsexuals, the corona glans clitoroplasty. It is based on a modification of the original pedicled island neurovascular flap of the glans penis. The main difference compared with the dorsal glans clitoroplasty is that, distally, this method includes a bifid dorsolateral coronal flap designed in the shape of an open lotus flower or a bull's horns. Furthermore, a semicircular preputial flap is retained, attached to the bifid coronal flap of the glans, to improve the cosmetic appearance of the vestibulum and avoid growth of hair around the neoclitoris. Finally, a small dorsal flap of the spongiomucosa urethra designed in the shape of a pencil tip is added to improve the cosmetic appearance of the vestibulum between the neoclitoris and the urethral neomeatus. Since October of 1999, the authors have performed more than 30 genital sex reassignment surgeries in male-to-female transsexuals, of whom 16 underwent their technique of corona glans clitoroplasty. The authors describe and discuss the anatomic basis and clinical implications of this technique and its cosmetic and potential functional advantages. They also consider the anatomic differences among four distal designs of the pedicled island neurovascular flap of the glans

  20. Distal ligament in human glans: a comparative study of penile architecture.

    Science.gov (United States)

    Hsu, Geng-Long; Lin, Chung-Wu; Hsieh, Cheng-Hsing; Hsieh, Ju-Ton; Chen, Shyh-Chyan; Kuo, Tzong-Fu; Ling, Pei-Ying; Huang, Hsiu-Mei; Wang, Chii-Jye; Tseng, Guo-Fang

    2005-01-01

    To elucidate the anatomic distal ligament of the human glans penis and associated clinical implications, we compared the structures of the glans penis and corpora cavernosa in dogs, rats, and humans. From May 2001 to March 2003, gross dissection, microscopic examinations, and stains for elastic fibers and collagen subtypes were made in the penises of 11 adult human male cadavers, 7 dogs, and 5 rats. A distal ligament in the human glans penis replaces the os penis that is present in dogs or rats, also termed the baculum, but retains collagen types I and III as common structural and interlocking components, respectively. The intercavernosal septum is complete, and intracavernosal pillars (ICPs) are abundant in dogs, absent in rats, and moderately developed in humans. A tunica with numerous elastic fibers exists to fulfill the requirements of erectile function in humans but not in dogs or rats, since it is essential for establishing tissue strength to serve as a buttress. We may conclude that in dogs and rats, the strong os penis is designed for ready intromission and is associated with a pair of well-developed nonelastic corpora to serve as a buttress for the os penis. These structures are necessary for the rigorous coitus observed in dogs. The less compliant corpus cavernosum is suitable for the flipping action observed in a mating male rat. These specific anatomic designs may provide explanations for the individual requirements for the specific physiologic functions that differ from species to species. Although there is no os in the human glans, a strong equivalent distal ligament is arranged centrally and acts as a supporting trunk for the glans penis. Without this important structure, the glans could be too weak to bear the buckling pressure generated during coitus and too limber to serve as a patent passage for ejaculation, and it could be too difficult to transmit the intracavernosal pressure surge along the entire penis during ejaculation. Given the common

  1. Ischemic Gangrene of the Glans following Penile Prosthesis Implantation

    Science.gov (United States)

    García Gómez, Borja; Romero Otero, Javier; Díez Sicilia, Laura; Jiménez Alcaide, Estibaliz; García-Cruz, Eduardo; Rodríguez Antolín, Alfredo

    2013-01-01

    The development of ischemic gangrene of the penis following implantation of prosthesis is unusual, and very few cases are available in the literature. As a result, no established treatment protocol is available. We report our experience within a case of gangrene of the glans following implantation of a three-component prosthesis. We present a 53-year-old male, smoker with diabetes and hypercholesterolemia, who underwent surgery for the insertion of a penile prosthesis with 3 components to correct his erectile dysfunction and severe Peyronie's disease. The procedure was carried out without incidents. During the postoperative period, the patient began to complain from penile and perineal pain. He developed avascular necrosis of the glans. The necrosed area was excised. Four weeks later, he developed fever and perineal pain arriving to the emergency room with the prosthesis extruding through the glans. He had emergency surgery to remove the prosthesis plus surgical lavage and was prescribed broad-spectrum antibiotic therapy. Four weeks later, the penis was completely revascularized and reepithelialized. Ischemic gangrene following penile prosthesis implantation takes place in patients with poor peripheral vascularisation. Diabetes mellitus has been the common denominator to all of the reported cases. PMID:23956919

  2. Ischemic Gangrene of the Glans following Penile Prosthesis Implantation

    Directory of Open Access Journals (Sweden)

    Borja García Gómez

    2013-01-01

    Full Text Available The development of ischemic gangrene of the penis following implantation of prosthesis is unusual, and very few cases are available in the literature. As a result, no established treatment protocol is available. We report our experience within a case of gangrene of the glans following implantation of a three-component prosthesis. We present a 53-year-old male, smoker with diabetes and hypercholesterolemia, who underwent surgery for the insertion of a penile prosthesis with 3 components to correct his erectile dysfunction and severe Peyronie's disease. The procedure was carried out without incidents. During the postoperative period, the patient began to complain from penile and perineal pain. He developed avascular necrosis of the glans. The necrosed area was excised. Four weeks later, he developed fever and perineal pain arriving to the emergency room with the prosthesis extruding through the glans. He had emergency surgery to remove the prosthesis plus surgical lavage and was prescribed broad-spectrum antibiotic therapy. Four weeks later, the penis was completely revascularized and reepithelialized. Ischemic gangrene following penile prosthesis implantation takes place in patients with poor peripheral vascularisation. Diabetes mellitus has been the common denominator to all of the reported cases.

  3. Penis Disorders

    Science.gov (United States)

    Problems with the penis can cause pain and affect a man's sexual function and fertility. Penis disorders include Erectile dysfunction - inability to get or keep an erection Priapism - a painful erection that does not go away Peyronie's disease - bending of the penis during ...

  4. Penis care (uncircumcised)

    Science.gov (United States)

    Uncircumcised penis - bathing; Cleaning an uncircumcised penis ... An uncircumcised penis has its foreskin intact. An infant boy with an uncircumcised penis does not need special care. Normal bathing ...

  5. Retention and migration of alprostadil cream applied topically to the glans meatus for erectile dysfunction.

    Science.gov (United States)

    Yeager, J; Beihn, R M

    2005-01-01

    Retention and migration of a specially designed alprostadil transdermal cream was assessed after single-dose administration to the glans meatus of the penis. Seven men were enrolled in this two-way crossover study. Three subjects self-administered the radio-labeled alprostadil transdermal cream (approximately 100 mg of cream containing 300 microg alprostadil) by inserting the tip of the dispenser into the meatus. In three others, the dose was administered by dispensing the cream dropwise into the metal opening without touching the penis (the preferred and directed method). Retention and migration of the cream mass was measured in the penis with a gamma scintillation camera. The alprostadil transdermal cream was retained in the fossa navicularis at or near 99% in five of six subjects regardless of the method of dosing, thus indicating that the cream formulation performed as designed. A mild, transient burning sensation in the penis was the most common adverse event.

  6. Penis pain

    Science.gov (United States)

    ... Bites, either human or insect Cancer of the penis Erection that does not go away (priapism) Genital herpes ... possibly a procedure or surgery to correct the problem. When to Contact a Medical Professional Call your ...

  7. Venous Ligation: A Novel Strategy for Glans Enhancement in Penile Prosthesis Implantation

    OpenAIRE

    Geng-Long Hsu; Hill, James W.; Cheng-Hsing Hsieh; Shih-Ping Liu; Chih-Yuan Hsu

    2014-01-01

    Although penile implantation remains a final solution for patients with refractory impotence, undesirable postoperative effects, including penile size reduction and cold sensation of the glans penis, remain problematic. We report results of a surgical method designed to avoid these problems. From 2003 to 2013, 35 consecutive patients received a malleable penile implant. Of these, 15 men (the enhancing group) were also treated with venous ligation of the retrocoronal venous plexus, deep dorsal...

  8. The structure of the penis with the associated baculum in the male greater cane rat (Thryonomys swinderianus).

    Science.gov (United States)

    Adebayo, A O; Akinloye, A K; Olurode, S A; Anise, E O; Oke, B O

    2011-08-01

    In this study, the structures of penises of eight sexually mature male greater cane rats were examined at both macroscopic and histological levels. Each animal was sacrificed after anaesthesia with ether and then dissected open with the penis exposed from its root. The penises were first grossly examined, measured, and then prepared for histological examination. From this study it was observed that the body size has no allometry with penile size, but the testicular weight correlated with Os penis length in the greater cane rat. Grossly, the penis which was whitish in colour, with a mean length of 5.46 ± 0.36 cm, has no obvious collum penis but a flexura that turns it caudo-ventral and separates the corpus and glans penis. There was the presence of cornified papillae covering parts of the corpus and glans penis as well as a blind sac sacculus urethralis under the urethra on the glans penis. Histologically, the corpora cavernosa penis were completely separated by a connective tissue septum which sent the trabeculae network into the cavernous tissues and replaced the caverns as it moves from corpus to glans penis. The Os penis formed through endochondral ossification after 42 months of age in this animal. Therefore, from a histological standpoint, the cane rat penis belongs to the intermediate type. In conclusion, these findings provide vital information on the penile anatomy of the greater cane rat, which will serve as a basis for comparing penile morphology among the suborder hystricomorpha and expand knowledge of the reproductive biology in this animal.

  9. [Strangulation of the penis by a ring].

    Science.gov (United States)

    Kato, Y; Kaneko, S; Iguchi, M; Kurita, T

    1987-10-01

    A 42-year-old man was hospitalized with urinary retention due to strangulation of the penis in December, 1981. He placed a stainless steel ring on the base of the penis to prolong erection one month earlier, but subsequent penile edema made it impossible to remove the ring. On admission the penis was extremely swollen (15 cm in length and 7 cm in diameter). Gangrenous patches covered the surface of the penis almost completely and the ring had cut through all the tissues superficial to Buck's fascia. Even slight tension would have probably divided the penis at the site of obstruction and we thought that amputation would be necessary. However, we decided to try conservative therapy since pulsation was felt in the glans. A high-speed airdriven drill with a diamond tip was used to sever the ring. This took ninety minutes. The ring was 2 cm in diameter. The wound was sutured in one layer after through debridement. The skin ulceration healed slowly and a urethral fistula was present in the penoscrotal region until the 66th postoperative day when it closed spontaneously. At discharge the patient had no problems with urination or erection.

  10. ERYSIPELAS PENIS

    Directory of Open Access Journals (Sweden)

    Ilko Bakardzhiev

    2011-08-01

    Full Text Available Erysipelas is an acute streptococcal skin infection. The most common localizations of the disease are the lower extremities, face and trunk. Venous insufficiency, stasis ulcerations, inflammatory dermatitis, dermatophyte infections, insect bites and surgical incisions are the most common points of entry. We present a case report of a 28 year old male with erysipelas penis, combined with non-gonococcal urethritis, treated successfully with Moxifloxacin.

  11. Microvascular Staged Phalloplasty Preserving Original Glans in a Severe Hypospadias: A Case Report.

    Science.gov (United States)

    Thione, Alessandro; Cavadas, Pedro C; Rubi, Carlos G

    2015-12-01

    Penile reconstruction is usually performed in patients with gender dysphoria; with penile loss because of trauma, infection, and tumors; and with congenital deformities like severe hypospadias, in which standard techniques do not achieve a good result. Hypospadias are one of the most common inherent genital anomalies in boys. Many surgical procedures have been published for total phallic reconstruction aiming at a functionally and aesthetically pleasing. We present a case of reconstruction of the penis in a severe hypospadias in a 40-year-old man by transferring the original glans to the forearm flap and a stiffening procedure with an osteocutaneous fibular flap 3 months after first surgery. Three months postoperatively, the final result was an acceptable sexual intercourse, normal voiding, and quite normal appearance. Microvascular staged phalloplasty preserving original glans in a severe hypospadia could be considered a surgical option for micropenis. Technical difficulties and microsurgical advanced skills are the main drawback of this approach.

  12. Penis morphology in a Burmese amber harvestman

    Science.gov (United States)

    Dunlop, Jason A.; Selden, Paul A.; Giribet, Gonzalo

    2016-02-01

    A unique specimen of the fossil harvestman Halitherses grimaldii Giribet and Dunlop, 2005 (Arachnida: Opiliones) from the Cretaceous (ca. 99 Ma) Burmese amber of Myanmar reveals a fully extended penis. This is the first record of a male copulatory organ of this nature preserved in amber and is of special importance due to the age of the deposit. The penis has a slender, distally flattened truncus, a spatulate heart-shaped glans and a short distal stylus, twisted at the tip. In living harvestmen, the penis yields crucial characters for their systematics. Male genital morphology in H. grimaldii appears to be unique among the wider Dyspnoi clade to which this fossil belongs. The large eyes in the fossil differ markedly from other members of the subfamily Ortholasmatinae to which H. grimaldii was originally referred. Based on recent data, it has been argued that large eyes may be plesiomorphic for Palpatores (i.e. the suborders Eupnoi and Dyspnoi), potentially rendering this character plesiomorphic for the fossil too. Thus, the unique structure of the penis seen here, and the probable lack of diaphanous teeth, present in all other extant non-acropsopilionid Dyspnoi, suggest that H. grimaldii represents a new, extinct family of large-eyed dyspnoid harvestmen, Halithersidae fam. nov.; a higher taxon in amber diagnosed here on both somatic and genital characters.

  13. [A Case of Traumatic Dislocation of the Penis].

    Science.gov (United States)

    Taguchi, Makoto; Inoue, Takaaki; Nishida, Teruhisa; Kawakita, Shigenari; Muguruma, Kouei; Murota, Takashi; Kinoshita, Hidefumi; Matsuda, Tadashi

    2016-08-01

    We report a rare case of a traumatic dislocation of the penis. The patient was a 39-year-old man who was ambulanced to our hospital because of a motorbike accident. He was diagnosed to have a pelvic fracture. He was admitted to our department because of his urinary retention and lower abdominal pain. Only the penile skin was left as the genital organ, and neither the penis nor the glans penis was palpable. As the computed tomography scan of the abdomen revealed the dislocation of the penis under the skin in the foreside of the pubic bone, urinary retention due to the traumatic dislocation of the penis was diagnosed, and a percutaneous cystostomy was performed. After improvement of his general condition, the patient was transferred to our department for the evaluation of the perineal region, including the lower urinary tract, and for the treatment of the traumatic dislocation of the penis. First, as hematoma and abscess in the left spermatic cord were suspected by magnetic resonance imaging of the pelvic region, removal of the hematoma and abscess in the left spermatic cord as well as an anterograde cystoscopy were performed under lumbar anesthesia, and the absence of urethral injury was confirmed. After infection control, repositioning of the penis was jointly performed with the Department of Plastic Surgery of our hospital under general anesthesia. After the operation, spontaneous urination was observed and erectile function was observed to be normal.

  14. Papillary squamous cell carcinoma, not otherwise specified (NOS) of the penis: clinicopathologic features, differential diagnosis, and outcome of 35 cases.

    Science.gov (United States)

    Chaux, Alcides; Soares, Fernando; Rodríguez, Ingrid; Barreto, José; Lezcano, Cecilia; Torres, José; Velazquez, Elsa F; Cubilla, Antonio L

    2010-02-01

    There is a group of low-grade papillomatous squamous cell carcinomas (SCC) of the penis, collectively designated as "verruciform," that are difficult to classify. A proposal of classification grouped these tumors in warty (condylomatous), verrucous, and papillary carcinomas. Papillary SCC, not otherwise specified is the third distinctive type of penile low-grade verruciform neoplasms. We are presenting clinicopathologic features of 35 cases from 2 institutions. All specimens were penectomies or circumcisions. Mean age was 57 years. Sites of involvement were glans alone in 18 cases (51%), glans, coronal sulcus and foreskin in 13 cases (37%), glans and sulcus in 3 cases (9%), and foreskin in 1 case (3%). Papillary carcinomas were large (mean 5.6 cm) exophytic low-grade squamous neoplasms with hyperkeratosis and papillomatosis. Papillae were variable in length and shape. The tip was straight, undulated, spiky, or blunt. There was no koilocytosis. The interface between tumor and stroma was characteristically jagged and a moderate stromal reaction was evident in most cases. The majority of the tumors (94%) showed a low-grade histology with focally present poorly differentiated areas in 6% of the cases. The mean thickness of the tumor was 9.4 mm. The most commonly invaded anatomic levels were the corpus spongiosum and/or dartos (77% cases). Corpus cavernosum was invaded in 8 cases (23%). Vascular and perineural invasion were unusual. Frequent associated lesions were squamous hyperplasia, differentiated penile intraepithelial neoplasia, and lichen sclerosus (74%, 46%, and 34%, respectively). Nodal metastases were identified in 3 of 12 patients with bilateral groin dissections. Of the 20 patients followed, 18 were either with no evidence of disease (15 cases) or died from unrelated causes (3 cases). One patient was alive with evidence of systemic metastases and 1 died from disseminated penile cancer 32 months after original penectomy. In conclusion, papillary carcinomas

  15. Et almindeligt kondom kan anvendes til at fjerne fastsiddende metalringe omkring penis

    DEFF Research Database (Denmark)

    Schou-Jensen, Katrine; Marker Jensen, Søren; Jørgensen, Amy Patel

    2016-01-01

    We describe a new method for removing encircling objects from penis. A 69-year-old male was admitted with a ratchet spanner stuck at the penile base. A condom was applied to the penile shaft and manoeuvred in between the ratchet spanner and the penis. A lot of lubrication was applied......, and the ratchet spanner was removed. Later the same method was tried when a 66-year-old male had a tap aerator stuck under glans penis. However, the method was unsuccessful because of a very narrow diameter of the tap aerator. Instead, the tap aerator was cut in two by using an angle grinder....

  16. [Gangrene of the penis due to strangulation by a rubber band: a case report].

    Science.gov (United States)

    Sasaki, Yutaro; Oda, Shinpei; Fujikata, Shiro; Tanimoto, Shuji; Kan, Masaharu

    2014-03-01

    We report a case of strangulation of the penis by a rubber band. A 79-year-old man placed a rubber band tightly around the corona of his glans penis in order to prevent urinary incontinence. After five days, he was taken to our hospital in an ambulance for high temperature and general malaise. We found the rubber band and removed it immediately. Gangrene of the penis continued and he did not recover from sepsis, so we performed partial penectomy. After the operation, he completely recovered. Penile strangulation using a soft constricting object such as a rubber band might result in severe complications and we should be careful.

  17. [The groin pain syndrome].

    Science.gov (United States)

    Janković, S; Delimar, D; Hudetz, D

    2001-12-01

    Groin pain is defined as tendon enthesitis of adductor longus muscle and/or abdominal muscles that may lead to degenerative arthropathy of pubic symphises in an advanced stage. Pubic region is a point where kinematic forces cross. The balance between the adductor and abdominal muscles is of great importance, as well as the elasticity of pubic symphises which enables movement of up to 2 mm and rotation of up to 3 degrees. The weakness of the abdominal muscle wall, known as the sportsman's hernia, is the most common cause of painful groin. Groin pain is the most common in soccer players (6.24% in Croatia). Most authors believe that the main cause of groin pain is the adductor muscle overload. When active, sportsmen start to feel a dull pain in the groin region. The adductor test is of great importance for physical examination; the patient should be lying supine with his hips abducted and flexed at 80 degrees. The test is positive if the patient, while attempting to pull his/her legs against pressing in the opposite direction, feels a sharp pain in the groins. The treatment of groin pain is complex and individual, as its causes may vary from patient to patient. Gradual physical therapy combined with pharmacotherapy should be effective in most cases. The latter includes nonsteroid anti-inflammatory drugs and muscle relaxants. A physical therapy programme usually involves stretching and strengthening of adductor muscles, abdominal wall muscles, iliopsoas muscle, quadriceps, and hamstrings. In case that physical therapy and pharmacotherapy fail, surgery is needed, depending on the cause.

  18. Inflammation of the Penis

    Science.gov (United States)

    ... Beyond Other Animals: Study Additional Content Medical News Inflammation of the Penis (Balanitis; Posthitis; Balanoposthitis) By Patrick ... Penile and Testicular Disorders Epididymitis and Epididymo-orchitis Inflammation of the Penis Orchitis Peyronie Disease Phimosis and ...

  19. Common skin disorders of the penis.

    Science.gov (United States)

    Buechner, S A

    2002-09-01

    Diseases of the male genitalia range from infectious lesions to inflammatory and neoplastic conditions, including many genital manifestations of more general skin diseases. This review highlights the clinical features, diagnosis and treatment of the most common dermatoses of the male genitalia. Herpes genitalis and infections caused by human papillomavirus (HPV) are increasing, particularly in young sexually active people. Herpes simplex virus infection is the commonest infectious cause of genital ulceration, with evidence that many infections are asymptomatic. HPV infection may be latent, subclinical and clinical. The most common causal agents for condyloma acuminatum are low-risk HPV 6 and 11; high-risk HPV types 16 and 18 are associated with premalignant and malignant lesions. Treatment for genital warts remains unsatisfactory; recurrences are common. Imiquimod, a new topical immunotherapeutic agent, which induces interferon and other cytokines, has the potential to be a first-line therapy for genital warts. Scabies and pediculosis are transmitted by skin-to-skin contact and sexual transmission is common, with the penis and scrotum favourite locations for scabious lesions. Oral ivermectin, a highly active antiparasitic drug, is likely to be the treatment of choice, but until approval is granted it should be reserved for special forms of scabies. Common skin diseases, e.g. psoriasis and lichen planus, may have an atypical appearance in the genital area. The typical psoriatic scale is usually not apparent because of moisture and maceration. Allergic contact dermatitis of the genital area may result from condoms, lubricants, feminine hygiene deodorant spray and spermicides. More often, contact dermatitis is irritant, resulting from persistent moisture and maceration. Lichen sclerosus is a chronic inflammatory disease that occurs as atrophic white patches on the glans penis and foreskin. The penile form is a common cause of phimosis in uncircumcised men; involvement

  20. FOURNIER’S GANGRENE OF PENIS: A RARE CASE REPORT

    Directory of Open Access Journals (Sweden)

    Jagadeeshwar

    2014-12-01

    Full Text Available Fournier’s gangrene is a form of Necrotizing fascitis occurring about the Male genitalia i.e., Scrotum, Penis and occasionally extending up to anterior abdominal wall. The usual causative organisms are mixed aerobic and anaerobic organisms due to Periurethral, groin or anorectal sepsis which may be some times trivial. Condition is best treated with immediate hospitalization early parenteral broad spectrum antibiotics and timely debridement of involved tissues followed by skin grafting of raw areas. Fournier’s gangrene involving only Penis is very rare and is being reported.

  1. Presence of accessory penis, colonic duplication and several other congenital anomalies in a child: a very rare association.

    Science.gov (United States)

    Chatterjee, Sayan; Mondal, Prabodh Chandra; Pandey, Shashi Bhushan; Achar, Arun

    2014-10-01

    An accessory penis is a very rare anomaly. Only five cases have been reported thus far to our knowledge. We present the case of a child aged 2 years and 10 months who had a penis-like structure (containing phallus and glans) attached to the right buttock. Associated anomalies were a non-communicating type of colonic duplication, a paramedian stenosed anal opening, a horse-shoe kidney, posterior urethral valves, scoliosis of the lumbo-sacral spine, polydactyly and equino-varus deformity of the right foot. As far as we can tell, this is the first report of an accessory penis associated with colonic duplication and other congenital anomalies.

  2. The inheritance of groin hernia

    DEFF Research Database (Denmark)

    Burcharth, J; Pommergaard, H C; Rosenberg, Jacob

    2013-01-01

    Groin hernia has been proposed to be hereditary; however, a clear hereditary pattern has not been established yet. The purpose of this review was to analyze studies evaluating family history and inheritance patterns and to investigate the possible heredity of groin hernias.......Groin hernia has been proposed to be hereditary; however, a clear hereditary pattern has not been established yet. The purpose of this review was to analyze studies evaluating family history and inheritance patterns and to investigate the possible heredity of groin hernias....

  3. MUNGKINKAH PENIS DIPERBESAR

    OpenAIRE

    Bambang Wasito

    2012-01-01

    A man frequently complains many matters on his sexual functions. Sometime people care with the penis diameter than the length. Here no physiological reason on diameter that influences sensation during coitus. Vagina can amazing and accomodating the present object to a size of one finger until a baby head. The size phallus is an attractive attentionas to increase the number of men who looking for penis enlargement, some men ask penis enlargement for functional reasons; nevertheless, the majori...

  4. Warty Condylomatous Squamous Cell Carcinoma of the Penis in a 19-Year-Old

    Directory of Open Access Journals (Sweden)

    Yauhen Tarbunou

    2014-05-01

    Full Text Available Warty carcinoma of the penis is an unusual neoplasm and a variant of penile squamous cell carcinoma. As with other types of penile cancer, risk factors include human papillomavirus infection, poor personal hygiene, and being uncircumcised. The typical case is an exophytic mass arising from the glans penis, frequently large (4-5 cm, and with invasion into corpus spongiosum. The diagnosis is typically made by tumor biopsy. Treatment depends on the stage of disease and includes partial vs total penectomy, with or without prophylactic or therapeutic bilateral lymphadenectomy. We present an unusual case of penile cancer in a 19-year-old patient.

  5. Gangrene of the penis in a diabetic male with multiple amputations and follow up

    Directory of Open Access Journals (Sweden)

    P Vijayan

    2009-01-01

    Full Text Available A 60-year-old insulin dependent, diabetic male with severe atherosclerosis requiring multiple amputations in the extremities in the past, with normal renal function presented with gangrene of glans penis. He was initially treated with debridement but as the gangrene progressed, partial penile amputation was performed. He showed no further progress of the disease and had no voiding difficulties even after 4 years of follow up.

  6. Curvature of the penis

    Science.gov (United States)

    ... curvature of the penis after surgery or radiation treatment for prostate cancer. Peyronie's disease is uncommon. It affects men ages 40 to 60 and older. Curvature of the penis can occur along with Dupuytren's contracture . This is a cord-like thickening across the ...

  7. Induratio penis plastica; Induratio penis plastica

    Energy Technology Data Exchange (ETDEWEB)

    Pambor, C.; Gademann, G. [Otto-von-Guericke-Univ. Magdeburg (Germany). Klinik fuer Strahlentherapie

    2003-11-01

    Background: To evaluate the benefit of radiotherapy with fast electrons in induratio penis plastica (IPP). Patients and Methods: Within 7 years we treated 58 patients with manifested clinically induratio penis plastica. We applied single dose of 3 Gy 2-3 times weekly and a maximum dose of 24-30 Gy. Follow-up was 2 years and included documentation of subjective discomforts (induration, deviation and painful erection). Results: Induration (27.6%) and deviation (24.1%) of the erected penis are little improved, but in two-third of patients (65%) with painful erection defined relief could be obtained. It could also be shown that patients with short history of symptoms had best chances for a successful treatment. Side effects were not seen. Conclusion: In our experience radiotherapy is not suitable for all stages of IPP. Only patients in the early stages of IPP - especially the ones who suffer from painful erection - should be considered suitable for treatment with ionising radiation. (orig.) [German] Hintergrund: Bei Patienten mit induratio penis plastica (IPP) wurde die Wirkung einer Strahlentherapie mit schnellen Elektronen untersucht. Patienten und Methoden: Im Zeitraum von 7 Jahren wurden 58 Patienten mit klinisch manifester Induratio penis plastica behandelt. Wir applizierten Einzeldosen von 3 Gy zwei- bis dreimal pro Woche bis zu einer Gesamtdosis von 24-30 Gy. In einer Nachbeobachtungszeit von 2 Jahren erfassten wir die Wirkung der Bestrahlung auf die einzelnen Symptome (Induration, Deviation, schmerzhafte Erektion). Ergebnisse: Waehrend sich die Induration (27,6%) und Deviation (24,1%) des erigierten Penis wenig verbesserten, konnte bei knapp zwei Drittel der Patienten (65%) mit Schmerzen eine deutliche Linderung erzielt werden. Es bestaetigte sich auch, dass Patienten mit einer kurzen Anamnese die groessten Erfolgsaussichten bieten. Radiogene Nebenwirkungen konnten von uns nicht beobachtet werden. Schlussfolgerung: Demnach ist nach unseren Erfahrungen die

  8. Groin hernia repair

    DEFF Research Database (Denmark)

    Kehlet, Henrik; Aasvang, Eske

    2005-01-01

    The choice of anesthesia for groin hernia repair is between general, regional (epidural or spinal), and local anesthesia. Existing data from large consecutive patient series and randomized studies have shown local anesthesia to be the method of choice because it can be performed by the surgeon......, does not necessarily require an attending anesthesiologist, translates into the shortest recovery (bypassing the postanesthesia care unit), has the lowest cost, and has the lowest postoperative morbidity regarding risk of urinary retention. Spinal anesthesia has no documented benefits for this small...... scientific data to support the choice of anesthesia, large epidemiologic and nationwide information from databases show an undesirable high (about 10-20%) use of spinal anesthesia and low (about 10%) use of local infiltration anesthesia. Surgeons and anesthesiologists should therefore adjust their anesthesia...

  9. A new plastic surgical technique for adult congenital webbed penis

    Institute of Scientific and Technical Information of China (English)

    Yue-bing CHEN; Xian-fan DING; Chong LUO; Shi-cheng YU; Yan-lan YU; Bi-de CHEN; Zhi-gen ZHANG; Gong-hui LI

    2012-01-01

    Objective:To introduce a novel surgical technique for correction of adult congenital webbed penis.Methods:From March 2010 to December 2011,12patients (age range:14-23 years old) were diagnosed as having a webbed penis and underwent a new surgical procedure designed by us.Results:All cases were treated successfully without severe complication.The operation time ranged from 20 min to 1 h.The average bleeding volume was less than 50 ml.All patients achieved satisfactory cosmetic results after surgery.The penile curvature disappeared in all cases and all patients remained well after 1 to 3 months of follow-up.Conclusions:Adult webbed penis with complaints of discomfort or psychological pressure due to a poor profile should be indicators for surgery.Good corrective surgery should expose the glans and coronal sulcus,match the penile skin length to the penile shaft length dorsally and ventrally,and provide a normal penoscrotal junction.Our new technique is a safe and effective method for the correction of adult webbed penis,which produces satisfactory results.

  10. Nationwide prevalence of groin hernia repair

    DEFF Research Database (Denmark)

    Burcharth, Jakob; Pedersen, Michael; Bisgaard, Thue;

    2013-01-01

    Groin hernia repair is a commonly performed surgical procedure in the western world but large-scaled epidemiologic data are sparse. Large-scale data on the occurrence of groin hernia repair may provide further understanding to the pathophysiology of groin hernia development. This study was undert...... was undertaken to investigate the age and gender dependent prevalence of groin hernia repair....

  11. Angiography of the corpus cavernosum penis in the pony stallion during erection and quiescence.

    Science.gov (United States)

    Bartels, J E; Beckett, S D; Brown, B G

    1984-07-01

    Serial arteriography was used to determine the vascular pattern and blood flow in the penis of the pony stallion. Ponies were anesthetized with pentobarbital sodium, and catheters were surgically introduced into the internal pudendal and obturator arteries. The vascular anatomy was visualized by angiography via image-intensified fluoroscopy and was recorded on 70-mm film at 3 frames/s or by direct radiography. Blood flow into the corpus cavernosum penis (CCP) was limited during quiescence because the blood was immediately shunted into the venous system. After vasodilation with mild stimulation from an electroejaculator, there was increased filling of the CCP and corpus spongiosum penis. Contrast medium injected into the internal pudendal artery entered the bulb of the penis during peak erection, but medium injected into the obturator artery could not enter the crus penis during peak erection. The contrast medium stopped in the obturator artery at the edge of the ischiocavernous muscles due to the occlusion of the deep arteries of the penis by contraction of these muscles. When contrast medium was injected directly into the CCP near the glans to outline the body of the penis, there was no evidence of venous outlets along the body.

  12. MUNGKINKAH PENIS DIPERBESAR

    Directory of Open Access Journals (Sweden)

    Bambang Wasito

    2012-11-01

    Full Text Available A man frequently complains many matters on his sexual functions. Sometime people care with the penis diameter than the length. Here no physiological reason on diameter that influences sensation during coitus. Vagina can amazing and accomodating the present object to a size of one finger until a baby head. The size phallus is an attractive attentionas to increase the number of men who looking for penis enlargement, some men ask penis enlargement for functional reasons; nevertheless, the majority are for the purpose of esthetics as to have "macho" image for sex matters. Patients asking penis elongation must realize that possibly there is no penis elongation result after the amputation of suspensory ligament and sometimes can make a shorter than a longer. A result of 1 cm elongation that assumes to be surgical operation successfulness, even does not produce self esteem or sexual performances. Lastly, every enlargement or elongation case must be managed individually before a surgery as to avoid disappointment rather than an amazing outcome. Key words: Enlarge penis diameter, lengthen penis

  13. Venous Ligation: A Novel Strategy for Glans Enhancement in Penile Prosthesis Implantation

    Directory of Open Access Journals (Sweden)

    Geng-Long Hsu

    2014-01-01

    Full Text Available Although penile implantation remains a final solution for patients with refractory impotence, undesirable postoperative effects, including penile size reduction and cold sensation of the glans penis, remain problematic. We report results of a surgical method designed to avoid these problems. From 2003 to 2013, 35 consecutive patients received a malleable penile implant. Of these, 15 men (the enhancing group were also treated with venous ligation of the retrocoronal venous plexus, deep dorsal vein, and cavernosal veins. The remaining 20 men formed the control group, treated with only a penile implant. Follow-up ranged from 1.1 to 10.0 years, with an average of 6.7 ± 1.5 years. Although preoperative glanular dimension did not differ significantly between the two groups, significant respective difference at one day and one year postoperatively was found in the glanular circumference (128.8 ± 6.8 mm versus 115.3 ± 7.2 mm and 130.6 ± 7.2 mm versus 100.5 ± 7.3 mm; both P<0.05, radius (38.8 ± 2.7 mm versus 37.1 ± 2.8 mm and 41.5 ± 2.6 mm versus 33.8 ± 2.9 mm; latter P<0.01, and satisfaction rate (91.7% versus 53.3%, P<0.01 as well. Based on our results, selective venous ligation appears to enhance the glans penis dimension in implant patients.

  14. Contrast radiographic study of venous drainage of the corpus cavernosum and the corpus spongiosum of the cat penis.

    Science.gov (United States)

    Amiri, Ali Akbar; Gilanpour, Hassan; Veshkini, Abbas

    2014-01-01

    The aim of this study was to determine the drainage routes of the corpus cvernosum penis and the corpus spongiosum penis in the cat using contrast cavernosography. Five male cats, 1.5-2.5 years old, weighing between 4.5 and 5.5 kg were investigated. The cats were anesthetized and the root and the proximal part of the penis were exposed by an incision on the perineum reaching the scrotum. Each cat was radiographed in lateral and dorsal recumbency before and during injection of contrast medium into the erectile bodies. The corpus spongiosum penis was injected at the bulb of the penis and the corpus cavernosum penis at the root. Injection of contrast media into the cavernous bodies showed that both the external and internal iliac veins drain the erectile bodies into the caudal vena cava. Drainage from the corpus spongiosum penis was from the bulb for the proximal part and from the glans for the distal part. The corpus cavernosum penis was drained only proximally, from the crura. There was a network of veins above the pelvic symphysis and the drainage of erectile bodies where through various routes into the internal and external iliac veins.

  15. Rapid onset of squamous cell carcinoma in a short-standing lichen sclerosus et atrophicus of the penis

    Institute of Scientific and Technical Information of China (English)

    MA Lei; ZHENG Song; GAO Xing-hua

    2009-01-01

    @@ Lichen sclerosus et atrophicus (LSA) of the male genitalia was a chronic, sclerosing, atrophic process of the glans and foreskin. Atrophy and scarring in the penis can lead to urethral stricture, acquired phimosis,even a significant reduction of physiological function.Though its prognosis is usually benign, the risk of penile carcinoma in patients with LSA remains uncertain. We report a 36-year-old patient of aggressive penile squamous cell carcinoma (SCC) arising on LSA of the penis within a short period.

  16. Morphological characteristics regulating phallic glans engorgement in the American alligator.

    Science.gov (United States)

    Moore, Brandon C; Spears, David; Mascari, Taylor; Kelly, Diane A

    2016-10-01

    The distal part of the crocodilian phallus consists of a bulbous glans containing well-developed vascular tissues that can inflate before or during sexual activity, enlarging and elaborating the glans into a complex, though still functionally undefined, copulatory structure. An enlarged glans putatively interacts with the female cloaca and may change the shape of her reproductive tract to facilitate insemination and increase the probability of fertilization. Here, we investigated the cellular-level properties of the glans and other inflatable phallic tissues associated with the sperm-conducting sulcus spermaticus in the American alligator (Alligator mississippiensis). Using histochemical staining, we visualized and defined collagen and elastin fiber densities and orientations in these tissues. Extracellular matrix architectures provided insights about phallic glans material properties and how they may affect tissue strength and flexibility during inflation and in response to copulatory forces. We also investigated the potential sources of fluids that induce inflation in alligator phalli. Combining serial sectioning and three-dimensional reconstruction, we identified a pair of supracrucal plexus vascular bodies at the proximal end of the alligator phallus that extend distally adjacent to ventro-medial sulcus tissues. Together, our gross and histological examination of the American alligator phallic glans suggests that its tissues are arranged in a manner that would allow vascular inflation to expand the glans to a specific and repeatable shape, and potentially release secretory products into the female reproductive tract. Both elements could play roles in postcopulatory sexual selection, by mechanically and/or chemically affecting female reproductive physiology.

  17. Penis Allotransplantation in Beagle Dog

    National Research Council Canada - National Science Library

    Zhao, Yongbin; Hu, Weilie; Zhang, Lichao; Guo, Fei; Wang, Wei; Wang, Bangqi; Zhang, Changzheng

    2016-01-01

    This is an original research of penis allotransplantation. The paper presents an experiment allogenic penis transplantation model in Beagles, with a focus on recovery of blood supply and changes in tissue architecture...

  18. Care for an Uncircumcised Penis

    Science.gov (United States)

    ... Size Email Print Share Care for an Uncircumcised Penis Page Content Article Body Our son is not ... foreskin will separate from the tip of the penis. Some foreskins separate soon after birth or even ...

  19. Prevention of groin injuries in sports

    DEFF Research Database (Denmark)

    Esteve, E; Rathleff, M S; Bagur-Calafat, C

    2015-01-01

    a significant reduction in the number of groin injuries after completing a groin injury prevention programme (relative risk (RR) 0.81; 95% CI 0.60 to 1.09). Subgroup analysis based on type of sports, gender and type of prevention programme showed similar non-significant estimates with RR ranging from 0.48 to 0......BACKGROUND/AIM: Groin injuries are common in football and ice hockey, and previous groin injury is a strong risk factor for future groin injuries, which calls for primary prevention. The aim of this systematic review was to evaluate the effect of specific groin-injury prevention programmes.......81. CONCLUSION: Meta-analysis revealed a potential clinically meaningful groin injury reduction of 19%, even though no statistical significant reduction in sport-related groin injuries could be documented. TRIAL REGISTRATION: PROSPERO registration ID CRD42014009614....

  20. Parameatal urethral cyst of glans penis in children – a report of three cases

    Directory of Open Access Journals (Sweden)

    Mrinal Gupta

    2015-10-01

    Full Text Available Parameatal urethral cysts are a rare benign condition usually seen in males. They are usually asymptomatic but may produce symptoms like difficulty in micturition, pain during intercourse, urinary retention and distortion of the urinary stream. We report three cases of parameatal urethral cyst in young males presenting as a spherical clear fluid filled cystic lesions over the external urethral meatus, causing distortion of the urinary stream and poor cosmesis. Histological examination of the excised cyst showed a monolocular cyst lined with pseudo-stratified epithelium with no evidence of inflammation. Complete surgical excision of the cysts was done and no recurrence was observed at follow-up.

  1. Webbed penis: a rare case.

    Science.gov (United States)

    Agrawal, R; Chaurasia, D; Jain, M

    2010-01-01

    Webbed penis belongs to a rare and little-known defect of the external genitalia. The term denotes the penis of normal size for age hidden in the adjacent scrotal and pubic tissues. Though rare, it can be treated easily by surgery. A case of webbed penis is presented with brief review of literature.

  2. Penis squamous cell carcinoma

    Directory of Open Access Journals (Sweden)

    Leonor Hernández Piñero

    2015-09-01

    Full Text Available Cancer has become a first order health problem worldwide, despite the great diagnostic and therapeutic programs achieved during the last years. This is a clinical case of an 81- year-old patient with personal and social history of promiscuous and unprotected sexual behavior that shows a vegetative lesion in his gland and numerous inguinal adenopathies. Biopsy confirms the diagnosis of squamous cell carcinoma infiltrating the penis, which is a relatively rare pathology which is generally diagnosed belatedly. Partial amputation of the penis was considered to be performed, but there was no consent on behalf of his family. The patient’s general condition was getting worse until he died.

  3. 小儿隐匿阴茎(附13例报告)%Concealed Penis in Children A Report of 13 Cases

    Institute of Scientific and Technical Information of China (English)

    杨楚墩; 舒涛; 代世希

    1987-01-01

    Concealed penis is a congenital abnormality in which the skin is unattached to the penile shaft. It is not very rare in children. Thirteen cases of concealed penis were treated from Jan. 1984 to Aug. 1986. All of them had difficult miturition and wetting. The penis seemed to be abrsent, Icases were associated with phimosis. Two underwent a simple circumcision but still had a buried penis after operation. One treated with bilateral longitudinal incision and transverse suture was also unsatisfactory. The other ten were terated with phalloplasty. A lengthening of the penis from 1.6 to 3cm(mean 2.2cm)was acheived postoperatively. In the follow-up study, 8 were satisfactory. as indicated by a normal appearance of the penis, cornplete exposure of the glans and the normal micturition, and 2 had incomplete exposure glans but normal micturition. The authors emphasize the importance of fixing the skin to the peaile base. The associated phimosis should be corrceted simultaneously.%作者自1984年以来共收治了13例隐匿阴茎的患儿,其中10例行阴茎体固定术,经随访观察8例疗放优,2例明显改善,无失败病例.文中对该症的病因,诊断和治疗进行了讨论.

  4. Diagnosis of Acute Groin Injuries

    DEFF Research Database (Denmark)

    Serner, Andreas; Tol, Johannes L; Jomaah, Nabil;

    2015-01-01

    BACKGROUND: Acute groin injuries are common in high-intensity sports, but there are insufficient data on injury characteristics such as injury mechanisms and clinical and radiological findings. PURPOSE: To describe these characteristics in a cohort of athletes. STUDY DESIGN: Cross-sectional study...

  5. The inconspicuous penis in children.

    Science.gov (United States)

    Cimador, Marcello; Catalano, Pieralba; Ortolano, Rita; Giuffrè, Mario

    2015-04-01

    The term 'inconspicuous penis' refers to a group of anatomical abnormalities in which the penis looks smaller than is expected. Micropenis can be defined as 'true micropenis'--which results from a defect in the hypothalamic-pituitary-gonadal axis--and 'micropenis secondary to congenital anatomical anomalies of the surrounding and overlying structures'--also known as 'concealed penis'. The different forms of concealed penis include webbed penis, congenital megaprepuce and partially hidden penis caused by prepubic adiposity. This disorder can also have iatrogenic causes resulting from adhesions that are secondary to circumcision--this type of concealed penis is known as 'trapped penis'. However, in both groups, micropenis is defined as a stretched penile length that is at least 2.5 SD below the mean for the patient's age, but without any other penile defects. Patients with true micropenis can be managed with testosterone, which has demonstrated good penile elongation results in the long term. Surgery also has a pivotal role in reconstruction for elongating the penis and for correction of anatomical abnormalities in concealed penis.

  6. Penis-Enlargement Products: Do They Work?

    Science.gov (United States)

    ... health Tempted by products that claim to increase penis size? Get the facts about what to expect from ... have an exaggerated idea of what constitutes "normal" penis size. Here are the facts: The average penis measures ...

  7. Chronic pain after childhood groin hernia repair

    DEFF Research Database (Denmark)

    Aasvang, Eske Kvanner; Kehlet, Henrik

    2007-01-01

    BACKGROUND: In contrast to the well-described 10% risk of chronic pain affecting daily activities after adult groin hernia repair, chronic pain after childhood groin hernia repair has never been investigated. Studies of other childhood surgery before the age of 3 months suggest a risk of increased...... pain responsiveness later in life, but its potential relationship to chronic pain in adult life is unknown. METHODS: This was a nationwide detailed questionnaire study of chronic groin pain in adults having surgery for a groin hernia repair before the age of 5 years (n = 1075). RESULTS: The response...

  8. Phalloplasty in children and adolescents using the extended pedicle island groin flap.

    Science.gov (United States)

    Perović, S

    1995-08-01

    An operative procedure for phalloplasty is reported that uses an extended pedicle island groin flap. Forming a combined groin and lower abdominal flap based on the superficial iliac and epigastric vessels is the main characteristic of this technique. The flap consists of 3 parts: 1) the lateral narrow hairless part for the neourethra, 2) the medial wide part for neophallus shaft reconstruction and 3) the base of the flap on which a flap pedicle is formed and lengthened by de-epithelializing the skin. The pedicle includes subcutaneous tissue with blood and lymph vessels. The neourethra and neophallus shaft are reconstructed using a tube-within-tube technique. The size of the flap depends on patient build. The flap is transferred to the recipient area, that is to the level of the lower margin of symphysis. Anastomosis of the new and native urethra may be done simultaneously or during the second stage of the procedure. The donor site skin defect is closed by direct approximation. During 3 years (1991 to 1993) this flap technique was performed on 24 patients (age 12 to 18 years). There were 2 main indications for treatment: 1) complete absence of the penis, and so total reconstruction of the phallus was done and 2) small dimensions of the penis or just a penile stump, and so augmentation of the penis was done. Specific indications were female transsexualism in 4 patients, penile amputation in 2 and a small disabled penis in 18 (the exstrophy-epispadias complex, intersex and micropenis). Followup ranged from 6 to 42 months (average 29). A new phallus of satisfactory dimensions was achieved in all cases. Complications included partial necrosis of the flap in 2 patients, fistulas in 2 and stenosis of the urethral anastomosis in 1. These complications were successfully resolved by corrective surgery. The method is simple and timesaving with a minor complication rate. This technique is the available alternative to the most commonly used procedure, that is microsurgical free

  9. Venous ligation: a novel strategy for glans enhancement in penile prosthesis implantation.

    Science.gov (United States)

    Hsu, Geng-Long; Hill, James W; Hsieh, Cheng-Hsing; Liu, Shih-Ping; Hsu, Chih-Yuan

    2014-01-01

    Although penile implantation remains a final solution for patients with refractory impotence, undesirable postoperative effects, including penile size reduction and cold sensation of the glans penis, remain problematic. We report results of a surgical method designed to avoid these problems. From 2003 to 2013, 35 consecutive patients received a malleable penile implant. Of these, 15 men (the enhancing group) were also treated with venous ligation of the retrocoronal venous plexus, deep dorsal vein, and cavernosal veins. The remaining 20 men formed the control group, treated with only a penile implant. Follow-up ranged from 1.1 to 10.0 years, with an average of 6.7 ± 1.5 years. Although preoperative glanular dimension did not differ significantly between the two groups, significant respective difference at one day and one year postoperatively was found in the glanular circumference (128.8 ± 6.8 mm versus 115.3 ± 7.2 mm and 130.6 ± 7.2 mm versus 100.5 ± 7.3 mm; both Ppenis dimension in implant patients.

  10. Primary ventral or groin hernia in pregnancy

    DEFF Research Database (Denmark)

    Oma, Erling; Bay-Nielsen, M; Jensen, K K

    2017-01-01

    BACKGROUND: Prevalence, management, and risk of emergency operation for primary ventral or groin hernia in pregnancy are unknown. The objective of this study was to estimate the prevalences of primary ventral or groin hernia in pregnancy and the potential risks for elective and emergency repair...... was conducted to identify patients registered with a primary ventral or groin hernia in pregnancy. Follow-up was conducted by review of medical record notes within the Capital Region of Denmark supplemented with structured telephone interviews on indication. RESULTS: In total, 20,714 pregnant women were...... included in the study cohort. Seventeen (0.08%) and 25 (0.12%) women were registered with a primary ventral and groin hernia, respectively. None underwent elective or emergency repair in pregnancy, and all had uncomplicated childbirth. In 10 women, the groin bulge disappeared spontaneously after delivery...

  11. Penis-root perception of Koro patients.

    Science.gov (United States)

    Chowdhury, A N

    1991-07-01

    Koro is an acute anxiety reaction in which the perception of decreased penis length because of intra-abdominal traction is the main feature. This study attempts to explore the penis-root perception of the Koro patients by a graphomotor projective test--the Draw-a-penis Test (DAPT). This controlled DAPT investigation shows that Koro patients perceived the penis as a detached organ with root-boundary definiteness as evidenced from their close penis-root perception. They also displayed reduced volumetric perception of penis-root than the normal subjects. These perceptual deviations in penis-root image are discussed in relation to their Koro vulnerability.

  12. Evolution: One Penis After All.

    Science.gov (United States)

    Brennan, Patricia L R

    2016-01-11

    Amniote penises come in many shapes but are missing from the basal tuatara. This has been taken as evidence for multiple evolutionary origins of the penis. Now, genital swellings have been found in tuatara embryos, arguing for a single origin.

  13. 3-D numerical modelling of flow around a groin

    DEFF Research Database (Denmark)

    Miller, R.; Roulund, A.; Sumer, B. Mutlu

    2003-01-01

    A 3-D flow code, EllipSys3D, has been implemented to simulate the 3-D flow around a groin in steady current. The k  turbulence model has been used for closure. Two kinds of groins are considered: (1) A vertical-wall groin, and (2) A groin with a side slope. Steady-flow simulations were conducted...

  14. 保留阴茎头手术在浅表性阴茎癌治疗中的应用%Glans-preserving surgery for superficial penile cancer

    Institute of Scientific and Technical Information of China (English)

    李权; 宋宁宏; 李鹏超; 王增军; 杨杰; 邵鹏飞; 华立新; 吴宏飞; 殷长军

    2012-01-01

    Objective-. To investigate the safety and feasibility of glans-preserving surgery in the treatment of superficial penile cancer (SPCa). Methods; We retrospectively analyzed the clinical data of 21 cases of SPCa treated by glans-preserving surgery in our hospital from January of 2003 to March of 2010. Results: The study included 21 SPCa patients aged 36 to 57 (mean 46) years, with superficial lesions involving the glans penis, coronary sulcus or shaft skin. The tumors were staged and graded TaGl in 6 cases, TaG2 in 5, TisGl in 2, TisG2 in 4, TIG1 in 3, and TIG2 in 1. All the patients underwent glans-preserving surgery to preserve the normal appearance and functional integrity of the glans penis, and all returned to normal sexual activity 1 month after operation, with good sexual function and sexual satisfaction. Postoperative follow-up lasted 2 to 7 (mean 5) years, and 2 cases of recurrence in situ found at 6 and 9 months, respectively, which were successfully managed by a second glans-preserving surgery. Conclusion'. Glans-preserving surgery is an effective method for superficial penile cancer. With proper selection of the patients, this procedure is technically safe, maximally preserves the penile appearance, and least affects the patients'sexual satisfaction.%目的:探讨保留阴茎头手术治疗浅表性阴茎癌的安全性和可行性. 方法:分析我院2003年1月至2010年3月间保留阴茎头手术治疗的21例浅表性阴茎癌患者的临床资料. 结果:21例患者行保留阴茎头手术,年龄36~57岁,平均年龄46岁,阴茎癌病灶范围侵犯到阴茎头、冠状沟和阴茎体的皮肤组织.经临床分期分级,21例患者中,TaG1期6例、TaG2期5例、TisG1期2例、TisG2期4例、TlG1期3例、TI G2期1例.术后1个月均开始性生活,性功能和性满意度良好.21例随访2~7年,平均随访5年,2例患者分别于术后6个月和9个月出现原位肿瘤复发,经再次保留阴茎头手术治疗后,随访5

  15. Giant right groin lipoma mimicking inguinal hernia

    Directory of Open Access Journals (Sweden)

    Igor Gerych

    2015-01-01

    Conclusion: Lipoma in the groin may be treated as inguinal hernia. Thus, for the accurate verification of correct diagnosis, it is necessary to perform a follow-up examination involving computer tomography (CT and nuclear magnetic resonance imaging (NMRI.

  16. Radiological anatomy of the groin region

    Energy Technology Data Exchange (ETDEWEB)

    Berg, J.C. van den; Valois, J.C. de [St. Antonius Hospital, Nieuwegein (Netherlands). Dept. of Diagnostic Radiology; Go, P.M.N.Y.H. [St. Antonius Hospital, Nieuwegein (Netherlands). Dept of Gastrointestinal Surgery; Rosenbusch, G. [St. Radboud Univ. Hospital, Nijmegen (Netherlands). Dept. of Diagnostic Radiology

    2000-04-01

    The purpose of this paper is to give an overview of the anatomy of the inguinal region, and to discuss the value of various imaging modalities in the diagnosis of groin hernias. After description of the gross anatomy of the groin, attention is focused on the anatomic features of conventional herniography, US, CT, and MRI. Advantages, disadvantages, and accuracy of each technique is discussed briefly. (orig.)

  17. Nationwide prevalence of groin hernia repair.

    Directory of Open Access Journals (Sweden)

    Jakob Burcharth

    Full Text Available INTRODUCTION: Groin hernia repair is a commonly performed surgical procedure in the western world but large-scaled epidemiologic data are sparse. Large-scale data on the occurrence of groin hernia repair may provide further understanding to the pathophysiology of groin hernia development. This study was undertaken to investigate the age and gender dependent prevalence of groin hernia repair. METHODS: In a nationwide register-based study, using data from the Civil Registration System covering all Danish citizens, we established a population-based cohort of all people living in Denmark on December 31(st, 2010. Within this population all groin hernia repairs during the past 5 years were identified using data from the ICD 10(th edition in the Danish National Hospital Register. RESULTS: The study population covered n = 5,639,885 persons. During the five years study period 46,717 groin hernia repairs were performed (88.6% males, 11.4% females. Inguinal hernias comprised 97% of groin hernia repairs (90.2% males, 9.8% females and femoral hernias 3% of groin hernia repairs (29.8% males, 70.2% females. Patients between 0-5 years and 75-80 years constituted the two dominant groups for inguinal hernia repair. In contrast, the age-specific prevalence of femoral hernia repair increased steadily throughout life peaking at age 80-90 years in both men and women. CONCLUSION: The age distribution of inguinal hernia repair is bimodal peaking at early childhood and old age, whereas the prevalence of femoral hernia repair increased steadily throughout life. This information can be used to formulate new hypotheses regarding disease etiology with regard to age and gender specifications.

  18. Interstitial brachytherapy in carcinoma of the penis

    Energy Technology Data Exchange (ETDEWEB)

    Chaudhary, A.J.; Ghosh, S.; Bhalavat, R.L. [Tata Memorial Hospital, Mumbai (India). Dept. of Radiation Oncology; Kulkarni, J.N. [Tata Memorial Hospital, Mumbai (India). Dept. of Surgery; Sequeira, B.V.E. [Tata Memorial Hospital, Mumbai (India). Dept. of Medical Physics

    1999-01-01

    Aim: Keeping in line with the increasing emphasis on organ preservation, we at the Tata Memorial Hospital have evaluated the role of Ir-192 interstitial implant as regards local control, functional and cosmetic outcome in early as well as locally recurrent carcinoma of the distal penis. Patients and Methods: From October 1988 to December 1996, 23 patients with histopathologically proven cancer of the penis were treated with radical radiation therapy using Ir-192 temporary interstitial implant. Our patients were in the age group of 20 to 60 years. The primary lesions were T1 and 7, T2 in 7 and recurrent in 9 patients. Only 7 patients had palpable groin nodes at presentation, all of which were pathologically negative. The median dose of implant was 50 Gy (range 40 to 60 Gy), using the LDR afterloading system and the Paris system of implant rules for dosimetry. Follow-up ranged from 4 to 117 months (median 24 months). Results: At last follow-up 18 of the 23 patients remained locally controlled with implant alone. Three patients failed only locally, 2 locoregionally and 1 only at the groin. Of the 5 patients who failed locally, 4 were successfully salvaged with partial penectomy and remained controlled when last seen. Local control with implant alone at 8 years was 70% by life table analysis. The patients had excellent functional and cosmetic outcome. We did not record any case of skin or softtissue necrosis. Only 2 patients developed meatal stenosis, both of which were treated endoscopically. Conclusion: Our results lead us to interpret that interstitial brachytherapy with Ir-192 offers excellent local control rates with preservation of organ and function. Penectomy can be reserved as a means for effective salvage. (orig.) [Deutsch] Ziel: Das Prinzip des Organerhalts gewinnt in der Onkologie zunehmend an Bedeutung. Ziel dieser Untersuchung war es, die Rolle der interstitiellen Brachytherapie mit Ir-192 zur Behandlung des fruehen und rezidivierten Peniskarzinoms zu

  19. Case consultation: ablatio penis.

    Science.gov (United States)

    Money, J

    1998-01-01

    In male infants, traumatic ablation of the penis, with or without loss of the testicles may occur as a sequel to mutilatory violence, accidental injury, or circumcision error. Post-traumatically, one program of case management is surgical sex reassignment to live as a girl, with female hormonal therapy at the age of puberty. The other program is genital reconstructive surgery to live as a boy, with male hormonal therapy at puberty if the testicles are missing. In both programs, the long term outcome is less than perfect and is contingent on intervening variables that include societal ideology; surgical technology; juvenile and adolescent timing and frequency of hospital admissions construed by the child as nosocomial abuse; development of body image; health and sex education; fertility versus sterility; coitus and orgasm; possible lesbian orientation if living as a girl; and long-term cost accounting, including the psychic cost of being a pawn in possible malpractice litigation on whose disability a very large fortune in compensation may devolve. There is, as yet, no unanimously endorsed set of guidelines for the treatment of genital trauma and mutilation in infancy, and no provision for a statistical depository for outcome data.

  20. Application of B-mode ultrasonography in the assessment of the dog penis.

    Science.gov (United States)

    Payan-Carreira, Rita; Bessa, Ana Celeste M

    2008-06-01

    With the purpose to characterize the ultrasonographic features of the dog penis, 20 healthy dogs aged from 2 to 11 years old were used. Ultrasonography was performed using a 5-9MHz linear probe and a Philips HD3 scanner. Ultrasonograms were obtained at the penile body (pre- and post-scrotal sections) and at both the bulbus glandis and the pars longa glandis, with the dog placed in dorsal recumbency. The typical anatomy of the dog penis is easily demonstrated in ultrasonographic images, as revealed in this study. On ultrasonograms taken at the body level, the two corpora cavernosa showed a homogeneous, hypoechoic structure; ventrally, the corpus spongiosum appears as a slightly hyperechoic structure surrounding the urethra. In glans ultrasonograms, the most typical feature is the os penis, observed as a strong hyperechoic structure, whose acoustic shadow impairs the screening of adjacent tissues. Lining on its concavity, the corpus spongiosum is observed as a slightly hyperechoic tissue around the urethra. An ovoid, regularly hypoechoic tissue corresponding to the erectile tissue of the pars longa, surrounds these structures. The bulbus glandis is visualized as a regular hypoechoic structure with small anechoic areas, corresponding to sinusoidal spaces. The albuginea is evidenced as a well-defined, hyperechoic external layer. The preputial cavity appears as a thin anechoic layer surrounding the albuginea. The results of this study demonstrate that ultrasonographic assessment of the dog penis is easily performed and accurate enough for penile examination. Furthermore, ultrasonography of the dog penis can become an interesting diagnostic tool to explore in the canine practice, during breeding soundness evaluation and also whenever penile exposition is impossible to achieve.

  1. 经阴茎头隧道和纵切阴茎头成形尿道口在Duckett术式中的疗效及对比观察%Clinical curative effect and comparative observation in the Duckett operation between glans tunnel and longitudinal cutting glans to form urethral opening

    Institute of Scientific and Technical Information of China (English)

    李刚; 李爽; 王军; 廖嫚; 李巍; 杨春雷; 雷伟; 郭晖; 马慧

    2014-01-01

    adopting Duckett surgical method to form the urethra.Urethroplasty was performed through glans tunnel or longitudinal incision to form urethral opening,and postoperation results were compared according to the conditions of the children with distal urethral stricture,urethral fistula,urethral diverticulum,glans wound dehiscence and wound recovery.Results Eighty-six cases were followed up for 6 to 12 months,with satisfaction of the straight penis,without recurved residue,or glans necrosis.Among the 49 cases of big glans in cylindrical shape without obvious scaphoid fossa,26 cases of children underwent longitudinal incision to form urethra,in which urethral fistula occurred in 3 cases.There were 3 cases of urethral stricture,including 2 cases of distal urethral stricture.There were 1 case of urethral diverticulum and 2 cases of glans wound dehiscence.Twenty-three cases adopted the tunnel method with the occurrence of urethral fistula in 1 case and urethral stricture in another,which both occurred at the ventral penile coronal proximal end.Among the 37 cases with small glans in flat shape and deep scaphoid fossa,21 cases adopted the tunnel method with the occurrence of urethral fistula in 3 cases.Five cases of urethral stricture occurred at the distal urethra,2 cases of urethral diverticulum,and 1 case of distal urethral split.Sixteen cases underwent vertical cutting method with the occurrence of urethral fistula at penis coronal sulcus in 2 cases,1 case of distal urethral stricture.Children who had similarity in penis head shape,size and coronal sulcus depth adopted separately longitudinal incision or tunnel method to form urethra and prognosis difference was of statistical significance (P <0.05).The children with similarity in penis head shape,size and coronal sulcus depth adopted the same method (longitudinal incision or tunnel method) and there was a significant statistical difference in prognosis (P < 0.05).Conclusions Tunneling method is suitable for the children

  2. Is My Penis Normal? (For Teens)

    Science.gov (United States)

    ... his hormones start doing their thing. Growth in penis size is just one part of puberty, which also ... down. And there's a lot less difference in penis size between guys when they get an erection than ...

  3. Scientists Design Heat-Activated Penis Implant

    Science.gov (United States)

    ... news/fullstory_162815.html Scientists Design Heat-Activated Penis Implant Device an improvement on current implants, researchers ... News) -- Doctors report that they have crafted a penis implant that becomes erect when heated. Dubbed by ...

  4. [Penis friction edema: not a venereal disease

    NARCIS (Netherlands)

    Erceg, A.; Verlind, J.; Berretty, P.J.

    2003-01-01

    A 35-year-old man presented with a local swelling of the penis, which increased until the entire penis was thick and swollen. After infectious and obstructive causes had been eliminated, a diagnosis of 'penis friction oedema' was made. The swelling disappeared during several weeks of abstinence from

  5. Is My Penis Normal? (For Teens)

    Science.gov (United States)

    ... A Week of Healthy Breakfasts Shyness Is My Penis Normal? KidsHealth > For Teens > Is My Penis Normal? A A A en español ¿Es normal ... any guy who's ever worried about whether his penis is a normal size. There's a fairly wide ...

  6. [Penis friction edema: not a venereal disease

    NARCIS (Netherlands)

    Erceg, A.; Verlind, J.; Berretty, P.J.

    2003-01-01

    A 35-year-old man presented with a local swelling of the penis, which increased until the entire penis was thick and swollen. After infectious and obstructive causes had been eliminated, a diagnosis of 'penis friction oedema' was made. The swelling disappeared during several weeks of abstinence from

  7. Penis var vaek. En kasuistik om cancer penis

    DEFF Research Database (Denmark)

    Hedeland, Rikke Lindgaard; Kromann-Andersen, Bjarne

    2009-01-01

    Penile cancer is a rare disease. Patients develop symptoms early in the course of the disease for which reason late stages are seldom in western countries. The present case report describes a 64-year-old man with complete erosion of the penis, leaving an ulcer measuring 10 by 15 cm. The case report...

  8. Penis var vaek. En kasuistik om cancer penis

    DEFF Research Database (Denmark)

    Hedeland, Rikke Lindgaard; Kromann-Andersen, Bjarne

    2009-01-01

    Penile cancer is a rare disease. Patients develop symptoms early in the course of the disease for which reason late stages are seldom in western countries. The present case report describes a 64-year-old man with complete erosion of the penis, leaving an ulcer measuring 10 by 15 cm. The case report...

  9. Iatrogenic Penile Glans Amputation: Major Novel Reconstructive Procedure

    Directory of Open Access Journals (Sweden)

    Rami Nasr

    2013-01-01

    Full Text Available Circumcision is a very common urological practice. Even though it is relatively safe, it is not a complication-free procedure. We describe a patient that underwent a neonatal circumcision complicated by iatrogenic complete glans amputation. Reconstructive repair of a neoglans using a modified traditional method was used. Postoperative followup to 90 days is illustrated. Despite being a simple procedure, circumcision in unprofessional hands can have major complication impacting the emotional and sexual life of patients. Surgical reconstruction is possible with varying satisfactory results.

  10. Groin hernia: anatomical and surgical history.

    Science.gov (United States)

    McClusky, David A; Mirilas, Petros; Zoras, Odysseas; Skandalakis, Panagiotis N; Skandalakis, John E

    2006-10-01

    The history of surgical repair of groin hernia is a lengthy record of assorted techniques in search of a cure for an ailment that comes in many sizes and shapes and that has plagued humanity for thousands of years. Although improvements are still being sought and found, for several decades surgeons have had the means to relieve most hernia sufferers. A remaining issue is whether the wide array of surgical procedures can or should be whittled down to a few "standard" operations that are safe, effective, and cost-efficient. The history of the anatomy of groin hernia shows how much there was to learn and how much remains to be learned. It also shows how important it is for the surgeon to know and understand both the anatomy of the area and the formation of groin hernia.

  11. Cavernous nerves innervation from prostate apex to distal penis%海绵体神经在前列腺尖部及远端的行程与分布

    Institute of Scientific and Technical Information of China (English)

    李俊; 黄健; 虞湘才; 黄海

    2009-01-01

    目的 观察海绵体神经在前列腺尖部及其远端的行程和分布,探讨海绵体神经与周围 组织的关系.方法 3具成年男性尸体尿道和阴茎标本,自前列腺尖部至阴茎头连续切片行HE染色和神经纤维嗜银染色,观察海绵体神经在前列腺尖部及其远端尿道膜部阴茎的行程与分布.结果 海绵体神经纤维束行于前列腺尖部和尿道膜部约3点到9点处,距离尿道腔约3~5 mm,向远端进入阴茎海绵体近段.自尿道膜部向前走行与海绵体静脉丛并行进入海绵体中隔.结论 海绵体神经在前列腺尖部以及阴茎近段与尿道及海绵体静脉关系密切,该部位尿道和海绵体静脉相关手术容易损伤海绵体神经.%Objective To investigate the cavernous nerves innervation from prostate apex to glans penis and the relation between cavernous nerves and surrounding tissues and organs. Methods The urethra and penises of three formalin preserved adult cadavers were removed from prostate apex to glans penis.The sections underwent hematoxylin-eosin staining and Bielschowsky nerve staining.The course and distribution of cavernous nerves and relationship between the cavernous nerves and surrounding tissues and organs was observed microscopically and photographed from prostate apex to glans penis. Results From serial sections we found when nerve fibres run along prostate apex,while surrounding the lateral and dorsal aspects of prostate apex and urethra.from 30'clock to 9 0'clock.Most fibres went through smooth muscle and some of them went through the periphery striated muscle and urogenital diaphragm.The distance to urethra lumen was only 3-5 mm.After the nerve fibres went distally and anteriorly,they accompanied closely with cavernous vein plexus and then went into corpora cavernosa.At the distal end of corpora cavernosa,there were"windows"through which the neurovascular bundles communicated between corpora cavernosa and glans penis just like doors to glans

  12. Surgical reimplantation of penile glans amputation in children during circumcision

    Directory of Open Access Journals (Sweden)

    Bouassida Khaireddine

    2014-01-01

    Full Text Available Circumcision is one of the oldest and most commonly performed surgical procedures. Unfortunately, various complications may occur during circumcision, ranging from trivial to tragic such as penile amputation which is a serious complication and a challenging injury to treat. We describe two cases of non-microsurgical successful reattachment of a distal penile glans which were amputated during circumcision. In the first case, a 5-year-old child underwent circumcision by an urologist under local anesthesia. In the second one, a 3-year-old child underwent circumcision by a general practitioner who used to make circumcision. In this article, the literature is reviewed; results and potential complications of this surgery are also discussed. Glans sensation was present, early morning erection was maintained, and there was an erectile response during penile manipulation in both cases. Although circumcision is not technically difficult, it should be taken seriously. The use of microsurgical reattachment is not always possible, especially in pediatric cases; it also requires special equipment and training.

  13. Trichomycosis in man penis and scrotum treated with colorants and inert powders plus abstringesnts

    Directory of Open Access Journals (Sweden)

    Lorenzo Martini

    2017-07-01

    Full Text Available Initially it was believed to be uncommon in the inguinal region, although a huge series of papers have described trichomycosis particular to the inguinal area and have suggested that this disease is underestimated in the general population, and for this reason it has been finally baptized Trichomycosis pubis. Scope of my study is to approach the problem of Trichomycosis, that may be appropriately considered the real manifestation of a strange mix of fungi and cocci, where the prevalence of one or another is unclear and depends on too many factors, by the employ of only natural extracts included in porphirized inert powders, to abate the fungal component and azoic and triphenylmethanic colorants, to defeat coccal infection of penis: shaft, glans and scrotum. We have recruited a 35 y.old mason who has always suffered from hyperhidrosis at his pudenda.

  14. Hidden penis release: adjunctive suprapubic lipectomy.

    Science.gov (United States)

    Horton, C E; Vorstman, B; Teasley, D; Winslow, B

    1987-08-01

    We believe the hidden penis may be caused and concealed by a prominent suprapubic fat pad in addition to the restrictive fibrous bands of the dartos fascia fixing the shaft of the penis proximally while loose skin folds prolapse distally over the phallus. A penis of inadequate length or appearance may affect body image. Patients with this problem often require psychological support. Hidden penis may be distinguished from micropenis by palpating adequate corpora and showing a stretched penile length within 2 SD of normal. Excision of suprapubic fat with sectioning of the tethering dartos bands will release and increase the length of the penis. Suprapubic fat pad resection may also be helpful to elongate a short penis in cases of adult microphallus, or after partial penectomy because of trauma or cancer. Circumcision is contraindicated.

  15. Groin injuries in sport: treatment strategies.

    Science.gov (United States)

    Lynch, S A; Renström, P A

    1999-08-01

    Groin pain in athletes is a common problem that can result in significant amounts of missed playing time. Many of the problems are related to the musculoskeletal system, but care must be taken not to overlook other more serious and potentially life threatening medical cases of pelvis and groin pain. Stress fractures of the bones of the pelvis occur, particularly after a sudden increase in the intensity of training. Most of these stress fractures will heal with rest, but femoral neck stress fractures can potentially lead to more serious problems, and require closer evaluation and sometimes surgical treatment. Avulsion fractures of the apophyses occur through the relatively weaker growth plate in adolescents. Most of these will heal with a graduated physical therapy programme and do not need surgery. Osteitis pubis is characterised by sclerosis and bony changes about the pubic symphysis. This is a self-limiting disease that can take several months to resolve. Corticosteroid injection can sometimes hasten the rehabilitation process. Sports hernias can cause prolonged groin pain, and provide a difficult diagnostic dilemma. In athletes with prolonged groin pain, with increased pain during valsalva manoeuvres and tenderness along the posterior inguinal wall and external canal, an insidious sports hernia should be considered. In cases of true sports hernia, treatment is by surgical reinforcement of the inguinal wall. Nerve compression can occur to the nerves supplying the groin. In cases that do not respond to desensitisation measures, neurolysis can relieve the pain. Adductor strains are common problems in kicking sports such as soccer. The majority of these are incomplete muscle tendon tears that occur just adjacent to, the musculotendinous junction. Most of these will respond to a graduated stretching and strengthening programme, but these can sometimes take a long time to completely heal. Patience is the key to obtain complete healing, because a return to sports too

  16. Sediment exchange between groin fields and main-stream

    Science.gov (United States)

    Qin, Jie; Zhong, Deyu; Wu, Teng; Wu, Lingli

    2017-10-01

    Sediment exchange between groin fields and the main-stream influences the transport and distribution of polluted sediment that represents a hazard for rivers and neighboring floodplains. Despite its practical significance, little research has been done on the sediment exchange process itself, and existing studies used to estimate the sediment exchange by morphological change. The sediment exchange process, however, differs from morphological variation and includes two behaviors: the entrance of main-stream sediment into groin fields and the movement of groin field sediment out of groin fields. Therefore, this study aims at examining this exchange process and exploring the mechanisms of different exchange phenomena. Experiments were conducted in a mobile-bed laboratory flume by using a novel experimental method that successfully separates the movement of groin fields sediment from that of main-stream sediment. In addition to traditional measurements, such as measurements of morphological changes, surface flow velocities, and bed-form propagation, the deposition of main-stream sediment in groin fields is measured in detail. The results demonstrate that morphological change cannot reflect the sediment exchange process. The deposition of main-stream sediment in groin fields is determined by the dynamics of sediment movement, in which bedload- and suspended-sediment-dominated processes exhibit different deposition patterns. The movement of groin field sediment out of groin fields is determined mainly by local scouring around groins.

  17. Prevention of groin injuries in sports

    DEFF Research Database (Denmark)

    Esteve, E; Rathleff, M S; Bagur-Calafat, C;

    2015-01-01

    in sports. METHODS: A comprehensive search was performed in May 2014 yielding 1747 potentially relevant references. Two independent assessors evaluated randomised controlled trials for inclusion, extracted data and performed quality assessments using Cochrane's risk of bias tool. Quantitative analyses were...... performed in Review Manager 5.3. RESULTS: Seven trials were included: six on football players (four male and two female populations) and one on male handball players. In total there were 4191 participants with a total of 157 injuries. The primary analysis, including all participants, did not show...... a significant reduction in the number of groin injuries after completing a groin injury prevention programme (relative risk (RR) 0.81; 95% CI 0.60 to 1.09). Subgroup analysis based on type of sports, gender and type of prevention programme showed similar non-significant estimates with RR ranging from 0.48 to 0...

  18. Assembling a Functional Clitoris and Vulva from a Pseudo-Penis: A Surgical Technique for an Adult Woman with Congenital Adrenal Hyperplasia.

    Science.gov (United States)

    Tjalma, Wiebren A A

    2017-06-01

    Congenital adrenal hyperplasia (CAH) is associated with a genital deformation that might cause a negative body image. The genital ambiguity is generally "corrected" surgically during early infancy. The advantage is a psychological benefit. The disadvantages are multiple surgical procedures and the loss of orgasm. A 22-year-old woman with CAH consulted for genital reconstructive surgery. She had a pseudopenis of 4 cm and could achieve an orgasm by masturbating. During surgery, the penis was dismantled and with the preserved glans penis and the corpora cavernosa, a clitoris and vestibules were constructed, respectively. On the basis of the anamneses during the follow-up, she had a functional vagina and could still achieve orgasms. Genital correction surgery for CAH at an older age was easier, could be done in 1 step, and enabled the preservation of orgasm. Copyright © 2016 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.

  19. Penis Health: Identify and Prevent Problems

    Science.gov (United States)

    ... doesn't fracture. Conditions that can involve your penis include: Erection or ejaculation problems. These might include the inability to get and ... on the penis or in the genital area. Problems with the foreskin. A ... urination and erections. Paraphimosis occurs when the foreskin can't be ...

  20. A study on transmitted intensity's perturbance for air-spaced Glan-type polarizing prisms

    CERN Document Server

    Fan, J Y; Wu, F Q; Fan, Ji-Yang; Li, Hong-Xia; Wu, Fu-Quan

    2003-01-01

    The explanation for the perturbance of the transmitted intensity for air-spaced Glan-type polarizing prisms with varying rotation angle newly observed in the experiment is given. It is found that the transmitted intensity depends sensitively on the angle of incidence at the cut of the Glan-type prism. The minute fluctuation for values of the angle of incidence during the rotation of the stepmotor gives rise to the perturbance. The relation between the perturbance and the wavelength and the thickness of the air-gap is carefully investigated. Study shows that the disturbance for the Glan-Foucault prism is much stronger than that for the Glan-Taylor prism, as the experimental results have indicated. Theoretical results are perfectly in accordance with the experimental results. Effective measures for reducing the disturbance are presented.

  1. Copenhagen hip and groin outcome score (HAGOS) in male soccer

    DEFF Research Database (Denmark)

    Thorborg, Kristian; Branci, Sonia; Stensbirk, Frederik

    2014-01-01

    BACKGROUND/AIM: Reference values are needed in order to interpret the Copenhagen Hip and Groin Outcome Score (HAGOS) in male soccer players with hip and groin pain. The aim of this study was to establish reference values for HAGOS in hip and groin injury-free male soccer players. METHODS: We...... included 444 groin injury-free soccer players from 40 clubs (divisions 1-4) in Eastern Denmark, mean age (SD) 23.6 (4.4), training soccer 3.4 (1) times per week. All players were hip and groin injury-free at the time of inclusion (beginning of season, 2011). RESULTS: Of the 444 hip and groin injury...... HAGOS subscales (psoccer players, with no pain in the previous or present season (n=301), are: pain: 80.1-100, symptoms: 64.3-100, activities of daily living: 80...

  2. Do Australian Football players have sensitive groins? Players with current groin pain exhibit mechanical hyperalgesia of the adductor tendon.

    Science.gov (United States)

    Drew, Michael K; Lovell, Gregory; Palsson, Thorvaldur S; Chiarelli, Pauline E; Osmotherly, Peter G

    2016-10-01

    This is the first study to evaluate the mechanical sensitivity, clinical classifications and prevalence of groin pain in Australian football players. Case-control. Professional (n=66) and semi-professional (n=9) Australian football players with and without current or previous groin injuries were recruited. Diagnoses were mapped to the Doha Agreement taxonomy. Point and career prevalence of groin pain was calculated. Pressure pain thresholds (PPTs) were assessed at regional and distant sites using handheld pressure algometry across four sites bilaterally (adductor longus tendon, pubic bone, rectus femoris, tibialis anterior muscle). To assess the relationship between current groin pain and fixed effects of hyperalgesia of each site and a history of groin pain, a mixed-effect logistic regression model was utilised. Receiver Operator Characteristic (ROC) curve were determined for the model. Point prevalence of groin pain in the preseason was 21.9% with a career prevalence of 44.8%. Adductor-related groin pain was the most prevalent classification in the pre-season period. Hyperalgesia was observed in the adductor longus tendon site in athletes with current groin pain (OR=16.27, 95% CI 1.86 to 142.02). The ROC area under the curve of the regression model was fair (AUC=0.76, 95% CI 0.54 to 0.83). Prevalence data indicates that groin pain is a larger issue than published incidence rates imply. Adductor-related groin pain is the most common diagnosis in pre-season in this population. This study has shown that hyperalgesia exists in Australian football players experiencing groin pain indicating the value of assessing mechanical pain sensitivity as a component of the clinical assessment. Copyright © 2016 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.

  3. Terminology and definitions on groin pain in athletes

    DEFF Research Database (Denmark)

    Weir, Adam; Hölmich, Per; Schache, Anthony G

    2015-01-01

    number of experts were invited to participate in a Delphi questionnaire. The study coordinator sent a questionnaire, which consisted of demographic questions and two 'real-life' case reports of athletes with groin pain. The experts were asked to complete the questionnaire and to provide the most likely....... These results underscore the need for consensus on definitions and terminology on groin pain in athletes....

  4. Study quality on groin injury management remains low

    DEFF Research Database (Denmark)

    Serner, Andreas; van Eijck, Casper H; Beumer, Berend R

    2015-01-01

    BACKGROUND: Groin pain in athletes is frequent and many different treatment options have been proposed. The current level of evidence for the efficacy of these treatments is unknown. OBJECTIVE: Systematically review the literature on the efficacy of treatments for groin pain in athletes. METHODS:...

  5. MR imaging following herniography in patients with unclear groin pain

    Energy Technology Data Exchange (ETDEWEB)

    Leander, P.; Ekberg, O.; Sjoeberg, S.; Kesek, P. [Department of Radiology, Malmoe University Hospital, Lund (Sweden)

    2000-11-01

    The aims of the present study were to assess if MRI gives the same diagnostic information as herniography concerning the presence of hernias and reveals other causes of groin pain. The prospective study enrolled 20 patients referred for herniography, 6 women and 14 men, mean age 48 years. After herniography the patients underwent MRI using T1-weighted, fat-suppressed inversion recovery (STIR), and magnetic resonance cholangiopancreaticography (MRCP) pulse sequences. No contrast medium was administered at MRI. Herniography revealed 11 hernias and MRI depicted 8 of these. Magnetic resonance imaging depicted well the anatomy in the groins. In 3 patients where hernias were not revealed, MRI revealed inflammatory changes in the symphysis region as a possible cause of groin pain. The primary diagnostic tool for diagnosing hernias is herniography. If the herniogram is normal, MRI may reveal other causes of groin pain and may also better visualize related structures in the groin. (orig.)

  6. Groin hernia subtypes are associated in patients with bilateral hernias

    DEFF Research Database (Denmark)

    Burcharth, Jakob; Andresen, Kristoffer; Pommergaard, Hans-Christian;

    2015-01-01

    for a DIH. Females and males operated for a unilaterally indirect inguinal hernia (IIH) had HRs of 6.93 (CI 95% 3.66-13.11) and 1.89 (CI95% 1.24-2.88) for being contralaterally operated for an IIH. The same tendency was seen for femoral hernias. CONCLUSIONS: All hernia subtypes were bilaterally associated......BACKGROUND: To investigate the relation between groin hernia subtypes in patients operated for bilateral hernias. METHODS: With data from the Danish Hernia Database, we identified all patients operated for primary groin hernias from 1998 to 2012. Within this cohort all patients that were...... bilaterally operated were analyzed. Risk factors for bilateral groin hernia operation as well as the relationship between groin hernia subtypes bilaterally, were analyzed using multivariate Cox proportional hazards analysis and Kappa statistics. RESULTS: A total of 108, 775 persons with primary groin hernia...

  7. [The history of treatment of groin hernia].

    Science.gov (United States)

    Legutko, Janusz; Pach, Radosław; Solecki, Rafał; Matyja, Andrzej; Kulig, Jan

    2008-01-01

    Hernia (Greek kele/hernios--bud or offshoot) was present in the human history from its very beginning. The role of surgery was restricted to the treatment of huge umbilical and groin hernias and life-threatening incarcerated hernias. The treatment of groin hernia can be divided into five eras. The oldest epoch was ancient era from ancient Egypt to 15th century. The Egyptian Papirus of Ebers contains description of a hernia: swelling that comes out during coughing. Most essential knowledge concerning hernias in ancient times derives from Galen. This knowledge with minor modifications was valid during Middle Ages and eventually in the Renaissance the second era of hernia treatment began. Herniology flourished mainly due to many anatomical discoveries. In spite of many important discoveries from 18th to 19th century the treatment results were still unsatisfactory. Astley Cooper stated that no disease treated surgically involves from surgeon so broad knowledge and skills as hernia and its many variants. Introduction of anesthesia and antiseptic procedures constituted the beginning of modern hernia surgery known as era of hernia repair under tension (19th to middle 20th century). Three substantial rules were introduced to hernia repair technique: antiseptic and aseptic procedures. high ligation of hernia sac and narrowing of the internal inguinal ring. In spite of the progress the treatment results were poor. Recurrence rate during four years was ca. 100% and postoperative mortality gained even 7%. The treatment results were satisfactory after new surgical technique described by Bassini was implemented. Bassini introduced the next rule of hernia repair ie. reconstruction of the posterior wall of inguinal canal. The next landmark in inguinal hernia surgery was the method described by Canadian surgeon E. Shouldice. He proposed imbrication of the transverse fascia and strengthening of the posterior wall of inguinal canal by four layers of fasciae and aponeuroses of oblique

  8. Penile size and the 'small penis syndrome'.

    Science.gov (United States)

    Wylie, Kevan R; Eardley, Ian

    2007-06-01

    The male is often troubled by concerns that his penis is not large enough to satisfy his partner or himself. He is ashamed to have others view his penis, especially in the flaccid state. Such concerns might be unfounded in reality and might be a presentation of social anxiety or some other clinical problem, such as erectile dysfunction. Concern over the size of the penis, when such concern becomes excessive, might present as the 'small penis syndrome', an obsessive rumination with compulsive checking rituals, body dysmorphic disorder, or as part of a psychosis. However, it is often a worry that can be described as within the normal experience of many men. Various potential causal factors are considered. A thorough assessment, normalizing the worry and then exploring the treatment options in detail with the man, is essential to allow the matter to be consolidated satisfactorily within the male ego.

  9. Study quality on groin injury management remains low: A systematic review on treatment of groin pain in athletes

    NARCIS (Netherlands)

    A. Serner (Andreas); C.H.J. van Eijck (Casper); B.R. Beumer (Berend); P. Hölmich (Per); A. Weir (Adam); R.J. de Vos (Robert-Jan)

    2015-01-01

    textabstractBackground: Groin pain in athletes is frequent and many different treatment options have been proposed. The current level of evidence for the efficacy of these treatments is unknown. Objective: Systematically review the literature on the efficacy of treatments for groin pain in athletes.

  10. Colour Doppler ultrasound of the penis

    Energy Technology Data Exchange (ETDEWEB)

    Wilkins, C.J.; Sriprasad, S.; Sidhu, P.S. E-mail: paulsidhu@compuserve.com

    2003-07-01

    Because it is a superficial structure, the penis is ideally suited to ultrasound imaging. A number of disease processes, including Peyronie's disease, penile fractures and penile tumours, are clearly visualized with ultrasound. An assessment of priapism can also be made using spectral Doppler waveform technology. Furthermore, dynamic assessment of cavernosal arterial changes after pharmaco-stimulation allows diagnosis of arterial and venogenic causes for impotence. This pictorial review illustrates the range of diseases encountered with ultrasound of the penis.

  11. [Advances in the studies of concealed penis].

    Science.gov (United States)

    Fan, Sheng-hai; Li, Xue-de

    2015-09-01

    Concealed penis is usually found in children, which affects the patients both physiologically and psychologically. Some of the patients are wrongly treated by circumcision, which may bring about serious consequences to the sexual life of the patients in their adulthood. In the recent years, this disease has been receiving more and more attention from both doctors and parents. However, controversies remain as to its classification, pathogenesis, pathology, and treatment. This paper focuses on the understanding and advances in the studies of concealed penis.

  12. Efficient depolarization-loss-compensation of solid state lasers using only a Glan-Taylor polarizer

    Science.gov (United States)

    Mondal, S.; Singh, S. P.; Hussain, K.; Choubey, A.; Upadhyay, B. N.; Datta, P. K.

    2013-02-01

    A novel scheme for reducing the depolarization loss resulting from thermally induced stress birefringence of a free running flash-lamp pumped single Nd: YAG rod is reported here and measured under resonator configuration with the use of a Glan-Taylor polarizer only. The depolarization loss has been systematically investigated and compared with the quarter wave-plate scheme. The Glan-Taylor polarizer is given two rotations with respect to two perpendicular axes for obtaining Brewster's effect as well as phase retardation inside a stable resonator. This single optical element optimally reduces depolarization loss to ˜18% and performs better than quarter wave-plate in combination with a polarizer. Using Jones-vector formulation, we analyzed the effect of tilting of Glan-Taylor polarizer and accounted the measured data of depolarization loss.

  13. Haemangiosarcoma of the os penis in a dog: The most common neoplasm of the canine penis.

    Science.gov (United States)

    Burchell, Richard K; Kirberger, Robert M; Janse van Rensberg, Drienie D Didi

    2014-08-21

    A castrated 9-year-old intact male boerboel cross-breed dog was presented with a month-long history of stranguria. On physical examination, a mass was noted at the caudal extremity of the os penis. Haematology, serum chemistry and urinalysis were all unremarkable. Abdominal and urethral ultrasound demonstrated an enlarged bladder and a dilated urethra, which was followed to the caudal extremity of the os penis. A hyperechoic, roughly spherical,vascularised mass was noted at the caudal os penis, which resulted in obstruction of the penile urethra. Radiographs demonstrated a soft tissue mass with osteolysis of the os penis. Cytology suggested an osteosarcoma. Treatment included amputation of the penis and adjuvant doxorubicin with carboplatin. Histopathology of the penis confirmed a haemangiosarcoma. The patient survived for 20 months. This is only the second published case report describing a penile haemangiosarcoma, and the first published report demonstrating the treatment and outcome of a case of haemangiosarcoma of the os penis. Based on published and unpublished reports, haemangiosarcoma appears to be the most common neoplasm of the canine penis.

  14. Correlative 3D-imaging of Pipistrellus penis micromorphology: Validating quantitative microCT images with undecalcified serial ground section histomorphology.

    Science.gov (United States)

    Herdina, Anna Nele; Plenk, Hanns; Benda, Petr; Lina, Peter H C; Herzig-Straschil, Barbara; Hilgers, Helge; Metscher, Brian D

    2015-06-01

    Detailed knowledge of histomorphology is a prerequisite for the understanding of function, variation, and development. In bats, as in other mammals, penis and baculum morphology are important in species discrimination and phylogenetic studies. In this study, nondestructive 3D-microtomographic (microCT, µCT) images of bacula and iodine-stained penes of Pipistrellus pipistrellus were correlated with light microscopic images from undecalcified surface-stained ground sections of three of these penes of P. pipistrellus (1 juvenile). The results were then compared with µCT-images of bacula of P. pygmaeus, P. hanaki, and P. nathusii. The Y-shaped baculum in all studied Pipistrellus species has a proximal base with two club-shaped branches, a long slender shaft, and a forked distal tip. The branches contain a medullary cavity of variable size, which tapers into a central canal of variable length in the proximal baculum shaft. Both are surrounded by a lamellar and a woven bone layer and contain fatty marrow and blood vessels. The distal shaft consists of woven bone only, without a vascular canal. The proximal ends of the branches are connected with the tunica albuginea of the corpora cavernosa via entheses. In the penis shaft, the corpus spongiosum-surrounded urethra lies in a ventral grove of the corpora cavernosa, and continues in the glans under the baculum. The glans penis predominantly comprises an enlarged corpus spongiosum, which surrounds urethra and baculum. In the 12 studied juvenile and subadult P. pipistrellus specimens the proximal branches of the baculum were shorter and without marrow cavity, while shaft and distal tip appeared already fully developed. The present combination with light microscopic images from one species enabled a more reliable interpretation of histomorphological structures in the µCT-images from all four Pipistrellus species.

  15. Beach protection by a system of permeable groins

    Science.gov (United States)

    Boczar-Karakiewicz, B.; Romanczyk, W.; Roy, N.

    2002-12-01

    A new type of permeable groin (called System of Groins Maltec-Savard - SGMS) has been installed at three eroded sites located in the coastal area on the north shore of the St. Lawrence, Quebec, Canada. In this area, the narrow sandy beaches with sandy or sand-silty cliff of variable height (10-15~m) are exposed to obliquely incident waves arriving from both west (summer) and east (autumn), and to tidal currents (maximum tidal rate is 4.3~m). The periods of summer waves equal 3-5~s, with wave heights of about 0.4-0.7~m. In the autumn, major storm waves reach periods of up to 7-10~s, with wave heights of 1.0-1.2~m. The new groins are sediment traps formed by a central double and permeable groin with several smaller lateral, groins installed on one or both sides of the central groin (Boczar-Karakiewicz et al., 2001). The permeable central and lateral groins are structured by inserting double ranges of wooden piles (diameter of about 10 cm). The space between the ranges of piles (some 0.8~m wide) is filled with tree branches (e.g., the top parts of pine trees, a waste product of the local forest industry). A permeable grid covering the top of the groins forms a cage that holds the branches in place. The lateral groins, are identical but much shorter than the central groin. The whole system dissipates the incident energy of wave- and tidally-generated currents and causes accretion of sand transported by these currents. The GSMS also allows the by-pass of some sediment to adjacent zones without groins. Observations and results of measurements from three experiments field show that: (1) a sandy beach in front of a coastal cliff secures its stability and attenuates the erosion caused by waves and tidal currents; (2) permeability and flexibility of the SGMS causes the accretion of sediment in the protected area without erosion in the neighboring zones; (3) the SGMS does not generate wave reflection and any secondary current; (4) the materials of the groins are easily

  16. Pre-operative pain and sensory function in groin hernia

    DEFF Research Database (Denmark)

    Aasvang, Eske K; Hansen, Jeanette B; Kehlet, Henrik

    2009-01-01

    mechanism. AIMS: To investigate the correlation between pre-operative pain intensity and sensory functions in the groin hernia area. METHODS: Patients with unilateral groin hernia were examined preoperatively by quantitative sensory testing (thermal, mechanical, and pressure [detection and pain thresholds...... pain is not related to findings of hyperalgesia or other changes in sensory function that may support pain-induced pre-operative neuroplasticity as a pathogenic mechanism for the development of persistent postherniotomy pain....

  17. AB215. Penis transplant: a long way to success

    OpenAIRE

    Li, Jinhong; Yuan, Jiuhong

    2016-01-01

    Objective Transplant seems to be an ideal and mature treatment for some late-stage diseases. The first penis transplant operation was performed in China about 9 years ago and recently, a piece of news reporting another successful penis transplant in South Africa had spread throughout the world. Overall, penis transplant was seldom reported. Methods PubMed, ISI Web of Science and Google Scholar databases (until January 2016) were searched for relevant publications on penis transplant. Results ...

  18. Metastatic prostate adenocarcinoma penis: Case report

    Directory of Open Access Journals (Sweden)

    Pablo Santiago Caicedo

    2014-08-01

    Full Text Available Objective: Describe a case report of a patient with prostatic adenocarcinoma metastatic to penis due to shortage reports of similar cases to perform a literature review. Methods: We identified a case of a patient with prostatic adenocarcinoma, who during de the course of a cystoscopy at Hospital Universitario San Jose (Third-level Public Hospital in Popayan, Colombia a suspicious nodule of malignancy was observed in the penis. We described the clinical case in order to proceed to a literature search for the discussion. Results: 72-year-old patient diagnosed with prostatic adenocarcinoma Gleason Score 4+5=9, treated with bilateral orchiectomy and a suspicious nodule of malignancy incidentally observed in the penis, currently undergoing palliative care with Karnofsky score of 30 points. Conclusion: cutaneous metastases are rare; indicate longstanding disease and poor prognosis.

  19. Imaging of sports-related hip and groin injuries.

    Science.gov (United States)

    Lischuk, Andrew W; Dorantes, Thomas M; Wong, William; Haims, Andrew H

    2010-05-01

    A normally functioning hip joint is imperative for athletes who use their lower extremities with running, jumping, or kicking activities. Sports-related injuries of the hip and groin are far less frequent than injuries to the more distal aspect of the extremity, accounting for less than 10% of lower extremity injuries. Despite the lower incidence, hip and groin injuries can lead to significant clinical and diagnostic challenges related to the complex anatomy and biomechanical considerations of this region. Loads up to 8 times normal body weight have been documented in the joint in common daily activities, such as jogging, with significantly greater force expected during competitive athletics. Additionally, treatment for hip and groin injuries can obviate the participation of medical and surgical specialties, with a multidisciplinary approach frequently required. Delay in diagnosis and triage of these injuries may cause loss of time from competition and, potentially, early onset of degenerative changes. Magnetic resonance imaging (MRI) of the hip has proven to be the gold standard for the diagnosis of sports-related hip and groin injuries in the setting of negative radiographs. With its exquisite soft tissue contrast, multiplanar capabilities, and lack of ionizing radiation, MRI is unmatched in the noninvasive diagnosis of intra-articular and extra-articular pathology, as well as intraosseous processes. This review focuses on MRI of common athletic injuries of the hip and groin, including acetabular labral tears, femoral acetabular impingement syndrome, muscle injuries around the hip and groin (including athletic pubalgia), and athletic osseous injuries.

  20. Beliefs about Penis Size:Validation of a Scale for Men Ashamed about Their Penis Size

    OpenAIRE

    Veale, David; Eshkevari, Ertimiss; Read, Julie; Miles, Sarah; Troglia, Andrea; Phillips, Rachael; Echeverria, Lina Maria Carmona; Fiorito, Chiara; Wylie, Kevan; Muir, Gordon

    2014-01-01

    IntroductionNo measures are available for understanding beliefs in men who experience shame about the perceived size of their penis. Such a measure might be helpful for treatment planning, and measuring outcome after any psychological or physical intervention.AimOur aim was to validate a newly developed measure called the Beliefs about Penis Size Scale (BAPS).MethodOne hundred seventy-three male participants completed a new questionnaire consisting of 18 items to be validated and developed in...

  1. Management of burns of the penis.

    Science.gov (United States)

    Housinger, T A; Keller, B; Warden, G D

    1993-01-01

    Burns of the penis can be physically and psychologically devastating. This is particularly true in young pediatric patients who have to content with growth as well as with the trials of adolescence and the development of self-image. Little has been written on the grafting management of these injuries. This report reviews a management technique used with great success. Ten patients who sustained full-thickness penis burns were reviewed. The grafting technique consisted of excision and grafting with sheet grafts in a one- or two-stage setting. After grafting, the penis was placed in traction with a weighted Foley catheter. Grafts were left open or stented. No complications occurred from the traction apparatus, and graft take was uniformly excellent. Short-term results have been excellent, and no urethral problems have developed over a median 3-year follow-up. This technique appears to provide excellent means of supporting the penis to accomplish superb graft take in this hard-to-manage area.

  2. Warty Carcinoma Penis: An Uncommon Variant

    Science.gov (United States)

    Ghosh, Arnab; Shrestha, Santosh; Ghartimagar, Dilasma; Narasimhan, Raghavan; Talwar, OP

    2017-01-01

    Penile carcinoma frequency varies widely in different parts of the world and comprises 1–10% of all the malignancies in males. Majority of the cases of penile carcinoma are squamous cell carcinoma of penis comprising 60% to 70% of all cases. Warty carcinoma of penis is an unusual neoplasm and a variant of penile squamous cell carcinoma comprising 5%–10% of all the variants. The other histological variants include basaloid, verrucous, papillary, sarcomatous, mixed, and adenosquamous carcinoma. The various histological entities with an exophytic papillary lesions including warty carcinoma are together referred to as the “verruciform” group of neoplasms. The warty carcinoma has to be differentiated from these lesions and is typically distinguished by histological features of hyperkeratosis, arborescent papillomatosis, acanthosis, and prominent koilocytosis with nuclear pleomorphism. We present a case of 65-year-old male with growth measuring 6 × 4 cm in the penis who underwent total penectomy and was diagnosed as warty carcinoma penis. PMID:28154768

  3. Pre-operative pain and sensory function in groin hernia

    DEFF Research Database (Denmark)

    Aasvang, Eske K; Hansen, Jeanette B; Kehlet, Henrik

    2009-01-01

    mechanism. AIMS: To investigate the correlation between pre-operative pain intensity and sensory functions in the groin hernia area. METHODS: Patients with unilateral groin hernia were examined preoperatively by quantitative sensory testing (thermal, mechanical, and pressure [detection and pain thresholds...... (rho=-0.413, p=0.049), indicating a paradoxical association between level of mechanical pain threshold and magnitude of spontaneous pain. No other sensory modality was significantly correlated to pain intensity. New/increased pain during repetitive pinprick stimulation (wind-up) was seen in 3 patients......]) and assessments were correlated to patients' reports of intensity and frequency of spontaneous pain in the groin area. RESULTS: Forty-two patients were examined, whereof one was excluded since no hernia was found intraoperatively. Mechanical pain threshold was inversely correlated with spontaneous pain intensity...

  4. Hip and groin pain in the professional athlete.

    Science.gov (United States)

    McSweeney, Sean E; Naraghi, Ali; Salonen, David; Theodoropoulos, John; White, Lawrence M

    2012-05-01

    Hip and groin pain is a common condition in professional athletes and may result from an acute injury or from chronic, repetitive trauma. It is responsible for significant morbidity, which leads to time away from training and competition, and may result in a career-ending injury. The anatomic and biomechanical causes for hip and groin injuries are among the most complex and controversial in the musculoskeletal system. This makes clinical differentiation and subsequent management difficult because of the considerable overlap of symptoms and signs. This review article will evaluate several pathologic conditions of the hip and groin in athletes, divided into acute (secondary to single event) and chronic (secondary to altered biomechanical load or repetitive microtrauma) injuries, with an emphasis on imaging in the diagnosis of these injuries. Appropriate use of imaging along with clinical findings can allow accurate diagnosis and subsequent appropriate management of these patients to ultimately allow return to athletic activity.

  5. Groin pain after metal-on-metal hip resurfacing prosthesis

    Directory of Open Access Journals (Sweden)

    Daniel Hernández-Vaquero

    2014-08-01

    Full Text Available Total hip replacement continues to be a widely successful operation, but persistent groin pain following a metal-on-metal hip resurfacing remains a problem for some patients. The concern regarding the safety and efficacy of metal-on-metal total hip replacements has been rising. We present the case of a 47-year-old man with groin pain after metal-on-metal hip resurfacing. We observed high metal ion levels detected in blood analytical studies and a pseudotumor in magnetic resonance imaging. Our patient was treated with a revision surgery. The progressive elevation of blood and urine metal levels in the presence of periarticular cysts and/or groin pain is a complication of metal-on-metal hip arthroplasty and needs revision surgery.

  6. Mortality following emergency groin hernia surgery in Denmark

    DEFF Research Database (Denmark)

    Kjærgaard, Jesper; Bay-Nielsen, M; Kehlet, H

    2010-01-01

    The mortality following emergency groin hernia repair in Denmark is more than twice as high (7%) as in comparable countries. This article describes in detail the population that died following emergency herniotomy in order to identify aspects of care that may improve outcome.......The mortality following emergency groin hernia repair in Denmark is more than twice as high (7%) as in comparable countries. This article describes in detail the population that died following emergency herniotomy in order to identify aspects of care that may improve outcome....

  7. Ipsilateral occult hernias during endoscopic groin hernia repair

    Directory of Open Access Journals (Sweden)

    Jain Mayank

    2008-01-01

    Full Text Available Endoscopic repair of groin hernias allows the surgeon to have a complete view of the groin and pelvis to diagnose occult hernias both ipsilaterally and contralaterally. These occult hernias can then be treated simultaneously and may reduce the incidence of recurrence and persistent symptoms. The authors present four unusual cases where occult hernias were found ipsilaterally during an endoscopic repair. All these occult hernias were treated along with the clinically diagnosed hernia at the same surgery with excellent results and no post-operative morbidity.

  8. MR imaging of sports-related groin pain.

    Science.gov (United States)

    Nelson, Erik N; Kassarjian, Ara; Palmer, William E

    2005-11-01

    With increasing participation in professional and recreational athletics, activity-limiting pelvic and groin pain presents a growing challenge for patients and health care providers. The causes of musculoskeletal-related groin pain among athletes are diverse, with considerable overlap in history and physical examination findings. Pubalgia is a clinical diagnosis invoked when no more specific cause ofa patient's symptoms can be determined on history and physical examination. In many cases, dedicated MR imaging of the hip and pelvis can provide a prompt and specific diagnosis, which allows for early treatment and return to participation.

  9. British Men Opt for Penis Extensions

    Institute of Scientific and Technical Information of China (English)

    向勃

    2003-01-01

    选注者言:cosmetic surgery,即“整容手术;整容外科”,英国男士和女士的所谓 “整容”已经大大超出了我们所理解的“面部”范畴。男士:penis extension(阴茎 伸长扩大);女士:liposuction(吸脂)or breast enlargement(隆胸)

  10. Warty (condylomatous) squamous cell carcinoma of the penis: a report of 11 cases and proposed classification of 'verruciform' penile tumors.

    Science.gov (United States)

    Cubilla, A L; Velazques, E F; Reuter, V E; Oliva, E; Mihm, M C; Young, R H

    2000-04-01

    Within the spectrum of penile squamous cell carcinomas, those that we descriptively refer to collectively as the "verruciform" lesions are particularly difficult to subclassify. In a review of 50 such tumors, we found 11 distinctive neoplasms with condylomatous features conforming to the appearance of so-called "warty (condylomatous) carcinoma." The average patient age was 55 years and the average duration of disease was 19 months. The primary tumor involved multiple anatomic sites (glans, coronal sulcus, and foreskin) in seven cases and a single site (glans or foreskin) in four cases. Grossly, white to gray cauliflower-like tumors typically measuring approximately 5 cm were noted. Histologically the tumors were mainly papillomatous with acanthosis and hyperkeratosis. The papillae had prominent fibrovascular cores. The most conspicuous microscopic findings were striking nuclear atypia of koilocytotic type and clear cytoplasm. The interface between tumor and stroma was irregular in the majority of cases; deep invasion of corpus cavernosum was noted in five cases. The differential diagnosis included verrucous carcinoma, low-grade papillary squamous cell carcinoma, not otherwise specified, and giant condyloma acuminatum. Among other differences, the first two lesions show no koilocytotic changes and the last lacks malignant features and irregular stromal invasion. Metastatic spread occurred in two patients; both are alive with evidence of recurrent disease 12 and 72 months after initial diagnosis. A third patient was alive with recurrent disease 12 months after diagnosis. Five patients were free of disease 8, 12, 24, 52, and 108 months after diagnosis. Three patients were lost to follow up. Warty (condylomatous) carcinomas of the penis are morphologically distinctive verruciform neoplasms with features of human papillomavirus-related lesions and should be distinguished from other verruciform tumors so that differences in behavior, if any, between these tumors will

  11. Penis size: Survey of female perceptions of sexual satisfaction

    OpenAIRE

    Eisenman Russell

    2001-01-01

    Abstract Background Does the size of the male penis, in terms of length or width, make a difference in female sexual satisfaction? Method To study the effect of penis width vs. length on female sexual satisfaction, 50 sexually active female undergraduate students were asked which felt better, i. e., was penis width or length more important for their sexual satisfaction. Results None reported they did not know, or that width and length were equally satisfying. A large majority, 45 of 50, repor...

  12. Radiographic characterization of the os penis in the cat.

    Science.gov (United States)

    Piola, Valentina; Posch, Barbara; Aghte, Petra; Caine, Abby; Herrtage, Michael E

    2011-01-01

    The os penis in the cat has not been described radiographically, as compared with the dog. However, a small linear bony radiopacity is sometimes detected in the perineal area of male cats. We hypothesized that the feline os penis might be visible on survey radiographs of the pelvis, and we aimed to investigate the frequency of its visualization using analog and computed radiography (CR) system. One hundred radiographs of the pelvis of 99 male cats were reviewed retrospectively (50 were obtained with a CR system and 50 with an analog system). Age, breed, neutering status, and reason for presentation were recorded, as well as the visualization of the os penis. An os penis was detected in 19/50 (38%) cats with CR and in eight of 50 (16%) cats with analog radiography; this difference was statistically significant. With CR, the median age of cats with a visible os penis was significantly higher than in cats where the os penis was not seen. In one cat with a visible os penis examined with CR and analog radiography, the os penis was only visible on CR images. The penile tissues were examined histopathologically in one cat and well-differentiated bone was found but there were no pathologic findings detected in surrounding tissues. Thus, the os penis can be detected on radiographs of cats and this should not be mistaken for a pathologic finding such as urolithiasis or dystrophic mineralization.

  13. Comparison of Flow Characteristics Around Refractive and Right-angled Groins in Barotropic and Baroclinic Conditions

    Institute of Scientific and Technical Information of China (English)

    Omdehghiasi Hamed; Mojtahedi Alireza; Lotfollahi-Yaghin Mohammad Ali

    2015-01-01

    Groins are employed to prevent nearshore areas from erosion and to control the direction of flow. However, the groin structure and its associated flow characteristics are the main causes of local erosion. In this study, we investigate the flow patterns around refractive and right-angle groins. In particular, we analytically compare the flow characteristics around a refractive groin and study the degree of accuracy that can be achieved by using a right-angle groin of various projected lengths. To compare the flow characteristics, we replaced the right-angle groin with an approximation of a refractive groin. This replacement had the least effect on the maximum velocity of flow in the channel. Moreover, we investigated the distribution of the density variables of temperature and salinity, and their effects on the flow characteristics around the right-angle groin. A comparison of the flow analysis results in baroclinic and barotropic conditions reveals that the flow characteristic values are very similar for both the refractive and right-angle groins. The geometry of the groin, i.e., right-angle or refractive, has little effect on the maximum speed to relative average speed. Apart from the angular separation, the arm length of the groin in downstream refractive groins has less effect on other flow characteristics than do upstream refractive groins. We also correlated a number of non-dimensional variables with respect to various flow characteristics and groin geometry. These comparisons indicate that the correlation between the thalweg height and width of the channel and groin arm’s length to projection length have been approximated using linear and nonlinear formulas regardless of inner velocity in the subcritical flow.

  14. Case of a non-pulsatile groin swelling.

    Science.gov (United States)

    Razif, M A Mohamed; Rajasingam, V; Abdullah, B J J

    2002-12-01

    We report a case of a non-pulsatile groin swelling in a 38 years old male drug addict without the typical clinical signs of an aneurysm. Ultrasound revealed a left femoral artery pseudo-aneurysm. He was surgically treated and the vessels were ligated without revascularisation.

  15. Is chronic groin pain a Bermuda triangle of sports medicine?

    Science.gov (United States)

    Šebečić, Božidar; Japjec, Mladen; Janković, Saša; Vencel Čuljak; Dojčinović, Bojan; Starešinić, Mario

    2014-12-01

    Chronic groin pain is one the most complex conditions encountered in the field of sports medicine. Conservative treatment is long lasting and the result of treatment is often uncer- tain and symptom recurrences are common, which can be very frustrating for both the patient and the physician. The complex etiology and uncertainties during treatment of chronic groin pain is the reason why some authors call it the Bermuda Triangle of sports medicine. In our prospective, 7-year study, 114 athletes with chronic groin pain resistant to conservative therapy were treated surgically. In 109 athletes with sports hernia, we performed nerve neurolysis along with resection of the genital branch of the genitofemoral nerve and we also reinforced the posterior wall of inguinal canal using a modified Shouldice technique. In 26 athletes that had concomitant adductor tendinosis and in 5 athletes with isolated tendinosis we performed tenotomy. Eighty-one of 83 patients with isolated sports hernia returned to sports within a mean of 4.4 (range, 3-16) weeks. Thirty-one athletes with adductor tenotomy returned to sports activity within a mean of 11.8 (range, 10-15) weeks. If carefully diagnosed using detailed history taking, physical examination and correct imaging techniques, chronic groin pain can be treated very successfully and quickly, so it need not be a Bermuda Triangle of sports medicine.

  16. Longstanding Adduction-related Groin Pain in Athletes

    NARCIS (Netherlands)

    J.A.C.G. Jansen (Jaap)

    2010-01-01

    textabstractAlthough participation in sports is considered important by the Dutch government, it does increase the risk for musculoskeletal injury. Every year, about 3,500,000 sports injuries occur in the Netherlands (Schmikli et al., 2004). In this thesis, emphasis is placed on sports-related groin

  17. CT herniography in the diagnosis of occult groin hernias

    Energy Technology Data Exchange (ETDEWEB)

    Markos, V. [Department of Radiology, Gloucester Royal Hospital, Gloucester (United Kingdom)]. E-mail: vmarkos@hotmail.com; Brown, E.F. [Department of Radiology, Gloucester Royal Hospital, Gloucester (United Kingdom)

    2005-02-01

    AIM: To evaluate the role of computed tomography (CT) after herniography in the diagnosis and management of primary and recurrent groin hernias not detectable on clinical examination. MATERIAL AND METHODS: Fifty-one patients underwent CT post-herniography over a 6-year period for suspected primary or recurrent inguinal hernia. The herniography and post-herniography CT findings were retrospectively compared with clinical and surgical follow-up. Statistical analysis was performed to assess the role of herniography and CT post-herniography in the primary and recurrent groups. RESULTS: Of the 51 patients investigated for occult inguinal hernia, 19 had previous hernia repair with possible recurrence. The most common symptom at presentation was groin pain or discomfort (84%). Seventy-five percent in the primary group and 84% in the recurrent group had no findings on herniography or CT. Nine percent in the primary group and 16% in the recurrent group had hernias diagnosed by herniography. CT did not enhance the detection of hernia. Sensitivity for herniography and CT herniography in the primary groin hernia group was 75% as against specificity, which was 100 and 90%, respectively. For the recurrent groin hernias, sensitivity was 60% for herniography and 40% for CT herniography and specificity 100% for both. CONCLUSION: CT performed post-herniography did not provide any benefit over performing herniography alone in the diagnosis of occult primary or recurrent inguinal hernias.

  18. Phantom erectile penis after sex reassignment surgery

    Directory of Open Access Journals (Sweden)

    Kimata,Yoshihiro

    2008-06-01

    Full Text Available Between January 2001 and December 2007, we performed vaginoplasty as sex reassignment surgery in a total of 14 male-to-female transsexual (MTFTS patients [1]. Several complications occurred such as partial flap necrosis, rectovaginal fistula formation and hypersensitivity of the neoclitoris. Just after the operation, some patients feel that their penises still exist, but by several weeks postoperatively, this sensation has disappeared. Herein we report a case of MTFTS in whom the sensation of a phantom erectile penis persisted for much longer.

  19. Glans reconstruction with the use of an inverted urethral flap after distal penile amputation for carcinoma

    Directory of Open Access Journals (Sweden)

    Salvatore Sansalone

    2013-04-01

    Full Text Available Restoration of adequate cosmesis and preservation of sexual and urinary function are the main goals of penile reconstructive surgery following amputation for carcinoma. Split thickness skin grafts and oral mucosa grafts have been widely used for the creation of a pseudoglans with excellent cosmetic and functional results. The main drawbacks associated with the use of grafts are donor site morbidity, the lack of engorgement of the pseudoglans and the risk of poor graft take, which may lead to contracture and poor cosmetic results. In the present series the long term cosmetic and functional outcomes of glans reconstruction with an inverted distal urethral flap are described.

  20. Update: soccer injury and prevention, concussion, and chronic groin pain.

    Science.gov (United States)

    Jones, Nathaniel S

    2014-01-01

    Soccer, or football, as it is known in much of the world, is one of the most popular sports in the world. The purpose of this article was to provide a concise update on select soccer-specific medical issues published in the last year as they relate to soccer injury and prevention, concussions, and chronic groin pain. Both the Fédération Internationale de Football Association and the Union of European Football Associations published data from their longstanding injury tracking systems, providing foundation for further research. Concussion research continues to drive much interest, especially as it relates to heading and the controversy of subconcussive trauma. Lastly, our understanding of chronic groin pain continues to be refined as we try to understand the complexity of its pathophysiology and attempt to standardize a multispecialty approach of diagnosis and treatment.

  1. A rare case of a groin hernia: the Hesselbach's hernia.

    Science.gov (United States)

    van den Heuvel, B; Munoz Brands, R M; Beuerle, E Y; Dwars, B J

    2015-06-01

    A 61-year-old woman presented with pain in the left groin. The pain radiated from the groin to the knee. At physical examination, a non-reducible swelling was found lateral to the femoral vessels. A CT-scan showed herniation of fatty tissue through the lacuna musculorum. A laparoscopic repair was carried out. A large adipose structure was found herniating through the lacuna musculorum and originating from the Bogros area. It ran along the iliopsoas muscle, suppressing the femoral cutaneous nerve. The tissue was reduced and excised, and a polypropylene mesh was placed to cover the defect. Inguinal hernias are categorized as medial, lateral or femoral hernias. We describe a case in which a hernia through the lacuna musculorum was found, which is very rare and referred to as a Hesselbach's hernia.

  2. Groin injecting among a community-recruited sample of people who inject drugs in Thailand.

    Science.gov (United States)

    Ti, Lianping; Hayashi, Kanna; Kaplan, Karyn; Suwannawong, Paisan; Wood, Evan; Kerr, Thomas

    2014-01-16

    Use of the femoral vein for the injection of illicit drugs (i.e. groin injecting) has been linked to various health-related harms, including deep vein thrombosis. However, little is known about the prevalence of groin injecting and factors that predict this practice among people who inject drugs (PWID) in Thailand. We sought to investigate the prevalence and factors associated with groin injecting in Bangkok, Thailand. Data were derived from the Mitsampan Community Research Project in Bangkok between July and October 2011. Multivariate logistic regression was used to identify factors associated with groin injecting in the last six months. Among 437 participants, 34.3% reported groin injecting in the last six months. In multivariate analyses, factors positively associated with groin injecting included: having higher than secondary education (adjusted odds ratio [AOR] = 1.59; 95% confidence interval [CI]: 1.00 - 2.56), weekly midazolam injection (AOR = 8.26; 95% CI: 5.04 - 14.06), and reports of having had drugs planted on oneself by police (AOR = 2.14; 95% CI: 1.37 - 3.36). Over one-third of our sample of Thai PWID reported recent groin injecting. Frequent midazolam injection and higher education were found to be associated with groin injecting. That high intensity PWID were more likely to inject in the groin is concerning given the known negative consequences associated with the groin as a site of injection. Additionally, PWID who reported drug planting by police were more likely to inject in the groin, suggesting that reliance on law enforcement approaches may undermine safe injection practices in this setting. These findings highlight the need for evidence-based interventions to address the harms associated with groin injecting, including efforts to alert PWID to risks of groin injecting, the distribution of appropriate injecting equipment, and efforts to encourage use of other injecting sites.

  3. Medullary Carcinoma of the Penis: A Distinctive HPV-related Neoplasm: A Report of 12 Cases.

    Science.gov (United States)

    Cañete-Portillo, Sofía; Clavero, Omar; Sanchez, Diego F; Silvero, Arturo; Abed, Francisco; Rodriguez, Ingrid M; Ayala, Gustavo; Alemany, Laia; Munoz, Nubia; de Sanjose, Silvia; Quint, Wim; Bosch, Francesc X; Cubilla, Antonio L

    2017-04-01

    A third to half of penile invasive squamous cell carcinomas are human papillomavirus (HPV) related. Warty (condylomatous), warty-basaloid, and basaloid carcinomas are the most common subtypes associated with HPV. Less frequent are clear cell and lymphoepithelioma-like carcinomas. Here we report a novel penile tumor associated with HPV. Twelve cases were selected from 1010 penile carcinomas, part of an international HPV detection study conducted at the Institut Català d'Oncologia, Barcelona, Spain. Immunostaining with p16 was performed on all cases, and HPV-mRNA detection was also performed. En bloc full tumor staining was the utilized criteria for positivity of p16. For HPV-DNA detection, whole-tissue section polymerase chain reaction analysis was performed by SPF10-DEIA-LiPA25 (version 1). The patients' ages ranged from 42 to 92 years (average, 71 y). The tumor was most commonly located in the glans. A characteristic microscopic finding was the presence of a moderate to dense tumor-associated inflammatory cell infiltrate composed of neutrophils, lymphocytes, plasma cells, or eosinophils. Tumors grew in large solid sheets, nests, or had a trabecular pattern. Cells were large and poorly differentiated or anaplastic. Keratinization was minimal or absent. Nuclei were large with prominent nucleoli. Mitoses were numerous. Tumor necrosis was common. Deep invasion of the corpora cavernosa was frequent. p16 and HPV-DNA were positive in all cases, whereas mRNA detection was positive in 9 cases only. The prevalent genotype was HPV16 (9 cases, 75%). Other genotypes were HPVs 58, 33, and 66. Medullary carcinomas of the penis are morphologically distinctive HPV-related high-grade neoplasms affecting older individuals. More studies are necessary to delineate the epidemiological, clinical, and molecular features of this unusual penile neoplasm.

  4. The absence of the paternal penis.

    Science.gov (United States)

    Elise, D

    1998-01-01

    Girls' experiences of object loss, in conjunction with female anatomical structure, may lend themselves to a particular genital anxiety regarding openness and emptiness. The relational void in giving up the mother as love object may lead to an internal self-representation of a "hole" to be filled, much as the mouth sucks the pacifier in the absence of the nipple. This image may then be extended to the genital representation. In turning to the father, a girl may find that she lacks a relationship with him in the relational space opened up by the loss of the mother; the penis is symbolically withheld from her in the father's relational distance. This lack of sexual and relational gratification, it is proposed, may be schematized by a female as her body being empty of something. The father's absence--the absence of the paternal penis--may lead to an absence of the mental representation of the vagina and to an inhibition of the role the vagina then plays for a woman in sexual desire. Vaginal repression may serve to disguise object hunger that might otherwise be experienced as vaginal longing. An abbreviated clinical vignette, revolving around a masturbatory fantasy, is offered in partial illustration of the thesis.

  5. Obturator neuropathy: a cause of exercise-related groin pain.

    Science.gov (United States)

    Brukner, P; Bradshaw, C; McCrory, P

    1999-05-01

    Obturator neuropathy is a cause of exercise-related groin pain, particularly in those who play sports that involve much running, twisting and turning, and kicking. Symptoms include pain that begins insidiously at the adductor origin on the pubic bone and worsens with exercise. Diagnostic measures include reproduction of pain by stretching the pectineus muscle after exercise, electromyography, and a local anesthetic block of the obturator nerve. Surgery allows most patients to resume previous levels of activity.

  6. Sports-related groin pain: evaluation with MR imaging

    Energy Technology Data Exchange (ETDEWEB)

    Ekberg, O. [Dept. of Diagnostic Radiology, Malmoe General Hospital (Sweden); Sjoeberg, S. [Dept. of Diagnostic Radiology, Malmoe General Hospital (Sweden); Westlin, N. [Dept. of Orthopedic Surgery, Malmoe General Hospital (Sweden)

    1996-02-01

    Our purpose was to assess the role of MRI in evaluating the musculoskeletal system in athletes with chronic pain laterally in the groin of unknown etiology. Magnetic resonance imaging (MRI) of the public ring was performed in 11 young athletes (soccer players) with long-standing groin pain. MR findings were compared with plain films and isotope examination (bone scan Tc99M). Abnormal MRI findings included a broadened and irregular symphysis with a characteristic pattern of low signal intensity on T1W and high signal intensity on T2W images localized in the superior public ramus at a distance from the symphysis. Positive findings were also observed on plaon films and on nuclear medicine studies. However, the imaging findings in the superior pubic ramus of the symphysis was located considerably more laterally on MRI. MRI is a valuable method for evaluating discrete and ambiguous pelvic pain in athletes, particularly for identifying concomitant changes in the superior ramus, which may give rise to long-standing pain localized laterally in the groin. (orig.)

  7. Hip and groin pain in the child athlete.

    Science.gov (United States)

    Broadley, Penny; Offiah, Amaka C

    2014-11-01

    An increasing number of children are taking up sporting activities and at more competitive levels. For this reason (pediatric) radiologists should expect to receive greater numbers of requests from their orthopedic colleagues to image the athletic child who presents with hip or groin pain: "athletic pubalgia."Lower limb sports-related pathology is particularly common in sports such as ballet, football, hockey, rugby, and running. Injuries to the hip and groin may account for up to a quarter of injuries seen in athletic children and may be acute or chronic, osseous, cartilaginous, ligamentous, or muscular. The radiologist should also bear in mind the possibility of non-sports-related pathology such as inflammation or tumor and of complications related to previous trauma such as avascular necrosis or femoroacetabular impingement complicating previous slipped capital femoral epiphysis. Radiologists should avoid use of the term sports hernia and provide a more specific description of the true abnormality.The major imaging modalities are radiographs and MRI. In this article we provide an overview of the common sports-related pathologies of the hip and groin that may be encountered in the athletic child.

  8. Expression of luteinizing hormone receptors in the mouse penis.

    Science.gov (United States)

    Kokk, Kersti; Kuuslahti, Marianne; Keisala, Tiina; Purmonen, Sami; Kaipia, Antti; Tammela, Teuvo; Orro, Helen; Simovart, Helle-Evi; Pöllänen, Pasi

    2011-01-01

    The role of luteinizing hormone (LH) in the regulation of normal reproductive functions in males and females is quite well established. Besides the expression of LH receptors in the target cells in gonads, it has been found in several extragonadal organs. There is no information about the expression of LH receptors in the penis up to now. The aim of the present study is to investigate the expression of the LH receptor in the mouse penis to see if LH effects are possible in the penis. BALB/c mice were used as donors of normal penis and testis tissue. Immunocytochemistry, Western blotting, and quantitative reverse transcriptase polymerase chain reactions (RT-PCRs) were used for the detection of the LH receptor. Positive immunoreaction for LH receptors was present in the nuclei of urethral epithelium and endothelial cells of cavernous spaces in the corpus cavernosum and corpus spongiosum penis. Western blotting experiments demonstrated the presence of LH antigen at M(r) = 97.4 and 78 kd. Quantitative RT-PCRs confirmed the expression of LH receptor in the penis. Our results show that LH receptor is expressed in the body of the mouse penis; thus, it may directly regulate functions of penile tissue.

  9. Radiotherapy for treatment of induratio penis plastica; Strahlentherapie bei Induratio penis plastica

    Energy Technology Data Exchange (ETDEWEB)

    Bruns, F.; Kardels, B.; Schaefer, U.; Schoenekaes, K.; Willich, N. [Westfaelische Wilhelms-Univ., Muenster (Germany). Klinik und Poliklinik fuer Strahlentherapie-Radioonkologie

    1999-06-01

    Radiotherapy is shown to be an effective, low-cost and non-invasive modality for treatment of induratio penis plastica. Its efficiency could be proven especially for inflammatory stages of the disease, or as an alternative after failure of conventional treatment. A total dose of no more than 20-25 Gy was found to achieve clear improvements in two thirds of the patients treated, while avoiding at the same time cosmetically disadvantageous late effects. (orig./CB) [Deutsch] Die Strahlentherapie ist eine wirksame, kostenguenstige und nicht-invasive Behandlungsmoeglichkeit bei Induratio penis plastica. Ihren Stellenwert konnte sie insbesondere im inflammatorischen Stadium und nach Versagen anderer konservativer Therapieansaetze zeigen. Eine Gesamteinstrahldosis von 20-25 Gy reicht aus, um bei 2/3 der Patienten eine deutliche Besserung der Symptomatik zu erzielen bei gleichzeitiger Vermeidung kosmetisch relevanter Spaetnebenwirkungen. (orig.)

  10. [Conservative treatment for the penis carcinoma].

    Science.gov (United States)

    Slampa, P; Kost'áková, G; Hynková, L; Růzicková, J; Horová, H; Jezková, B

    2004-01-01

    No explicit recommendation has been determined in a treatment for the verified squamous cell penis carcinoma till now. The application of ionizing radiation is included in traditional treatment methods for this disease, in addition to surgical operations and chemotherapy cure. It is possible to apply external radiotherapy or brachy-radiotherapy (a moulage or an intersticial application) as well as their combination. In individual cases it is possible to use chemo-radiotherapy. In the case of the localized tumor a curative radiotherapy can be used as it is more save towards this organ. Radiotherapy has its place in the neoadjuvans treatment with the goal to reduce the disease extent. It can be also used as an adjuvans--postoperatively and paliatively. This review is describing principles of the radiotherapy treatment for this disease.

  11. Color Doppler US of the penis

    Energy Technology Data Exchange (ETDEWEB)

    Bertolotto, Michele (ed.) [Trieste Univ. Ospedale di Cattinara (Italy). Dept. Radiology

    2008-07-01

    This book provides a comprehensive reference and practical guide on the application of US to penile diseases and conditions. After introductory chapters on technical requirements and penile anatomy, subsequent chapters offer a systematic overview of the diverse applications of color Doppler US. The topics covered include erectile dysfunction, Peyronie's disease, priapism, trauma, tumors, the postoperative penis, inflammation, and fibrosis. Each topic is introduced by a clinical overview with the purpose of clarifying the problems and elucidating what the urologist may expect from color Doppler US. Thereafter, performance of the US study is explained and the pathological anatomy reviewed. High-quality images obtained with high-end US equipment are included. Each chapter also contains a section on the diagnostic information provided by other imaging modalities, and in particular MRI. (orig.)

  12. Malignant peripheral nerve sheath tumour of penis.

    Science.gov (United States)

    Kaur, J; Madan, R; Singh, L; Sharma, D N; Julka, P K; Rath, G K; Roy, S

    2015-04-01

    Malignant peripheral nerve sheath tumour (MPNST) is a rare variety of soft tissue sarcoma that originates from Schwann cells or pluripotent cells of neural crest origin. They have historically been difficult tumours to diagnose and treat. Surgery is the mainstay of treatment with a goal to achieve negative margins. Despite aggressive surgery and adjuvant therapy, the prognosis of patients with MPNST remains poor. MPNST arising from penis is a very rare entity; thus, it presents a diagnostic and therapeutic challenge. We present a case of penile MPNST in a 38-year-old man in the absence of neurofibromatosis treated with surgery followed by post-operative radiotherapy to a dose of 60 Gray in 30 fractions and adjuvant chemotherapy with ifosfamide and adriamycin.

  13. Extraskeletal Osteosarcoma of Penis: A Case Report

    Institute of Scientific and Technical Information of China (English)

    Chuan-zhen Wu; Cheng-mei Li; Song Han; Shuang Wu

    2012-01-01

    Extraskeletal osteosarcoma (EOS) is rare and commonly arises in the retroperitoneum,limbs,head and neck.There is no significant difference between EOS and other malignant tumors in soft tissue.Localized pain and swelling are the common presenting symptoms.Clinical diagnosis of EOS is difficult,imaging techniques may be helpful and careful,and the histopathological analysis is necessary.The common histological variants of EOS include:osteoblastoma,chondroblastoma,and fibroblastoma,and other unusual subtypes were reported occasionally.It should be distinguished with myositis ossificans,malignant mesenchymoma,giant cell tumor and parosteal osteosarcoma.We present an EOS arising in the penis.The primary site and histological category of the tumor were extremely rare.We hope the case will be helpful to the recognition of clinical signs,iconography and histopathology of EOS.

  14. Penis size: Survey of female perceptions of sexual satisfaction

    Directory of Open Access Journals (Sweden)

    Eisenman Russell

    2001-06-01

    Full Text Available Abstract Background Does the size of the male penis, in terms of length or width, make a difference in female sexual satisfaction? Method To study the effect of penis width vs. length on female sexual satisfaction, 50 sexually active female undergraduate students were asked which felt better, i. e., was penis width or length more important for their sexual satisfaction. Results None reported they did not know, or that width and length were equally satisfying. A large majority, 45 of 50, reported width was more important (p Conclusion Implications are discussed, including the fact that the data seem to contradict Masters and Johnson about penis size having no physiological effect on female sexual satisfaction.

  15. Penile size and the ‘small penis syndrome’

    National Research Council Canada - National Science Library

    Wylie, Kevan R; Eardley, Ian

    2007-01-01

    .... He is ashamed to have others view his penis, especially in the flaccid state. Such concerns might be unfounded in reality and might be a presentation of social anxiety or some other clinical problem, such as erectile dysfunction...

  16. Turtle and mammal penis designs are anatomically convergent.

    OpenAIRE

    Kelly, D A

    2004-01-01

    Males in many modern amniote taxa have a hydraulic penis that inflates for copulation. Hydraulic skeletons are typically reinforced with inextensible fibres; the specific arrangement of the fibres within the skeleton determines whether it is flexible or resists bending. I show that the hydraulic skeleton in the turtle penis is reinforced by an axial orthogonal array of collagen fibres. This microanatomy is evolutionarily convergent with that of mammalian penises, and implies that there is a l...

  17. A rare complication after circumcision: keloid of the penis.

    Science.gov (United States)

    Erdemir, F; Gokce, Ozgur; Sanli, Oner; Kadioglu, Ates; Parlaktas, Bekir Suha; Uluocak, Nihat; Kilicaslan, Isin

    2006-01-01

    Keloids are benign hyperproliferative growths of dermal collagen that usually result from excessive tissue response to skin trauma. Although benign, they may be seen as a painful and/or pruritic lesions. A 15-year-young boy was admitted to our clinic with an enlarged scar and pain on the penis for about 1 year after a routine circumcision operation. Complete surgical resection of the lesion was done and histopathological examination revealed keloid of the penis.

  18. Hand Allograft Saved by an Ultrathin Groin Flap

    Science.gov (United States)

    Château, Joseph; Gazarian, Aram; Boucher, Fabien; Badet, Lionel; Braye, Fabienne; Saint-Cyr, Michel

    2016-01-01

    Summary: We report a case of a young double-hand allotransplant patient who presented with a full-thickness skin necrosis of the dorsum of the left hand after vascular compromise of the allotransplantation. Considering the lack of viable dorsal tissue overlying the extensor tendons and the need for early hand rehabilitation, an ultrathin pedicled groin flap was used for the coverage. This procedure resulted in salvaging the allotransplantation, and the patient was able to successfully return to work after his surgery. To our knowledge, this is the only case of an upper extremity allotransplant salvaged by a pedicled flap.

  19. [Fracture of the penis: description of a case].

    Science.gov (United States)

    Cecchi, M; Pagni, G L; Ippolito, C; Summonti, D; Sepich, C A; Fiorentini, L

    1997-06-01

    Fracture of the penis is not a frequent event and it consists of a rupture of the tunica albuginea of the corpora cavernosa and sometimes of the urethra; the lesion occurs when the penis is erect because during erection the tunica albuginea is very thin and not flexible and it can be easily damaged by a trauma; most lesions occur during intercourse for impact of the erect penis against the female perineum or the pubic synphisis, but lesions during masturbation, fightings or falling off the bed are also described [1-2-3]. Clinically there are pain, detumescence, hematoma and recurvatum of the penis toward the opposite side of the lesion and hematuria if also the urethra is damaged. Usually diagnosis is quite easy with a good anamnesis, clinical examination and echotomography which can reveal presence of hematoma and hypoechogenic areas along the tunica albuginea or the urethra that appears irregular. Nowadays, fractures of the penis need a surgical approach to obtain good results avoiding consequences such as recurvatum or fibrotic areas [3-4-7-8]. We describe two cases of fracture of the penis occurred in two young men during masturbation and treated surgically with excellent results: twelve and eighteen months respectively after surgery patients are well and can enjoy a normal sexual activity with no problems at all.

  20. Doha agreement meeting on terminology and definitions in groin pain in athletes

    NARCIS (Netherlands)

    A. Weir (Adam); P. Brukner (Peter); E. Delahunt (Eamonn); J. Ekstrand (Jan); D. Griffin (Damian); K.M. Khan (Karim M.); G. Lovell (Greg); W.C. Meyers (William); U. Muschaweck (Ulrike); J. Orchard (John); H. Paajanen (Hannu); M. Philippon (Marc); G. Reboul (Gilles); P.J. Robinson (Philip); A.G. Schache (Anthony G.); E. Schilders (Ernest); A. Serner (Andreas); H. Silvers (Holly); K. Thorborg (Kristian); T. Tyler (Timothy); G. Verrall (Geoffrey); R.J. de Vos (Robert-Jan); Z. Vuckovic (Zarko); P. Hölmich (Per)

    2015-01-01

    textabstractBackground: Heterogeneous taxonomy of groin injuries in athletes adds confusion to this complicated area. Aim: The 'Doha agreement meeting on terminology and definitions in groin pain in athletes' was convened to attempt to resolve this problem. Our aim was to agree on a standard termino

  1. De Garengeot hernia with perforated appendicitis and a groin subcutaneous abscess: A case report

    Directory of Open Access Journals (Sweden)

    Hiroaki Mashima

    2017-01-01

    Conclusion: Here, we described a case of de Garengeot hernia with a subcutaneous abscess in the groin. Clinicians should consider de Garengeot hernia in patients with a groin hernia, make an early diagnosis, and promptly provide surgical treatment to reduce the risk of complications.

  2. In-Situ Test and Numerical Analysis of Bore Pressure on Sheet-Pile Groin

    Institute of Scientific and Technical Information of China (English)

    XU Chang-jie; CAI Yuan-qiang; XUAN Wei-li; CHEN Hai-jun; SONG Yang

    2006-01-01

    An in-situ test of bore pressure on a sheet-pile groin is carried out to investigate the characteristics of the bore pressure of tide in the Qian-tang River. The histories of bore pressure and the rule of the distribution of bore pressure on the sheet-pile groin are obtained through the test, which shows that the bore pressure on the sheet-pile groin are varies with time and space. The peak value of bore pressure on sheet-pile groin at different heights occurs almost at the same time. The vertical distribution of bore pressure on the sheet-pile groin is linear above the still water level. The maximum bore pressure on the sheet-pile groin occurs at the still water level. Then a numerical method is also used to further study the characteristics of bore pressure. The standard κ-ε turbulence model and VOF (volume of fluid) method for surface tracking are used to simulate the bore against the sheet-pile groin. The numerical results show flow fields, the position of free surface and time history and spatial distribution of bore pressure on the sheet-pile groin. The numerical and test results show good agreement.

  3. Imaging of hip and groin injuries in athletes.

    Science.gov (United States)

    Overdeck, Kimberlee Horton; Palmer, William Ewing

    2004-03-01

    Proper function of the hip joint is imperative for athletes who participate in sporting activities that rely on utilization of the lower extremity; these primarily include kicking, running, and jumping activities. Sports-related injuries of the hip and groin are not frequent sources of disability in athletes; however, they may present a significant diagnostic dilemma, both from a clinical and radiological standpoint. Delay in diagnosis and treatment may result in undesired complications, such as premature degenerative disease, as well as time lost from athletic activities. Magnetic resonance (MR) imaging of the hip, particularly following the intra-articular administration of gadolinium, has proven to be extremely valuable in the diagnosis of radiographically occult osseous abnormalities as well as soft-tissue injuries, such as pubalgia, musculotendinous abnormalities, and bursitis. This article will review several pathological conditions of the hip and groin in both recreational and professional athletes, with an emphasis on MR imaging as the modality of choice in the diagnosis of these injuries.

  4. Current options in local anesthesia for groin hernia repairs.

    Science.gov (United States)

    Kulacoglu, Hakan; Alptekin, Alp

    2011-01-01

    Inguinal hernia repair is one of the most common procedures in general surgery. All anesthetic methods can be used in inguinal hernia repairs. Local anesthesia for groin hernia repair had been introduced at the very beginning of the last century, and gained popularity following the success reports from the Shouldice Hospital, and the Lichtenstein Hernia Institute. Today, local anesthesia is routinely used in specialized hernia clinics, whereas its use is still not a common practice in general hospitals, in spite of its proven advantages and recommendations by current hernia repair guidelines. In this review, the technical options for local anaesthesia in groin hernia repairs, commonly used local anaesthetics and their doses, potential complications related to the technique are evaluated. A comparison of local, general and regional anesthesia methods is also presented. Local anaesthesia technique has a short learning curve requiring simple training. It is easy to learn and apply, and its use is in open anterior repairs a nice way for health care economics. Local anesthesia has been shown to have certain advantages over general and regional anesthesia in inguinal hernia repairs. It is more economic and requires a shorter time in the operating room and shorter stay in the institution. It causes less postoperative pain, requires less analgesic consumption; avoids nausea, vomiting, and urinary retention. Patients can mobilize and take oral liquids and solid foods much earlier. Most importantly, local anesthesia is the most suitable type of anesthesia in elder, fragile patients and patients with ASA II-IV scores.

  5. Exercise program for prevention of groin pain in football players: a cluster-randomized trial

    DEFF Research Database (Denmark)

    Hölmich, P; Larsen, K; Krogsgaard, Kim

    2010-01-01

    Groin injuries cause major problems in sports and particularly in football. Exercise is effective in treating adductor-related groin pain, but no trials have been published regarding the specific prevention of groin pain or prevention specifically targeting overuse injuries in sport using exercise...... programs. We performed a cluster-randomized trial including 55 football clubs representing 1211 players. The clubs were randomized to an exercise program aimed at preventing groin injuries (n=27) or to a control group training as usual (n=28). The intervention program consisted of six exercises including...... strengthening (concentric and eccentric), coordination, and core stability exercises for the muscles related to the pelvis. Physiotherapists assigned to each club registered all groin injuries. Twenty-two clubs in each group completed the study, represented by 977 players. There was no significant effect...

  6. Incidence and clinical presentation of groin injuries in sub-elite male soccer

    DEFF Research Database (Denmark)

    Hölmich, Per; Thorborg, Kristian; Dehlendorff, Christian

    2014-01-01

    . Effects are thus reported at relative injury time (RIT). RESULTS: Adductor-related groin injury was the most common entity found followed by iliopsoas-related and abdominal-related injuries. The dominant leg was significantly more often injured. Age and previous groin injury were significant risk factors...... entity approach, which utilises standardised reproducible examination techniques to identify the injured anatomical structures. The exposure time and the injury time were also recorded. Injury time was analysed using multiple regression on the log of the injury times as the data were highly skewed...... for sustaining a groin injury. Groin injuries were generally located on the same side as previously reported groin injuries. Adductor-related injuries with no abdominal pain had significantly longer injury times compared to injuries with no adductor and no abdominal pain (RIT 2.28, 95% CI 1.22 to 4.25, p=0...

  7. Persistent groin pain following a trans-obturator sling procedure for stress urinary incontinence: a diagnostic and therapeutic challenge

    NARCIS (Netherlands)

    M.H. Hazewinkel; P. Hinoul; J.P. Roovers

    2009-01-01

    Groin pain after a tension-free vaginal tape-obturator (TVT-O) procedure can occur but mostly disappears within 4 weeks. Persistent groin pain is extremely rare and there is a paucity of literature on how to diagnose and manage this adverse event. We present two cases with severe persistent groin pa

  8. The association between hip and groin injuries in the elite junior football years and injuries sustained during elite senior competition.

    Science.gov (United States)

    Gabbe, B J; Bailey, M; Cook, J L; Makdissi, M; Scase, E; Ames, N; Wood, T; McNeil, J J; Orchard, J W

    2010-09-01

    To establish the relationship between the history of hip and groin injuries in elite junior football players prior to elite club recruitment and the incidence of hip and groin injuries during their elite career. Retrospective cohort study. Analysis of existing data. 500 Australian Football League (AFL) players drafted from 1999 to 2006 with complete draft medical assessment data. Previous history of hip/groin injury, anthropometric and demographic information. The number of hip/groin injuries resulting in > or =1 missed AFL game. Data for 500 players were available for analysis. 86 (17%) players reported a hip/groin injury in their junior football years. 159 (32%) players sustained a hip/groin injury in the AFL. Players who reported a previous hip or groin injury at the draft medical assessment demonstrated a rate of hip/groin injury in the AFL >6 times higher (IRR 6.24, 95% CI 4.43 to 8.77) than players without a pre-AFL hip or groin injury history. This study demonstrated that a hip or groin injury sustained during junior football years is a significant predictor of missed game time at the elite level due to hip/groin injury. The elite junior football period should be targeted for research to investigate and identify modifiable risk factors for the development of hip/groin injuries.

  9. MR Imaging of the Penis and Scrotum.

    Science.gov (United States)

    Parker, Rex A; Menias, Christine O; Quazi, Robin; Hara, Amy K; Verma, Sadhna; Shaaban, Akram; Siegel, Cary L; Radmanesh, Alireza; Sandrasegaran, Kumar

    2015-01-01

    Traditionally, due to its low cost, ready availability, and proved diagnostic accuracy, ultrasonography (US) has been the primary imaging modality for the evaluation of scrotal and, to a lesser extent, penile disease. However, US is limited by its relatively small useful field of view, operator dependence, and inability to provide much information on tissue characterization. Magnetic resonance (MR) imaging, with its excellent soft-tissue contrast and good spatial resolution, is increasingly being used as both a problem-solving tool in patients who have already undergone US and as a primary modality for the evaluation of suspected disease. Specifically, MR imaging can aid in differentiating between benign and malignant lesions seen at US, help define the extent of inflammatory processes or traumatic injuries, and play a vital role in locoregional staging of tumors. Consequently, it is becoming more important for radiologists to be familiar with the wide range of penile and scrotal disease entities and their MR imaging appearances. The authors review the basic anatomy of the penis and scrotum as seen at MR imaging and provide a basic protocol for penile and scrotal imaging, with emphasis on the advantages of MR imaging. Pathologic processes are organized into traumatic (including penile fracture and contusion), infectious or inflammatory (including Fournier gangrene and scrotal abscess), and neoplastic (including both benign and malignant scrotal and penile tumors) processes.

  10. [Malignant fibrous histiocytoma of the penis].

    Science.gov (United States)

    Crisman, G; Margiotta, G; Calabresi, M; Discepoli, S; Leocata, P

    2015-07-01

    According to the most recent World Health Organization (WHO) guidelines a diagnosis of malignant fibrous histiocytoma (MFH) should be made only for lesions composed of tumor cells without evidence of a specific line of differentiation. This is therefore a diagnosis by exclusion which is why the name of undifferentiated high-grade pleomorphic sarcoma (UPS) should be preferred. Soft tissue sarcomas currently have an incidence in all body regions of approximately 20 cases per 1 million inhabitants per year. Soft tissue tumors of the penis represent approximately 5 % of all penile tumors and the incidence of penile sarcomas is estimated to be approximately 0.6-1 case per 100,000 patients. Only seven cases have so far been reported in the literature. This article describes the case of a 61-year-old Caucasian male who presented with a painless mass sited in the upper part of the corpus cavernosa. An incisional biopsy with a subsequent investigation using an extensive immunohistochemical panel were performed and a high-grade undifferentiated pleomorphic sarcoma or pleomorphic storiform MFH was diagnosed. In addition to the case report a literature review is presented to elaborate the discussion on the differential diagnoses of these kinds of lesions.

  11. Radiotherapy of plastic induration of the penis

    Energy Technology Data Exchange (ETDEWEB)

    Weisser, G.W.; Schmidt, B.; Huebener, K.H.; Ahlemann, L.M.; Kordonias, D.

    1987-01-01

    Between 1969 and 1984, a group of 54 patients with plastic induration of the penis was treated at the Medical Radiation Institute of the University of Tuebingen. During the first years conventional X-ray irradiation was applied, and since 1974 patients were submitted to 3 or 5 MeV electron irradiation of a linear accelerator, until a total focal dose of 20 Gy was accumulated. 78% of these patients were between 50 and 60 years old. Sixteen patients suffered from a simultaneous Dupuytren contracture, one patient had a fibrosis of mamma virilis. The treatment results reached from satisfactory until very good in 69% of all cases. Complete regression or a considerable improvement was obtained for indurations in 59%, for deviations in 69%, and for erection algesia in 79%. Radiogenic damages can be excluded in case of a gonad exposition of 0.2 Gy. There were no permanent cutaneous lesions after a total focal dose of 20 Gy. The prognostic importance of an early treatment is underlined; late stages presenting ossifications can be treated only by surgery. For routine diagnosis of site, extent, and possible mineralization of the regions involved, soft ray phallography performed with the technique of mammography can be used.

  12. 半脱套松解法治疗隐匿阴茎疗效探讨%Half-gloving cordectomy: A modified procedure for concealed penis

    Institute of Scientific and Technical Information of China (English)

    孙伟桂; 郑奇传; 蒋堃

    2012-01-01

    Objective : To search for a simple surgical procedure for the treatment of concealed penis that may have better effect and less complications. Methods : We used a modified surgical method in the treatment of 58 patients with concealed penis aged from 3 to 15 (mean 6. 8) years. The operation was simplified and involved the following steps: wholly unveiling the penis glans, half-degloving the foreskins, cutting off all the adhesive fibers up to the penile suspensory ligaments, and liberating the external penis. Results: The operation was successful in all the patients, with the operative time of 15 - 45 (mean 33) minutes, hospital stay of 2 -5 (mean 3.5) days, but no complications except mild foreskin edema in 5 eases. The external penis was prolonged from 0.5 - 2. 8 (mean 1.4) cm preoperatively to 3.2?.5 (mean 3.9) cm postoperatively. The patients were followed up for 1? years, all satisfied with the length and appearance of the penis, and their sexual and reproductive functions were normal. Conclusion; The modified surgical procedure for concealed penis is simple and effective, with desirable outcomes, few postoperative complications and no damage to sexual and reproductive functions.%目的:探讨一种改良简化隐匿阴茎术式,既有较好手术效果,又减少减轻各种术后并发症. 方法:58例隐匿阴茎患者,平均年龄6.8(3 ~15)岁.术式包括矫正狭窄包皮口使阴茎头完全显露、半脱套法翻转包皮并矫形、沿白膜表面切除发育不良条索带达阴茎悬韧带前端、使阴茎体释放但不作白膜固定. 结果:所有患者均一次性手术成功,手术时间平均33(15~45)min,术后阴茎体外长度从术前平均1.4(0.5~2.8)cm增至3.9(3.2~8.5)cm.所有患者术后随访1~3年,包括阴茎外观、长度和自我感觉等,均效果满意.该术式简便、并发症少且术后恢复快.手术不影响阴茎根部深处神经血管和阴茎悬韧带等,不损伤阴茎本身结构及功能. 结论:该

  13. Fracture Penis: An Analysis of 26 Cases

    Directory of Open Access Journals (Sweden)

    G.V.Soundra Pandyan

    2006-01-01

    Full Text Available The aim of this study was to review the pattern of penile fracture occurrence, its clinical presentation, diagnosis, management, and outcome at our center. A retrospective analysis of 26 patients with penile fractures treated at our hospital from January 1997 to January 2005 was carried out. We noted an incidence of 3.5 cases per year, occurring more commonly in unmarried men. Of our study group, 28 episodes of penile fractures occurred in 26 patients. Hospital presentation after trauma varied from 2 h to 21 days. Masturbation was the main initiating causative factor and penile hematoma was the most common clinical finding. Nearly 81% noticed the characteristic click prior to the fracture. Clinical diagnosis was adequate in a majority of the cases. Midshaft fractures with right-sided laterality were more frequent in this series. The tear size ranged from 0.5—2.5 cm with a mean of 1.1 cm. All cases, but one, were treated by surgical repair using absorbable sutures. Out of three cases treated conservatively, two failed to respond and had to be treated surgically. False fracture with dorsal vein tear was present in two cases. Involvement of bilateral corpora was seen in one patient. Infection was the most common early complication, while pain with deviation was the late complication. In our experience, clinical findings are adequate enough to diagnose fracture penis in a majority of cases. Surgical exploration with repair of the tear is recommended both in early and delayed presentations. There was no noticeable relationship to the time of initial presentation or with the size and site of tear to the final outcome.

  14. Sarcomatoid Renal Cell Carcinoma Metastasis to the Penis

    Directory of Open Access Journals (Sweden)

    Victor D. Liou

    2015-01-01

    Full Text Available Secondary cancers of the penis are extremely uncommon with less than 300 cases reported in the past 100 years. These cancers are most frequently a result of an aggressive or poorly managed primary prostate or bladder cancer and rarely a metastasis from a primary kidney tumor. Currently, there is no published literature which describes the spread of sarcomatoid renal cell carcinoma (SRCC to the penis. In this report, we present a 55-year-old-man who presented with a large right-sided SRCC which metastasized to the base of his penis within 1 month of symptom onset. We also discuss the possible route of metastasis based on primary tumor size and location within the retroperitoneum.

  15. Sarcomatoid Renal Cell Carcinoma Metastasis to the Penis.

    Science.gov (United States)

    Liou, Victor D; Darwish, Oussama M; Henry, Mary M; Jun, Ik C; Siddiqui, Sameer A

    2015-01-01

    Secondary cancers of the penis are extremely uncommon with less than 300 cases reported in the past 100 years. These cancers are most frequently a result of an aggressive or poorly managed primary prostate or bladder cancer and rarely a metastasis from a primary kidney tumor. Currently, there is no published literature which describes the spread of sarcomatoid renal cell carcinoma (SRCC) to the penis. In this report, we present a 55-year-old-man who presented with a large right-sided SRCC which metastasized to the base of his penis within 1 month of symptom onset. We also discuss the possible route of metastasis based on primary tumor size and location within the retroperitoneum.

  16. Lesions and Neoplasms of the Penis: A Review.

    Science.gov (United States)

    Heller, Debra S

    2016-01-01

    In addition to practitioners who care for male patients, with the increased use of high-resolution anoscopy, practitioners who care for women are seeing more men in their practices as well. Some diseases affecting the penis can impact on their sexual partners. Many of the lesions and neoplasms of the penis occur on the vulva as well. In addition, there are common and rare lesions unique to the penis. A review of the scope of penile lesions and neoplasms that may present in a primary care setting is presented to assist in developing a differential diagnosis if such a patient is encountered, as well as for practitioners who care for their sexual partners. A familiarity will assist with recognition, as well as when consultation is needed.

  17. Research on refractive index of optical cement used in Glan-Thompson prisms

    Institute of Scientific and Technical Information of China (English)

    Haifeng Wang; Fuquan Wu; Hailong Wang; Jing Wang; Shan Zhang

    2007-01-01

    The influence of the refractive index n2 of optical cement on the structure angle, field angle, and transmission of Glan-Thompson prism has been studied in detail. The results show that the structure angle will increase with the decrease of n2 under the condition of the largest field angle. Thus, the ratio of length to width (L/A) of the prism will decrease, which means more materials can be saved. When the value of L/A is 3.0 or 2.5 in the routine design, the field angle will firstly increase and then decrease with the increment of n2. Two routine designs with the n2 values of 1.47 and 1.45 have the optimal field angle. In addition, n2 also has great influence on light intensity transmittance of the prism. Considering all these factors, it will be the best choice with L/A=2.5 and n2 = 1.45 - 1.46.

  18. Minimum reporting standards for clinical research on groin pain in athletes

    DEFF Research Database (Denmark)

    Delahunt, Eamonn; Thorborg, Kristian; Khan, Karim M

    2015-01-01

    are provided in relation to: (1) study methodology, (2) study participants and injury history, (3) clinical examination, (4) clinical assessment and (5) radiology. Adherence to these minimum reporting standards will strengthen the quality and transparency of research conducted on groin pain in athletes...... to generalise findings to the target patient population. Minimum reporting standards for research on groin pain in athletes are overdue. We propose a set of minimum reporting standards based on best available evidence to be utilised in future research on groin pain in athletes. Minimum reporting standards...

  19. 18-Year Experience in the Management of Men With a Complaint of a Small Penis

    NARCIS (Netherlands)

    Nugteren, Helena M.; Balkema, G. T.; Pascal, A. L.; Schultz, W. C. M. Weijmar; Nijman, J. M.; Van Driel, M. F.

    2010-01-01

    In many cultures, the erect penis has been a symbol of masculine qualities. Because of this symbolism, a penis that is less than average size can cause insecurity or embarrassment. This series reports the authors' 18-year experience in the management of 60 men with a complaint of a small penis. For

  20. 18-Year Experience in the Management of Men With a Complaint of a Small Penis

    NARCIS (Netherlands)

    Nugteren, Helena M.; Balkema, G. T.; Pascal, A. L.; Schultz, W. C. M. Weijmar; Nijman, J. M.; Van Driel, M. F.

    2010-01-01

    In many cultures, the erect penis has been a symbol of masculine qualities. Because of this symbolism, a penis that is less than average size can cause insecurity or embarrassment. This series reports the authors' 18-year experience in the management of 60 men with a complaint of a small penis. For

  1. Kissing nevus of the penis. Report of two cases and review of the literature.

    Science.gov (United States)

    Wang, Songting; Zhou, Mingshu; Qiao, Jianjun

    2014-01-01

    Kissing nevus is a curious type of nevus that was first described on the eyelids and rarely described on the penis. We report two cases of kissing nevus of the penis and review previously reported cases. The lesions of the kissing nevus of the penis showed characteristic mirror-image symmetry relative to the coronal sulcus. On histopathology, the lesion showed a compound nevus.

  2. Functional anatomy and ultrasound examination of the canine penis.

    Science.gov (United States)

    Goericke-Pesch, Sandra; Hölscher, Catharina; Failing, Klaus; Wehrend, Axel

    2013-07-01

    The aim of this study was to identify the functional-anatomical structures of the canine penis during and after erection to demonstrate the respective changes to provide a basis for further examinations of pathological conditions like priapism. Additionally, a gray-scale analysis was performed to quantify results from the ultrasound examination. In total, 80 dogs were examined. In group (Gr.) A, 44 intact or castrated dogs were examined, and in Gr. B, 36 dogs were examined during erection and after complete detumescence of the penis. The following parameters were assessed: (1) using physical measurements: length of the Pars longa glandis [Plg] and length of the Bulbus glandis [Bg]; and (2) using ultrasound: total penile diameter, width of the erectile tissue of the Plg, diameter of the Corpus spongiosum [Cs] including the penile bone and urethra, vertical diameter, circumference of the penis, cross-sectional area, and area of the Cs including the urethra. The mentioned parameters could be assessed in all dogs of Gr. A and Gr. B with the only exception being the urethra that could be visualized using ultrasound in some dogs only and predominantly in the erected penis (Gr. B). Concomitantly, the erectile tissue of the Plg and the Cs was more heterogenous and hypo- to anechoic during erection compared with dogs in Gr. A and Gr. B after detumescence. Comparing the results in Gr. B, the length of the Plg and the Bg were decreased approximately 40.6% and 38.0%, the total width of the penis 40.5%, the total width of the erectile tissue of the Plg 48.0%, and the width of the Cs 15.6% during detumescence compared with erection. Comparing the decrease in size at the different locations (apex penis, middle of Plg, middle of Bg) for vertical diameter, total circumference, and cross-section area, it was largest at the Bg. B-mode ultrasound is a suitable tool to investigate not only the morpho-functional structures of the resting canine penis, but also of the erected and

  3. In-transit metastases from squamous cell carcinoma penis

    Directory of Open Access Journals (Sweden)

    L Padmavathy

    2012-01-01

    Full Text Available An in-transit metastasis is one that is located between the primary tumor and the closest lymph node region and results from tumor emboli getting trapped in the lymphatic channels. A 65-year-old male patient who had undergone partial amputation of the penis and bilateral inguinal lymph node resection for squamous cell carcinoma of the penis 4 months earlier developed multiple cutaneous metastatic lesions in the pubic region and scrotum. The case is reported for the uncommon presentation of in-transit metastases.

  4. Granuloma annulare localized to the shaft of the penis

    DEFF Research Database (Denmark)

    Trap, R; Wiebe, B

    1993-01-01

    A case of granuloma annulare localized to the shaft of the penis is reported. The differential diagnoses are discussed. Penile granuloma annulare is a rare disorder and it is concluded that biopsies of penile lesions are recommended to verify the correct diagnosis.......A case of granuloma annulare localized to the shaft of the penis is reported. The differential diagnoses are discussed. Penile granuloma annulare is a rare disorder and it is concluded that biopsies of penile lesions are recommended to verify the correct diagnosis....

  5. Bone Cutting Forceps: A Safe Approach for Saving Strangulated Penis

    Directory of Open Access Journals (Sweden)

    Mohamed Ahmed Abd El Salam

    2016-01-01

    Full Text Available Penile strangulation is considered a rare andrological emergency that may lead to a wide range of complications. Penile strangulation may be related to mental retardation in children or hypersexuality, abnormal sexual preferences in adults. This case report shows a 23-year-old male who presented to the emergency room with agonizing pain related to a metallic ring placed at the base of the penis for more than 8 hours during an attempt of masturbation. Removing this metallic ring and saving the patient’s penis from gangrene without causing injury were very challenging. Patient was successfully managed and had an uneventful recovery.

  6. Sarcomatoid Renal Cell Carcinoma Metastasis to the Penis

    OpenAIRE

    Liou, Victor D.; Darwish, Oussama M.; Henry, Mary M.; Jun, Ik C.; Sameer A. Siddiqui

    2015-01-01

    Secondary cancers of the penis are extremely uncommon with less than 300 cases reported in the past 100 years. These cancers are most frequently a result of an aggressive or poorly managed primary prostate or bladder cancer and rarely a metastasis from a primary kidney tumor. Currently, there is no published literature which describes the spread of sarcomatoid renal cell carcinoma (SRCC) to the penis. In this report, we present a 55-year-old-man who presented with a large right-sided SRCC wh...

  7. Bone Cutting Forceps: A Safe Approach for Saving Strangulated Penis

    Science.gov (United States)

    Abd El Salam, Mohamed Ahmed; Gamal, Ahmed

    2016-01-01

    Penile strangulation is considered a rare andrological emergency that may lead to a wide range of complications. Penile strangulation may be related to mental retardation in children or hypersexuality, abnormal sexual preferences in adults. This case report shows a 23-year-old male who presented to the emergency room with agonizing pain related to a metallic ring placed at the base of the penis for more than 8 hours during an attempt of masturbation. Removing this metallic ring and saving the patient's penis from gangrene without causing injury were very challenging. Patient was successfully managed and had an uneventful recovery. PMID:27239200

  8. Surgical replacement of iatrogenically prolapsed penis in a dromedary camel

    Directory of Open Access Journals (Sweden)

    S.A.T. Al-Qubati

    2012-11-01

    Full Text Available Prolapse of the penis through an iatrogenic incision on the right side of the preputial base in a five year old dromedary camel was handled surgically and the organ was successfully replaced into the preputial cavity. The condition occurred as a result of draining an abscess at the base of the prepuce by a quack about eight months earlier. The reason to report this case lies in its peculiarity that although the penis remained outside the preputial cavity for about eight months exposed to the external environment, yet no complications pertaining to its fragile tissue and urination occurred during this long period as seen in cases of paraphimosis.

  9. Granuloma annulare localized to the shaft of the penis

    DEFF Research Database (Denmark)

    Trap, R; Wiebe, B

    1993-01-01

    A case of granuloma annulare localized to the shaft of the penis is reported. The differential diagnoses are discussed. Penile granuloma annulare is a rare disorder and it is concluded that biopsies of penile lesions are recommended to verify the correct diagnosis.......A case of granuloma annulare localized to the shaft of the penis is reported. The differential diagnoses are discussed. Penile granuloma annulare is a rare disorder and it is concluded that biopsies of penile lesions are recommended to verify the correct diagnosis....

  10. Verruciform xanthoma of the penis:report of a case

    Institute of Scientific and Technical Information of China (English)

    夏同礼; 李贵忠; 那彦群; 郭应禄

    2004-01-01

    @@ Verruciform xanthoma, a rare and benign lesion that was first described by Shafer1 in 1971, occurs mainly in the oral mucosa, but extra-oral involvement includes the vulva,2,3 scrotum,4,5 penis,6-15 anal region16 and extremities.17,18 With sessile or pedunculated growth this lesion is small, asymptomatic, yellow-brown or red-orange in color, and flat. Clinically, verruciform xanthoma is likely to be misdiagnosed as papillomas and occasionally as verrucous or squamous cell carcinoma. It has a benign course and good prognosis. We report a case of verruciform xanthoma that occurred in the penis, a very rare location.

  11. Which factors differentiate athletes with hip/groin pain from those without?

    DEFF Research Database (Denmark)

    Mosler, Andrea B; Agricola, Rintje; Weir, Adam;

    2015-01-01

    BACKGROUND: Hip and groin injuries are common in many sports. Understanding the factors differentiating athletes with hip/groin pain from those without these injuries could facilitate management and prevention. OBJECTIVE: Conduct a systematic review and meta-analysis of the literature on factors...... differentiating athletes with and without hip/groin pain. METHODS: The review was registered as PROSPERO CRD42014007416 and a comprehensive, systematic search was conducted in June 2014. Inclusion criteria were: cross-sectional, cohort or case-control study designs of n>10 that examined outcome measures...... differentiating athletes with and without hip/groin pain. Two authors independently screened search results, assessed study quality, and performed data extraction. Methodological heterogeneity was determined and data pooled for meta-analysis when appropriate. A best evidence synthesis was performed...

  12. Hip and groin pain in sub-elite South African footballers

    African Journals Online (AJOL)

    1 Section Sports Medicine, University of Pretoria, South Africa ... patterns of groin injuries in sub-elite players, and to investigate differences in hip strength and ..... This should include guidance on injury prevention interventions, and the proper.

  13. [Sacroiliac joint dysfunction with groin pain after an operation for lumbar spinal disorder. A case report].

    Science.gov (United States)

    Shimoda, Yusuke; Morimoto, Daijiro; Isu, Toyohiko; Motegi, Hiroaki; Imai, Tetsuaki; Matsumoto, Ryouji; Isobe, Masanori; Kim, Kyongsong; Sugawara, Atsushi

    2010-11-01

    A 75-year-old male presented with groin pain after an operation to treat lumbar spondylolisthesis (L5). Groin tenderness was localized to the medial border of the anterior superior iliac spine (ASIS). Radiographical and physical examination raised the suspicion of sacroiliac joint (SIJ) dysfunction. Injection of a painkiller into the SIJ relieved symptoms, including groin tenderness. Symptoms improved gradually, and finally disappeared after five SIJ injections. Groin pain has been reported as a referred symptom of SIJ dysfunction in 9.3-23% of patients. Prior to the patient undergoing surgery to treat lumbar spondylolisthesis, SIJ dysfunction had not been noted on physical examination. Long periods spent in the abnormal posture due to lumbar spondylolisthesis induced SIJ stress. After the operation, an improvement in daily activity actually increased stress on the SIJ, resulting in SIJ dysfunction. Certain pathologies, including SIJ dysfunction, should be considered as residual symptoms after operations for lumbar spinal diseases.

  14. The Epidemiology of Hip and Groin Injuries in Professional Baseball Players.

    Science.gov (United States)

    Coleman, Struan H; Mayer, Stephanie W; Tyson, Jared J; Pollack, Keshia M; Curriero, Frank C

    2016-01-01

    Injuries of the hip and groin among professional baseball players can result in a significant number of disabled list days. The epidemiology of these injuries has not been delineated. The purpose of this study is to describe the incidence, mechanism, type, and rehabilitation course of hip and groin injuries among Major League Baseball (MLB) and Minor League Baseball (MiLB) players. The MLB injury database for hip and groin injuries from 2011-2014 was analyzed. Occurrence of injuries was assessed based on level of play, field location, activity during which the injury occurred, mechanism of injury, and days missed. The treatment was recorded as nonoperative or surgical. The subsequent rehabilitation and return to play were recorded. Chi-square tests were used to test the hypothesis of equal proportions between the various categories of hip and groin characteristics. From 2011-2014, 1823 hip and groin injuries occurred among MLB and MiLB players, which accounted for approximately 5% of all injuries. Of these, 1514 (83%) occurred among MiLB players and 309 (17%) among MLB players; 96% of injuries were extra-articular. Among all players, a noncontact mechanism during defensive fielding was the most common activity causing injury (74%), and infielders experienced the most hip and groin injuries (34%). The majority of extra-articular injuries were treated nonoperatively (96.2%), resulting in an average of 12 days missed. Intra-articular pathology more commonly required surgery, and resulted in an average of 123 days missed. Hip and groin injuries can be debilitating and result in a significant number of days missed. Intra-articular pathology and athletic pubalgia were usually treated surgically, while the majority of extra-articular hip injuries were treated successfully with nonoperative modalities. Correct diagnosis and appropriate treatment can lead to a high rate of return to play for professional baseball players with injuries to the hip and groin.

  15. Doha agreement meeting on terminology and definitions in groin pain in athletes

    DEFF Research Database (Denmark)

    Weir, Adam; Brukner, Peter; Delahunt, Eamonn

    2015-01-01

    . All members participated in a Delphi questionnaire prior to the meeting. RESULTS: Unanimous agreement was reached on the following terminology. The classification system has three major subheadings of groin pain in athletes: 1. Defined clinical entities for groin pain: Adductor-related, iliopsoas...... taxonomy using three major categories. These definitions and terminology are based on history and physical examination to categorise athletes, making it simple and suitable for both clinical practice and research....

  16. Højmalignt B-celle-lymfom som tumor penis

    DEFF Research Database (Denmark)

    Lindberg, Lars Joachim; Kvist, Ebbe; Nielsen, Signe Ledou

    2009-01-01

    On suspicion of carcinoma, a male with a tumour on the penis was partially amputated without prior biopsy. Histopathology showed lymphoma. Later another lymphoma was discovered and chemotherapy was commenced. Three years later the patient died of an unrelated cause without signs of recurrence...

  17. Human brain activation during sexual stimulation of the penis

    NARCIS (Netherlands)

    Georgiadis, [No Value; Holstege, G; Georgiadis, Janniko R.

    2005-01-01

    Penile sensory information is essential for reproduction, but almost nothing is known about how sexually salient inputs from the penis are processed in the brain. We used positron emission tomography to measure regional cerebral blood flow (rCBF) during various stages of male sexual performance.

  18. Tuberculosis of the Penis: A Review of the Literature

    Directory of Open Access Journals (Sweden)

    Anthony Kodzo-Grey Venyo

    2015-01-01

    Full Text Available Background. Tuberculosis of the penis (TBP is rare. Aim. To review the literature. Method. Various internet data bases were searched. Literature Review. TBP could be primary or secondary, may develop following circumcision performed by a person who had pulmonary Tb, and may be transmitted to the penis from ejaculation, contamination from clothing, or from contact with endometrial secretions, following an earlier pulmonary Tb or Tb elsewhere. TBP presents with a painless/painful small nodule, ulcer, mass on penis which gradually enlarges, and induration/swelling of penis, with or without erectile dysfunction. Inguinal lymph nodes may or may not be palpable. The patient’s voiding is normal. There may or may not be history of circumcision, pulmonary Tb, and BCG immunization. TBP mimics penile carcinoma, granulomatous syphilis penile ulcer, genital herpes simplex, granuloma inguinale, and HIV infection. Diagnosis is established by microscopic examination finding of granulomas +/−AFB in penile discharge or biopsy of lesion or culture of Tb organism from discharge or biopsy specimens or positive Elisa serology/PCR for Tb. PTBs respond to first- or 2nd-line anti-Tb 6-month treatment. Close contacts should be screened. Extrapulmonary Tb should be excluded. Conclusions. Clinicians should consider possibility of PTB in cases of penile lesions and erectile failure.

  19. Human brain activation during sexual stimulation of the penis

    NARCIS (Netherlands)

    Georgiadis, [No Value; Holstege, G; Georgiadis, Janniko R.

    2005-01-01

    Penile sensory information is essential for reproduction, but almost nothing is known about how sexually salient inputs from the penis are processed in the brain. We used positron emission tomography to measure regional cerebral blood flow (rCBF) during various stages of male sexual performance. Com

  20. Reconstruction of the penis after necrosis due to circumcision burn.

    Science.gov (United States)

    Stefan, H

    1994-02-01

    Penile necrosis secondary to circumcision by an electrical scalpel in a 2 years and-2-months-old boy occurred. After healing of the electric burn only stumps of the erectile bodies and strictured urethral meatus remained. Penile shaft reconstruction by corpora mobilisation and detachment of the crura from the pubo-ischial rami was performed. This procedure gained 6 cm of a new length of the penis. To prevent readhesions to the pubo-ischial rami the penis was buried in a scrotal tunnel. Six months later the denuded shaft was resurfaced with one split-thickness skin graft and a zigzag seam on the ventral side was made. The patient voids with good stream, has spontaneous erections and nocturnal emissions. During 10 years of follow-up after the reconstruction two complications, namely a stricture of the urethra and a slight dorsal tethering of the penis caused by a scarred pubic skin were treated. The problems of reconstruction and resurfacing of the penis in childhood are discussed.

  1. [Review and update of the anatomy of the penis].

    Science.gov (United States)

    Chicharro, Raúl Vozmediano; Parrilla, Ramón Bonilla

    2010-10-01

    The knowledge of penile anatomy is basic to perform a proper diagnosis and direct the most adequate treatment of the various diseases that may appear: urethral stenosis, erectile dysfunction, congenital or acquired penile curvature, etc.; being its anatomical knowledge essential for a proper surgical management. The penis is the male organ involved in both voiding and sexual functions: the body of the penis is composed by three erectile bodies, (i.e the deep structures): the corpora cavernosa and the corpus spongiosum, this last surrounding and covering the urethra. Buck's fascia is in relation to the deep structures of the penis. The superficial fascia, dartos, is made up from a more areolar tissue and is in relation to skin and vessels. The vascularization of the deep structures comes from the common penile artery, a branch of the internal pudendal artery. Penile blood drains through three venous systems: superficial, intermediate and deep systems. Pudendal nerves are in charge of the sensitive and motor somatic innervations. Cavernosal nerves are a combination of parasympathetic and sympathetic afferent fibers, corresponding to the nerves of the autonomic system of the penis.

  2. Sexual Functioning and Behavior of Men with Body Dysmorphic Disorder Concerning Penis Size Compared with Men Anxious about Penis Size and with Controls: A Cohort Study

    OpenAIRE

    Veale, D; Miles, S; Read, J.; Troglia, A.; Wylie, K.R.; Muir, G.

    2015-01-01

    Introduction: Little is known about the sexual functioning and behavior of men anxious about the size of their penis and the means that they might use to try to alter the size of their penis. Aim: To compare sexual functioning and behavior in men with body dysmorphic disorder (BDD) concerning penis size and in men with small penis anxiety (SPA without BDD) and in a control group of men who do not have any concerns. Methods: An opportunistic sample of 90 men from the community were recru...

  3. Abdominal musculature abnormalities as a cause of groin pain in athletes. Inguinal hernias and pubalgia.

    Science.gov (United States)

    Taylor, D C; Meyers, W C; Moylan, J A; Lohnes, J; Bassett, F H; Garrett, W E

    1991-01-01

    There has been increasing interest within the European sports medicine community regarding the etiology and treatment of groin pain in the athlete. Groin pain is most commonly caused by musculotendinous strains of the adductors and other muscles crossing the hip joint, but may also be related to abdominal wall abnormalities. Cases may be termed "pubalgia" if physical examination does not reveal inguinal hernia and there is an absence of other etiology for groin pain. We present nine cases of patients who underwent herniorrhaphies for groin pain. Two patients had groin pain without evidence of a hernia preoperatively (pubalgia). In the remaining seven patients we determined the presence of a hernia by physical examination. At operation, eight patients were found to have inguinal hernias. One patient had no hernia but had partial avulsion of the internal oblique fibers from their insertion at the public tubercle. The average interval from operation to return to full activity was 11 weeks. All patients returned to full activity within 3 months of surgery. One patient had persistent symptoms of mild incisional tenderness, but otherwise there were no recurrences, complications, or persistence of symptoms. Abnormalities of the abdominal wall, including inguinal hernias and microscopic tears or avulsions of the internal oblique muscle, can be an overlooked source of groin pain in the athlete. Operative treatment of this condition with herniorrhaphy can return the athlete to his sport within 3 months.

  4. Dysmorphic penis image perception: the root of Koro vulnerability. A longitudinal study.

    Science.gov (United States)

    Chowdhury, A N

    1989-11-01

    Koro is an acute anxiety reaction in which the perception of decreased penis length because of hyperinvolution from intra-abdominal traction is the main feature. In an earlier study the author reported that, despite having an average length penis, Koro patients perceived smaller penis length, in both the flaccid and extended state, than did normal subjects. To examine the influence of response bias on the dysmorphic penis length perception, a longitudinal study was undertaken, in which the Draw-a-penis Test, a graphomotor projective test, was administered on the same Koro patients 3 times over 2 years. The patients showed a remarkable constancy in their perception of penis length. The dysmorphic quality of own-penis perception is discussed in relation to Koro vulnerability.

  5. Induratio penis plastica: Localized or diffusive fibromatosis of tunica albuginea penis

    Directory of Open Access Journals (Sweden)

    Nale Đorđe

    2006-01-01

    Full Text Available Background/Aim. The part of the tunica albuginea that is not affected by localized pathological fibrosis is excised by the Nesbit contralateral excisional corporalplasty in patients with induratio penis plastica (IPP. The aim of this study was to find out if there were any histological changes of the macroscopically normal tunica albuginea excised during the Nesbit corporalplasty. Methods. A total of 31 patients, mean age 45 ± 7.65 years, were surgical treated for extensive penile curvature (impossible or difficult penile imission in the vagina, using the Nesbit surgical technique. The tunica albuginea tissue was manipulated by Allis’s clamps and excised in the shape of a diamond and placed in the 4% formaldehyde solution for histological analysis. The excised tunica albuginea was not wider than 1 cm, while the histological preparations were 3 to 5 μm thick, and they were stained with hematoxylin-eosin. The excised tunica albuginea tissue appeared macroscopically (anatomically normal in all of the operated patients. In 28 (90.3% patients operated for dorsal curvature of the penis, the tissue of the tunica albuginea was excised from the urethral ridge, while in 3 (9.7% patients operated for lateral curvature, the tissue was excised from the lateral corpus cavernosum. Results. The histological results were normal in 12 (38.7% patients, while in 19 (61.3% cases the findings indicated fibrosis of tunica albuginea. No significant difference in the patients age was found between these two groups (p = 0.09. The analysis of a total number of histological results of the patients with tunica albuginea fibrosis in relation to the patients with normal results showed that there was no significant difference (χ² = 1,2; df = 1; p > 0.05, suggesting that the macroscopically normal tunica albuginea is not always expected to yield normal histological result. Conclusion. Significantly more reported histological results of tunica albuginea fibrosis in the

  6. Morfologia e biometria do ligamento apical do pênis de touros da raça Girolando Morphology and biometry of the apical ligament of the penis of Girolando race bulls

    Directory of Open Access Journals (Sweden)

    Júlio Roquete Cardoso

    2010-08-01

    Full Text Available Objetivou-se descrever a morfologia e biometria do ligamento apical do pênis de 32 touros da raça Girolando (Bos taurus indicus X Bos taurus taurus, Linnaeus - 1758, com idade de 36 a 48 meses e pesando de 480 a 540kg. As peças anatômicas foram obtidas em frigorífico e mantidas congeladas até dissecação. O ligamento originou-se a 15,1±2,9cm distalmente à curvatura caudal da flexura sigmoide e inseriu-se a 1,4±0,7cm proximalmente ao colo da glande, medindo 18,9±2,6cm de comprimento. Apresentou largura de 1,9±0,6mm na sua origem, 2,2±0,8mm na inserção e 35,2±10mm na altura da inserção da lâmina interna do prepúcio. A espessura média ao longo de sua extensão variou de 0,7 a 1,9mm. Próximo à coroa da glande, o ligamento apical se posiciona principalmente na superfície dorsolateral esquerda desse órgão, e a característica da sua fixação na albugínea apresentou variações ao longo de sua extensão. Em sua origem e inserção e na face esquerda do pênis, o ligamento apical é firmemente aderido à túnica albugínea, mas na face dorsal e direita do pênis essa união é realizada por meio de tecido conjuntivo frouxo. Verificou-se correlação média entre o comprimento e a circunferência do pênis com o comprimento do ligamento apical, mas a correlação entre essas variáveis do pênis e a largura do ligamento apical foi baixa.The aim of this study was to describe the morphology and biometry of the apical ligament of the penis of Girolando bulls. For this purpose, it was dissected 32 penis of Girolando bulls obtained from slaughterhouses and kept frozen until their dissection. The animals were 36 to 48 month old and weighted between 480 and 540kg. The origin of the apical ligament occurred at 15.1±2.9cm distally to the caudal loop of the sigmoid flexure and its insertion occurred at 1.4±0.7cm proximally to the neck of the glans. The length of the apical ligament was 19.9±2.6cm. The width was 1.9±0.6mm at its

  7. [Penis growth and development in children and adolescents: a study based on GAMLSS].

    Science.gov (United States)

    Yi, Qing-Jie; Zeng, Yan; Zeng, Qing; Wang, Yi-Nan; Xiong, Feng

    2017-08-01

    To investigate penis development in children and adolescents aged 0-16 years, and to plot the percentile curve for penis development in different age groups. A total of 3 024 normal male neonates, children, and adolescents aged 0-16 years in Chongqing, China were selected by simple random sampling and stratified cluster sampling. The length and diameter of the penis were measured for all subjects. A descriptive statistical analysis was used to investigate the data characteristics of the penis, and the GAMLSS fitting model was used to plot the percentile curves of P3, P10, P25, P50, P75, P90, and P97 and obtain percentile reference values. The length and diameter of the penis grew rapidly before the age of 1 year, grew relatively slowly from 1 to 11 years old, and entered a rapid growth period from 11 years old. The length of the penis was positively correlated with its diameter (r=0.961, Pdevelopment of penis length is consistent with that of penis diameter in male children and adolescents in Chongqing, and 0-1 year and 11-16 years are rapid growth periods of penis length and diameter. The percentile curve of penis length and diameter in children and adolescents aged 0-16 years in Chongqing which has been established will provide a reference for further studies on sexual development in children and adolescents.

  8. Imaging findings of juvenile xanthogranuloma of the penis

    Energy Technology Data Exchange (ETDEWEB)

    Bradford, Ray K. [Penn State College of Medicine, Hershey, PA (United States); Hershey Medical Center, Hershey, PA (United States); Choudhary, Arabinda K. [Hershey Medical Center, Department of Radiology, Hershey, PA (United States)

    2009-02-15

    Juvenile xanthogranuloma (JXG) is a rare benign self-limiting lesion presenting in early childhood. It is the commonest variant of non-Langerhans cell histiocytosis and usually presents as a cutaneous mass. It might have a systemic component and also might be associated with other conditions, notably neurofibromatosis and juvenile chronic myelogenous leukemia. Penile masses are unusual in childhood and we describe a case of JXG involving the penis. Although four cases of JXG of the penis have been reported in the literature, this is the first with imaging of the penile lesion. We discuss the clinical and radiological findings, differential diagnosis and management of these cases. High awareness of these lesions in the differential diagnosis of penile masses presenting in early childhood is important to avoid potentially unnecessary ablative genital surgery. Careful assessment should also be made for any systemic involvement and for associated pathologies. (orig.)

  9. Self injection of foreign materials into the penis.

    Science.gov (United States)

    Ahmed, U; Freeman, A; Kirkham, A; Ralph, D J; Minhas, S; Muneer, A

    2017-02-01

    Injection of the subcutaneous tissues of the penis for enlargement of penile girth has been practised for many years by laypeople and medical practitioners alike. However, with recognition of the complications, the practice has died out. We report a series of five patients who presented having injected foreign materials into the subcutaneous tissues of their penises, including paraffin and mineral oils. Our patients had a variable time course of presentation ranging from 1 day following injection to over 26 years. Self-injection of the subcutaneous tissues of the penis is an unusual presentation for a penile mass but should be considered as a differential diagnosis in patients with a long latent period to presentation or with characteristic magnetic resonance imaging and histological appearances.

  10. Reliability of MRI assessment of acute musculotendinous groin injuries in athletes

    Energy Technology Data Exchange (ETDEWEB)

    Serner, Andreas; Hoelmich, Per [Aspetar, Orthopaedic and Sports Medicine Hospital, Sports City Street, P.O. Box 29222, Doha (Qatar); Copenhagen University Hospital, Sports Orthopaedic Research Center-Copenhagen (SORC-C), Department of Orthopedic Surgery, Amager-Hvidovre (Denmark); Roemer, Frank W. [University of Erlangen-Nuremberg, Department of Radiology, Erlangen (Germany); Boston University School of Medicine, Quantitative Imaging Center (QIC), Department of Radiology, Boston, MA (United States); Thorborg, Kristian [Copenhagen University Hospital, Sports Orthopaedic Research Center-Copenhagen (SORC-C), Department of Orthopedic Surgery, Amager-Hvidovre (Denmark); Niu, Jingbo [Boston University School of Medicine, Clinical Epidemiology and Training Unit, Department of Medicine, Boston, MA (United States); Weir, Adam [Aspetar, Orthopaedic and Sports Medicine Hospital, Sports City Street, P.O. Box 29222, Doha (Qatar); Tol, Johannes L. [Aspetar, Orthopaedic and Sports Medicine Hospital, Sports City Street, P.O. Box 29222, Doha (Qatar); OLVG West, The Sports Physician Group, Department of Sports Medicine, Amsterdam (Netherlands); Academic Medical Center, Amsterdam Center of Evidence Based Sports Medicine, Amsterdam (Netherlands); Guermazi, Ali [Boston University School of Medicine, Quantitative Imaging Center (QIC), Department of Radiology, Boston, MA (United States)

    2017-04-15

    To describe a multi-dimensional MRI assessment approach with a focus on acute musculotendinous groin lesions, and to evaluate scoring reproducibility. Male athletes who participated in competitive sports and presented within 7 days of an acute onset of sports-related groin pain were included. All athletes underwent MRI (1.5 T) according to a standardized groin-centred protocol. From several calibration sessions, a system was developed assessing grade, location and extent of muscle strains, peri-lesional haematoma, as well as other non-acute findings commonly associated with long-standing groin pain. Kappa (K) statistics and intraclass correlation coefficients (ICCs) were used to describe intra- and inter-rater reproducibility. Seventy-five athletes (mean age 26.6 ± 4.4 years) were included in the analyses, and 85 different acute lesions were observed. Adductor longus lesions were most common (42.7 %) followed by rectus femoris lesions (16.3 %). Kappa values ranged between 0.70 and 1.00 for almost all categorical features for acute lesions, with almost perfect intra- and inter-rater agreement (K = 0.89-1.00) for presence, number, location and grading of lesions. ICCs ranged between 0.77 and 1.00 for continuous measures of acute lesion extent. A standardized MRI assessment approach of acute groin injuries was described and showed good intra- and inter-rater reproducibility. (orig.)

  11. Groin hernia subtypes are associated in patients with bilateral hernias: a 14-year nationwide epidemiologic study.

    Science.gov (United States)

    Burcharth, Jakob; Andresen, Kristoffer; Pommergaard, Hans-Christian; Rosenberg, Jacob

    2015-07-01

    To investigate the relation between groin hernia subtypes in patients operated for bilateral hernias. With data from the Danish Hernia Database, we identified all patients operated for primary groin hernias from 1998 to 2012. Within this cohort all patients that were bilaterally operated were analyzed. Risk factors for bilateral groin hernia operation as well as the relationship between groin hernia subtypes bilaterally, were analyzed using multivariate Cox proportional hazards analysis and Kappa statistics. A total of 108, 775 persons with primary groin hernia repair (89.9% males) were registered, and of those were 12,041 persons operated bilaterally (94.9% males). Females and males operated for a unilaterally direct inguinal hernia (DIH) had increased Hazard Ratios (HR) of 3.85 (CI 95% 2.14-6.19) and 4.46 (CI 95% 2.57-7.88) of being contralaterally operated for a DIH. Females and males operated for a unilaterally indirect inguinal hernia (IIH) had HRs of 6.93 (CI 95% 3.66-13.11) and 1.89 (CI95% 1.24-2.88) for being contralaterally operated for an IIH. The same tendency was seen for femoral hernias. All hernia subtypes were bilaterally associated in both genders and the hernia subtypes could be localized manifestations of generalized conditions or inheritable traits instead of localized defects.

  12. Presence of stem/progenitor cells in the rat penis.

    Science.gov (United States)

    Lin, Guiting; Alwaal, Amjad; Zhang, Xiaoyu; Wang, Jianwen; Wang, Lin; Li, Huixi; Wang, Guifang; Ning, Hongxiu; Lin, Ching-Shwun; Xin, Zhongcheng; Lue, Tom F

    2015-01-15

    Tissue resident stem cells are believed to exist in every organ, and their identification is commonly done using a combination of immunostaining for putative stem cell markers and label-retaining cell (LRC) strategy. In this study, we employed these approaches to identify potential stem cells in the penis. Newborn rats were intraperitoneally injected with thymidine analog, 5-ethynyl-2-deoxyuridine (EdU), and their penis was harvested at 7 h, 3 days, 1 week, and 4 weeks. It was processed for EdU stains and immunofluorescence staining for stem cell markers A2B5, PCNA, and c-kit. EdU-positive cells were counted for each time point and co-localized with each stem cell marker, then isolated and cultured in vitro followed by their characterization using flowcytometry and immunofluorescence. At 7 h post-EdU injection, 410 ± 105.3 penile corporal cells were labeled in each cross-section (∼28%). The number of EdU-positive cells at 3 days increased to 536 ± 115.6, while their percentage dropped to 25%. Progressively fewer EdU-positive cells were present in the sacrificed rat penis at longer time points (1 and 4 weeks). They were mainly distributed in the subtunic and perisinusoidal spaces, and defined as subtunic penile progenitor cells (STPCs) and perisinusoidal penile progenitor cells (PPCs). These cells expressed c-kit, A2B5, and PCNA. After culturing in vitro, only ∼0.324% corporal cells were EdU-labeled LRCs and expressed A2B5/PCNA. Therefore, labeling of penis cells by EdU occurred randomly, and label retaining was not associated with expression of c-kit, A2B5, or PCNA. The penile LRCs are mainly distributed within the subtunic and perisinusoidal space.

  13. Trichilemmal Cyst of the Penis in a Paediatric Patient

    OpenAIRE

    Samuel Madan; Rashi Joshi

    2015-01-01

    Paediatric penile cysts are uncommon. We report a five-year-old child with an asymptomatic progressively growing cyst on the ventral aspect of the penis after a hypospadias repair. The patient presented to the Cooper Health Clinic, Dubai, United Arab Emirates, in March 2012. A complete excision of the cyst was performed. Histology results delineated a capsulated benign trichilemmal cyst. No recurrence or complications were reported in the 26 months following the excision. We recommend an earl...

  14. A Comprehensive Atlas of the Adult Mouse Penis.

    Science.gov (United States)

    Phillips, Tiffany R; Wright, David K; Gradie, Paul E; Johnston, Leigh A; Pask, Andrew J

    2015-01-01

    Mice are routinely used to study the development of the external genitalia and, in particular, the process of male urethral closure. This is because misplacement of the male penile urethra, or hypospadias, is amongst the most common birth defects reported in humans. While mice present a tractable model to study penile development, several structures differ between mice and humans, and there is a lack of consensus in the literature on their annotation and developmental origins. Defining the ontology of the mouse prepuce is especially important for the relevance and interpretation of mouse models of hypospadias to human conditions. We have developed a detailed annotation of the adult mouse penis that addresses these differences and enables an accurate comparison of murine and human hypospadias phenotypes. Through MRI data, gross morphology and section histology, we define the origin of the mouse external and internal prepuces, their relationship to the single human foreskin as well as provide a comprehensive view of the various structures of the mouse penis and their associated muscle attachments within the body. These data are combined to annotate structures in a novel 3D adult penis atlas that can be downloaded, viewed at any angle, and manipulated to examine the relationship of various structures.

  15. [Age changes of the connective tissue structures of human penis].

    Science.gov (United States)

    Klimachev, V V; Neĭmark, A I; Gerval'd, V Ia; Bobrov, I P; Avdalian, A M; Muzalevskaia, N I; Gerval'd, I V; Aliev, R T; Cherdantseva, T M

    2011-01-01

    This investigation was aimed at the study of age changes of penis connective tissue structures. Tissue fragments of penis were obtained from 20 cadavers of men at the age of 20-38 years in group I, and from 20 cadavers of men at the age of 41-59 years in group II. The criteria for the exclusion of material from the research were arterial hypertension, diabetes mellitus, atherosclerosis of internal iliac arteries, Peyronie's disease, and anomalies of genital organ development. It was shown that in the cavernous body of penis, aging was associated with the increased amount and thickening of collagen and argyrophilic fibers, decreased content and thinning of elastic fibers, and the reduced amount of smooth muscle cells (SMC). The average area of fibroblast and SMC nucleolus was not different in both groups studied. The average area of endotheliocyte nucleolus was equal to 1.9+/-0.9 microm2 in group II, being lower than that one in group I, in which this index was equal to 2.1+/-0.9 microm2. No differences in the content of type III and IV collagen were found between the study groups. Age-associated decrease in the average area of endothelial cell nucleolus in the cavernous bodies may reflect the reduction of the activity of these cells and may indicate the development of endothelial dysfunction, which is one of the most important steps in the morphogenesis of age-related male erectile dysfunction.

  16. Women's Preferences for Penis Size: A New Research Method Using Selection among 3D Models

    OpenAIRE

    Nicole Prause; Jaymie Park; Shannon Leung; Geoffrey Miller

    2015-01-01

    Women's preferences for penis size may affect men's comfort with their own bodies and may have implications for sexual health. Studies of women's penis size preferences typically have relied on their abstract ratings or selecting amongst 2D, flaccid images. This study used haptic stimuli to allow assessment of women's size recall accuracy for the first time, as well as examine their preferences for erect penis sizes in different relationship contexts. Women (N = 75) selected amongst 33, 3D mo...

  17. Size did not matter: An evolutionary account of the variation in penis size and size anxiety

    OpenAIRE

    Menelaos Apostolou

    2016-01-01

    The human penis exhibits considerable variation in size, while a substantial proportion of the adult male population experiences size anxiety. This paper employs an evolutionary framework in order to understand this variation, as well as the concern men exhibit about the adequacy of the size of their penis. It is argued that female choice has been one important sexual selection force, responsible for shaping the size of the penis. However, this force has been relatively weak, because women do...

  18. Death due to an unrecognized groin abscess in a drug addict: a retrospective study.

    Science.gov (United States)

    D'Ovidio, Cristian; Vellante, Paola; Costantini, Sara; Carnevale, Aldo

    2013-07-01

    Intravenous drug injection persists despite health risks and medical complications. Venous thrombosis, septic thrombophlebitis, artery necrosis, arterio-venous fistula, mycotic aneurysm, dissecting hematoma, pseudoaneurysm formation, and soft tissues infections (i.e. abscesses, cellulitis, infected ulcers), are some of the major clinical consequences lives threatening. The aim of this work is to present this unusual autoptic case of a drug addict man died for an unrecognized groin abscess referred to the Institute of Legal Medicine, University of Chieti, causing femoral vein's erosion, and to analyse the most common patterns of vascular lesions among drug addicts. It could be stimulated a new scientific debate because groin injections and their vascular complications increase over years; while soft tissue infections may hide vascular lesions' diagnosis. So physicians should have a high index of suspicion for serious vascular problems, among intravenous drug users (IDUs): prevention for avoiding groin injection and a proper treatment are necessary.

  19. Anaesthesia and post-operative morbidity after elective groin hernia repair: a nation-wide study

    DEFF Research Database (Denmark)

    Bay-Nielsen, Morten; Kehlet, H.

    2008-01-01

    -wide data collection in a cohort of n=29,033 elective groin hernia repairs, registered in the Danish Hernia Database in three periods, namely July 1998-June 1999, July 2000-June 2001 and July 2002-June 2003. Retrospective analysis of complications in discharge abstracts, identified from re-admission within...... 30 days post-operatively, prolonged length of stay (>2 days post-operatively) or death. RESULTS: Complications after groin hernia repair were more frequent in patients 65+ years (4.5%), compared with younger patients (2.7%) (Pcomplications were more frequent......BACKGROUND: Randomised studies suggest regional anaesthesia to have the highest morbidity and local infiltration anaesthesia to have the lowest morbidity after groin hernia repair. However, implications and results of this evidence for general practice are not known. METHODS: Prospective nation...

  20. Metastasis to the penis. Case reports and review of the literature

    DEFF Research Database (Denmark)

    Osther, P J; Løntoft, E

    1991-01-01

    Metastasis to the penis is rare, despite rich vascularization and complex circulation. Less than 200 cases have been reported. Three new cases of penis metastasis from primary tumours in the bladder and prostate, respectively, are described. The most common symptoms are penile induration...... and swelling. Treatments, all of which must be considered merely palliative, consist of local tumour excision, radiation therapy, cytostatic and hormone therapy, possibly with partial or total penis amputation. The prognosis is poor, irrespective of the therapy and site of the primary tumour. More than 80......% of the patients die within six months after the occurrence of penis metastasis, as a result of disseminated cancer disease....

  1. The Association between Penis Size and Sexual Health among Men Who Have Sex with Men

    OpenAIRE

    Grov, Christian; Parsons, Jeffrey T.; Bimbi, David S.

    2009-01-01

    Larger penis size has been equated with a symbol of power, stamina, masculinity, and social status. Yet, there has been little research among men who have sex with men assessing the association between penis size and social-sexual health. Survey data from a diverse sample of 1,065 men who have sex with men were used to explore the association between perceived penis size and a variety of psychosocial outcomes. Seven percent of men felt their penis was “below average,” 53.9% “average,” and 35....

  2. [Strangulation of the penis with a rubber band : a case report].

    Science.gov (United States)

    Sekii, Yosuke; Katayama, Kinzou; Hayashi, Takuji; Kamoto, Akihito; Kakuta, Youiti; Mori, Naoki; Yoshioka, Toshiaki

    2013-06-01

    We report a case of strangulation of the penis with a rubber band. A 68-year-old man visited our hospital for treatment of a markedly swollen penis. Physical examination revealed one rubber band tightly coiled around the penis. The rubeer band was soon removed, gangrene of the penis continued. A high fever, chills and hypotension were recognized. Sepsis was presumed, and administration of antibiotics was started. Microbiologic cultures revealed streptococcus agalactiae in blood. Since his general condition did not improve, we performed partial penectomy. After the surgery, he showed complete recovery.

  3. Which factors differentiate athletes with hip/groin pain from those without? A systematic review with meta-analysis

    NARCIS (Netherlands)

    Mosler, A.B. (Andrea B.); R. Agricola (Rintje); A. Weir (Adam); Hölmich, P. (Per); K.M. Crossley (Kay)

    2015-01-01

    textabstractBackground: Hip and groin injuries are common in many sports. Understanding the factors differentiating athletes with hip/groin pain from those without these injuries could facilitate management and prevention. Objective: Conduct a systematic review and meta-analysis of the literature on

  4. Validity, reliability and responsiveness of patient-reported outcome questionnaires when assessing hip and groin disability: a systematic review

    DEFF Research Database (Denmark)

    Thorborg, K; Roos, E M; Bartels, Else Marie;

    2010-01-01

    Novel treatment interventions are advancing rapidly in the management of hip and groin disability in the physically active young to middle-aged population.......Novel treatment interventions are advancing rapidly in the management of hip and groin disability in the physically active young to middle-aged population....

  5. Prevention of groin injuries in sports: a systematic review with meta-analysis of randomised controlled trials.

    Science.gov (United States)

    Esteve, E; Rathleff, M S; Bagur-Calafat, C; Urrútia, G; Thorborg, K

    2015-06-01

    Groin injuries are common in football and ice hockey, and previous groin injury is a strong risk factor for future groin injuries, which calls for primary prevention. The aim of this systematic review was to evaluate the effect of specific groin-injury prevention programmes in sports. A comprehensive search was performed in May 2014 yielding 1747 potentially relevant references. Two independent assessors evaluated randomised controlled trials for inclusion, extracted data and performed quality assessments using Cochrane's risk of bias tool. Quantitative analyses were performed in Review Manager 5.3. Seven trials were included: six on football players (four male and two female populations) and one on male handball players. In total there were 4191 participants with a total of 157 injuries. The primary analysis, including all participants, did not show a significant reduction in the number of groin injuries after completing a groin injury prevention programme (relative risk (RR) 0.81; 95% CI 0.60 to 1.09). Subgroup analysis based on type of sports, gender and type of prevention programme showed similar non-significant estimates with RR ranging from 0.48 to 0.81. Meta-analysis revealed a potential clinically meaningful groin injury reduction of 19%, even though no statistical significant reduction in sport-related groin injuries could be documented. PROSPERO registration ID CRD42014009614. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  6. Effectiveness of active physical training as treatment for long-standing adductor-related groin pain in athletes

    DEFF Research Database (Denmark)

    Hölmich, P; Uhrskou, P; Ulnits, L;

    1999-01-01

    Groin pain is common among athletes. A major cause of long-standing problems is adductor-related groin pain. The purpose of this randomised clinical trial was to compare an active training programme (AT) with a physiotherapy treatment without active training (PT) in the treatment of adductor-rela...

  7. GROIN DISSECTION IN THE TREATMENT OF LOWER-EXTREMITY MELANOMA - SHORT-TERM AND LONG-TERM MORBIDITY

    NARCIS (Netherlands)

    BAAS, PC; KOOPS, HS; HOEKSTRA, HJ; VANBRUGGEN, JJ; VANDERWEELE, LT; OLDHOFF, J

    Groin dissection was performed in 151 consecutive patients from 1970 to 1984. Groin dissections were therapeutic in 138 cases (91%) and elective in 13 (9%). One hundred forty-three patients (95%) underwent an ilioinguinal node dissection, while eight (5%) were treated with an inguinal node

  8. Can preoperative electrical nociceptive stimulation predict acute pain after groin herniotomy?

    DEFF Research Database (Denmark)

    Aasvang, Eske Kvanner; Hansen, Jeanette Birch; Kehlet, Henrik

    2008-01-01

    groin hernia repair. The correlation between the pain data for electrical stimulation was compared with the postoperative pain during the first week in 165 patients, whereof 3 were excluded. Preoperative electrical pain detection threshold and electrical pain tolerance threshold did not correlate...... to postoperative pain (rho = -0.13, P = .09, and rho = -1.2, P = .4, respectively. PERSPECTIVE: Although preoperative electrical nociceptive stimulation may predict patients at risk of high-intensity acute pain after other surgical procedures, this was not the case in groin hernia repair patients receiving...

  9. Sonographic prevalence of groin hernias and adductor tendinopathy in patients with femoroacetabular impingement.

    Science.gov (United States)

    Naal, Florian D; Dalla Riva, Francesco; Wuerz, Thomas H; Dubs, Beat; Leunig, Michael

    2015-09-01

    Femoroacetabular impingement (FAI) is a common debilitating condition that is associated with groin pain and limitation in young and active patients. Besides FAI, various disorders such as hernias, adductor tendinopathy, athletic pubalgia, lumbar spine affections, and others can cause similar symptoms. To determine the prevalence of inguinal and/or femoral herniation and adductor insertion tendinopathy using dynamic ultrasound in a cohort of patients with radiographic evidence of FAI. Case series; Level of evidence, 4. This retrospective study consisted of 74 patients (36 female and 38 male; mean age, 29 years; 83 symptomatic hips) with groin pain and radiographic evidence of FAI. In addition to the usual diagnostic algorithm, all patients underwent a dynamic ultrasound examination for signs of groin herniation and tendinopathy of the proximal insertion of the adductors. Evidence of groin herniation was found in 34 hips (41%). There were 27 inguinal (6 female, 21 male) and 10 femoral (9 female, 1 male) hernias. In 3 cases, inguinal and femoral herniation was coexistent. Overall, 5 patients underwent subsequent hernia repair. Patients with groin herniation were significantly older than those without (33 vs 27 years, respectively; P = .01). There were no significant differences for any of the radiographic or clinical parameters. Tendinopathy of the proximal adductor insertion was detected in 19 cases (23%; 11 female, 8 male). Tendinopathy was coexistent with groin herniation in 8 of the 19 cases. There were no significant differences for any of the radiographic or clinical parameters between patients with or without tendinopathy. Patients with a negative diagnostic hip injection result were more likely to have a concomitant groin hernia than those with a positive injection result (80% vs 27%, respectively). Overall, 38 hips underwent FAI surgery with satisfactory outcomes in terms of score values and subjective improvement. The results demonstrate that groin

  10. A New Technique to Map the Lymphatic Distribution and Alignment of the Penis.

    Science.gov (United States)

    Long, Liu Yan; Qiang, Pan Fu; Ling, Tao; Wei, Zhang Yan; Long, Zhang Yu; Shan, Meng; Rong, Li Shi; Li, Li Hong

    2015-08-01

    The present study was to examine the distribution of lymphatic vessels in the penis of normal adult males, which could provide an anatomical basis for improvement of incisions in penile lengthening surgery, and may also help to prevent postoperative refractory edema. Thirteen normal adult male volunteers were recruited for this study. Contrast agent was injected subcutaneously in the foreskin of the penis, and after two minutes magnetic resonance lymphangiography (MRL) was performed. The acquired magnetic resonance images were analyzed to determine the changes in the number and diameter of lymphatic vessels in different parts of the penis. Maximum intensity projections (MIP) and materializes interactive medical image control system (MIMICS) were applied to analyze the overall distribution of lymphatic vessels in the penis. Magnetic resonance imaging (MRI) showed that the lymphatic vessels were in conspicuous contrast with surrounding tissues and could be clearly identified. Penile lymphatic vessels were clearly visible in the root of the penis. At the junction of the penis and the abdominal wall, all lymphatic vessels were found to be concentrated in the dorsal part of the penis. MIP two-dimensional reconstruction showed that the overall distribution of relatively large lymphatic vessels in the dorsal and ventral parts of the penis could be seen clearly on bilateral 45° position, but not inside the abdominal wall because some of lymphatic vessels were overlapped by other tissues in the abdomen. MIMICS three-dimensional reconstruction was able to reveal the overall spatial distribution of lymphatic vessels in the penis from any angle. The reconstruction results showed that there were 1-2 main lymphatic vessels on the root of dorsal penis, which coursed along the cavernous to the first physiological curvature of the penis. Lymphatic vessels merged on both sides of the ventral penis. At the root of the penis, lymphatic vessels gradually coursed to the dorsal surface

  11. Generalized subcutaneous emphysema caused by injection of air into the penis for autoerotic purposes.

    Science.gov (United States)

    Ural, Y; Muthen, N; Engelmann, U; Wille, S

    2013-01-01

    The injection of air or water into the scrotum has been described only a few times so far in the literature. Injection of air into the penis and its consequences has not been described at all. Here, we present the case of a young man who, acting on his previously suppressed sexual fantasies, injected air into his penis and caused generalized subcutaneous emphysema.

  12. What importance do women attribute to the size of the penis?

    NARCIS (Netherlands)

    Francken, AB; van de Wiel, HBM; van Driel, MF; Schultz, WCMW

    2002-01-01

    Objective: A great deal of men consider that the size of the penis is directly proportional to its sexual power. Some men, who are worried that their penis is too small, wish to be considered for surgical lengthening or thickening procedures. The argumentation for this chiefly points in the

  13. Anomalies of the penis and scrotum in adults : A multidisciplinary approach

    NARCIS (Netherlands)

    Nugteren, Helena Madelinde

    2016-01-01

    In this thesis the diagnosis and treatment of abnormalities of penile and scrotal anatomy have been reported. The most widely used technique for (optical) lengthening is the cleaving of the ligament between the pubic bone and the penis. The operated men who had already achieved a penis-length of 7.5

  14. What importance do women attribute to the size of the penis?

    NARCIS (Netherlands)

    Francken, AB; van de Wiel, HBM; van Driel, MF; Schultz, WCMW

    2002-01-01

    Objective: A great deal of men consider that the size of the penis is directly proportional to its sexual power. Some men, who are worried that their penis is too small, wish to be considered for surgical lengthening or thickening procedures. The argumentation for this chiefly points in the directio

  15. Penis size interacts with body shape and height to influence male attractiveness.

    Science.gov (United States)

    Mautz, Brian S; Wong, Bob B M; Peters, Richard A; Jennions, Michael D

    2013-04-23

    Compelling evidence from many animal taxa indicates that male genitalia are often under postcopulatory sexual selection for characteristics that increase a male's relative fertilization success. There could, however, also be direct precopulatory female mate choice based on male genital traits. Before clothing, the nonretractable human penis would have been conspicuous to potential mates. This observation has generated suggestions that human penis size partly evolved because of female choice. Here we show, based upon female assessment of digitally projected life-size, computer-generated images, that penis size interacts with body shape and height to determine male sexual attractiveness. Positive linear selection was detected for penis size, but the marginal increase in attractiveness eventually declined with greater penis size (i.e., quadratic selection). Penis size had a stronger effect on attractiveness in taller men than in shorter men. There was a similar increase in the positive effect of penis size on attractiveness with a more masculine body shape (i.e., greater shoulder-to-hip ratio). Surprisingly, larger penis size and greater height had almost equivalent positive effects on male attractiveness. Our results support the hypothesis that female mate choice could have driven the evolution of larger penises in humans. More broadly, our results show that precopulatory sexual selection can play a role in the evolution of genital traits.

  16. Anomalies of the penis and scrotum in adults : A multidisciplinary approach

    NARCIS (Netherlands)

    Nugteren, Helena Madelinde

    2016-01-01

    In this thesis the diagnosis and treatment of abnormalities of penile and scrotal anatomy have been reported. The most widely used technique for (optical) lengthening is the cleaving of the ligament between the pubic bone and the penis. The operated men who had already achieved a penis-length of 7.5

  17. Metastasis to the penis. Case reports and review of the literature

    DEFF Research Database (Denmark)

    Osther, P J; Løntoft, E

    1991-01-01

    Metastasis to the penis is rare, despite rich vascularization and complex circulation. Less than 200 cases have been reported. Three new cases of penis metastasis from primary tumours in the bladder and prostate, respectively, are described. The most common symptoms are penile induration and swel...

  18. Female gender is a risk factor for pain, discomfort, and fatigue after laparoscopic groin hernia repair

    DEFF Research Database (Denmark)

    Strandfelt, P; Tolver, M A; Rosenberg, Jacob;

    2013-01-01

    Female gender is a risk factor for early pain after several specific surgical procedures but has not been studied in detail after laparoscopic groin hernia repair. The aim of this study was to compare early postoperative pain, discomfort, fatigue, and nausea and vomiting between genders undergoing...

  19. Hip Strength Testing of Soccer Players With Long-Standing Hip and Groin Pain

    DEFF Research Database (Denmark)

    Rafn, Bolette S; Tang, Lars; Nielsen, Peter Martin;

    2016-01-01

    OBJECTIVE: To investigate whether self-reported pain during hip strength testing correlates to a large degree with hip muscle strength in soccer players with long-standing unilateral hip and groin pain. DESIGN: Cross-sectional study. SETTING: Clinical assessments at Sports Orthopaedic Research...

  20. Radiological findings in symphyseal and adductor-related groin pain in athletes

    DEFF Research Database (Denmark)

    Branci, Sonia; Thorborg, Kristian; Nielsen, Michael Bachmann;

    2013-01-01

    Long-standing symphyseal and adductor-related groin pain is a common problem for many athletes, and requires a multidisciplinary approach. Radiological evaluation of symptomatic individuals is a cornerstone in the diagnostic workup, and should be based on precise and reliable diagnostic terms and...

  1. Exercise program for prevention of groin pain in football players: a cluster-randomized trial

    DEFF Research Database (Denmark)

    Hölmich, P; Larsen, K; Krogsgaard, Kim

    2010-01-01

    strengthening (concentric and eccentric), coordination, and core stability exercises for the muscles related to the pelvis. Physiotherapists assigned to each club registered all groin injuries. Twenty-two clubs in each group completed the study, represented by 977 players. There was no significant effect...

  2. Hip and groin pain in a cyclist resolved after performing a pelvic floor fascial mobilization.

    Science.gov (United States)

    Navot, Sivan; Kalichman, Leonid

    2016-07-01

    Pelvic floor muscle assessment in situations of hip/groin pain in both male and female patients can be a key element in treatment success. We present herein, a 32 year old male professional cyclist, exhibiting right hip and groin pain during cycling and prolonged sitting. The pain commenced after the patient suffered a right hip severe contusion in 2013 causing a tear in the tensor fascia lata and gluteus medius muscle. The patient did not complain of pelvic floor dysfunctions. After receiving several series of conventional physical therapy for the hip/groin pain, the patient experienced partial pain relief and slight improvement of hip range of motion. His pelvic floor muscles and fascial involvement were subsequently assessed. Two sessions of Pelvic Floor Fascial Mobilization (PFFM) were performed and the patient fully recovered. The authors suggest that PFFM, a novel fascial-oriented manual therapy of the pelvic floor approach, can be used for both hip/groin and pelvic floor pain or dysfunction.

  3. Diagnostics and treatment of adductor-related groin pain in athletes - new insights

    NARCIS (Netherlands)

    Weir, A.

    2011-01-01

    The work contained within this thesis presents new insights into the diagnostics and treatment of long-standing adductor-related groin pain (LSARGP) in athletes. In the Netherlands a novel treatment programme using heat, manual therapy according to Van den Akker, stretching and a return to running p

  4. Aggressive Angiomyxoma Involving Penis and Urethra – A Case Report

    Directory of Open Access Journals (Sweden)

    Shivashankar Damodaran

    2017-07-01

    Full Text Available Aggressive angiomyxoma is a rare benign mesenchymal stromal tumour, characterized by locally infiltrative nature and a tendency for recurrence. Only a few cases of penile involvement have been reported in the literature so far. We report a case of aggressive penile angiomyxoma in a sixty-two-year-old obese, diabetic male patient. He presented with obstructive lower urinary tract symptoms (LUTS and diffuse enlargement of the penis and scrotum. He was managed with excision, reduction scrotoplasty, internal urethrotomy, followed by Leuprolide therapy for prevention of recurrence. He is on follow up for 20 months without recurrence and obstructive symptoms.

  5. Dyb venetrombose i penis hos patient med malign sygdom

    DEFF Research Database (Denmark)

    Ghasemi, Habib; Ajan, Rullah

    2014-01-01

    Thrombosis of the deep penile venous system in a patient with a malignant disease Thrombosis of the deep penile venous system is extremely rare and must be clearly distinguished from superficial thrombosis because it may cause serious clinical complications. We present a 76-year-old man with thro...... with thrombosis of the vena dorsalis penis profunda three months after being diagnosed with disse­m­­inated non-small cell lung cancer. Total remission of the thrombosis was achieved with daily subcutaneous injections with heparin for four weeks....

  6. Spontaneous regression of bowenoid papulosis of the penis.

    Science.gov (United States)

    Eisen, R F; Bhawan, J; Cahn, T H

    1983-09-01

    In the last decade, bowenoid papulosis of the genitalia has been recognized to be a distinct entity. It is distinguished from Bowen's disease, which it resembles histologically, on the basis of clinical data such as onset at an earlier average age, smaller size of lesions, and multiplicity of lesions. A 23-year-old man with bowenoid papulosis of the penis is presented. The lesions were present for two months prior to diagnosis. All of the lesions resolved without treatment within two months of diagnosis. A conservative approach to treatment of this condition is advocated.

  7. Color Doppler Ultrasonography in Evaluation of the Postoperative Penis

    Directory of Open Access Journals (Sweden)

    M. Ghafouri

    2005-08-01

    Full Text Available Introduction & Background: Color Doppler ultrasonography (US is the imaging modality of choice in patients with penile diseases. Ultrasonography has a well-established role in evaluating erectile dysfunction as well as penile trauma, scarring, deformity, and tumors. The normal postoperative anatomy and the pathologic changes that can occur in cases of surgical complications can be successfully investigated with US. Gray Scale (B Mode and Color Doppler US clearly depicts the normal penile anatomy and postoperative changes. It is also effective in evaluating surgery-related complications and determining the causes of erectile dysfunction and other un-satisfactory long¬term results. Color Doppler US is the imaging modality of choice in evaluating patients who have undergone penile surgery. Here we aim to illustrate the gray-scale and color Doppler US appearance of normal penis, discuss the main penile surgical procedures, recognize the typical US features of the postopera-tive penis, and describe the US appearance of various postoperative complications. Patients & Methods: This article is the result of evaluating 42 patients referred to the radiology ward of Hashemi-Nejad Hospital, Iran University of Medical Sciences in the years 2002 to 2005 for ultrasonography of penis to assess the penis after different penile surgical procedures (urethral surgery, correction of penile mal-formations, prosthesis implantation, vascular surgery for impotence, surgical management of priapism, phallic reconstruction. The US apparatus was Esaote Technos MP, with linear multifrequency 5-8.5MHz. transducer. Results: A variety of early and late surgical complications could be identified, such as extraalbugineal patho-logic fluid collections and fibrosis. Moreover, Doppler US of the penile vessels and vascular anastomoses fol-lowing revascularization allowed direct evaluation of flow characteristics, shunt patency, and venous en-gorgement. Color Doppler US was also

  8. Unproved tuberculous lesion of penis: A rare cause of saxophone penis treated by a therapeutic trial of anti-tubercular therapy

    Directory of Open Access Journals (Sweden)

    Srinivasan Narayanaswamy

    2011-01-01

    We report a case of a 25 year old male patient who came with multiple discharging sinuses and an urethrocutaneous fistula over the penis treated by a therapeutic trial of Anti-tubercular therapy (ATT.

  9. Division of the proximal urethal plate and skin graft at the ventral surface of the penis for severe hypospadias%尿道板近端切断植皮分期治疗严重型尿道下裂

    Institute of Scientific and Technical Information of China (English)

    林煌; 李森恺; 李养群

    2008-01-01

    目的 探讨治疗严重型尿道下裂的方法.方法 一期将尿道板近端切断,矫正阴茎下弯,腹侧创面移植阴囊中厚皮片,半年后二期手术塑造尿道.结果 2004年2月至2005年3月,于临床应用17例,分期手术均成功,无尿道狭窄和尿瘘等并发症发生.1年后随访观察,阴茎头及尿道外口形态良好,阴茎矫直完全,术后阴茎阴囊形态尚佳.结论 该手术方法 操作简便,手术时间短,适用于阴茎近端型和阴茎阴囊型伴有重度阴茎下弯的尿道下裂患者.%Objective To explore a technique for the treatment of scvere hypospadias.Methods At the first stage,the proximal end of the urethra plate was divised and the chordee was corrected.followed by skin graft at the ventral surface of penis.The urethraplagty wag performed at the second stage half a year later.Results From Feb.2004 to Mar.2005,17 cases were treated successfully without any complication.After one year of following up,the appearance of glan and the urethral meatus was good and the cordce wag corrected completely.The appearance of penis and seretm Wag also satisfactory.Conclusions The technique is easily performed and very suitable for penile and peroscrotal junction hypospadiag with severe chordee.

  10. 18-year experience in the management of men with a complaint of a small penis.

    Science.gov (United States)

    Nugteren, Helena M; Balkema, G T; Pascal, A L; Schultz, W C M Weijmar; Nijman, J M; van Driel, M F

    2010-01-01

    In many cultures, the erect penis has been a symbol of masculine qualities. Because of this symbolism, a penis that is less than average size can cause insecurity or embarrassment. This series reports the authors' 18-year experience in the management of 60 men with a complaint of a small penis. For 44 of these 60 men, counseling was sufficient; the other 16 had surgery, and of these, 9 were satisfied with the result. Despite limitations, the authors conclude that those men who already achieve a penis length of no less than 7.5 cm (2.95 in) in erection, have only limited benefit from penis-enhancing surgery. This particular patient category should therefore be dissuaded from surgery.

  11. Relationship between self-discrepancy and worries about penis size in men with body dysmorphic disorder.

    Science.gov (United States)

    Veale, David; Miles, Sarah; Read, Julie; Bramley, Sally; Troglia, Andrea; Carmona, Lina; Fiorito, Chiara; Wells, Hannah; Wylie, Kevan; Muir, Gordon

    2016-06-01

    We explored self-discrepancy in men with body dysmorphic disorder (BDD) concerned about penis size, men without BDD but anxious about penis size, and controls. Men with BDD (n=26) were compared to those with small penis anxiety (SPA; n=31) and controls (n=33), objectively (by measuring) and investigating self-discrepancy: actual size, ideal size, and size they felt they should be according to self and other. Most men under-estimated their penis size, with the BDD group showing the greatest discrepancy between perceived and ideal size. The SPA group showed a larger discrepancy than controls. This was replicated for the perceptions of others, suggesting the BDD group internalised the belief that they should have a larger penis size. There was a significant correlation between symptoms of BDD and this discrepancy. This self-actual and self-ideal/self-should discrepancy and the role of comparing could be targeted in therapy.

  12. Penis Envy and the Female Oedipus Complex: A Plea to Reawaken an Ineffectual Debate.

    Science.gov (United States)

    Zepf, Siegfried; Seel, Dietmar

    2016-06-01

    Going along with Laplanche's assumption that there is no endogenous sexuality, the authors discuss Freud's concepts of the female Oedipus complex and penis envy and some of its proposed alternatives. The female oedipal conflict turns out to be the outcome of a projective identification with the Oedipus complexes of the mother and father. In the context of the rivalry with the mother, penis envy refers to the maternal power over the father's penis that the daughter wants to have in herself, while, in the context of the rivalry with the father, penis envy arises from the jealousy of the father's penis that the daughter believes is necessary to have on herself in order to satisfy her mother. The authors conclude that in Freud's day such insights were already available, which might have culminated in the conceptualization they present in this paper.

  13. Female 'groin' hernia: totally extraperitoneal (TEP) endoscopic repair seems the most appropriate treatment modality.

    Science.gov (United States)

    Schouten, N; Burgmans, J P J; van Dalen, T; Smakman, N; Clevers, G J; Davids, P H P; Verleisdonk, E J M M; Elias, S G; Simmermacher, R K J

    2012-08-01

    About 30% of all female 'groin' hernias are femoral hernias, although often only diagnosed during surgery. A Lichtenstein repair though, as preferred treatment modality according to guidelines, would not diagnose and treat femoral hernias. Totally extraperitoneal (TEP) hernia repair, however, offers the advantage of being an appropriate modality for the diagnosis and subsequent treatment of both inguinal and femoral hernias. TEP therefore seems an appealing surgical technique for women with groin hernias. This study included all female patients ≥ 18 years operated for a groin hernia between 2005 and 2009. A total of 183 groin hernias were repaired in 164 women. TEP was performed in 85% of women; the other 24 women underwent an open anterior (mesh) repair. Peroperatively, femoral hernias were observed in 23% of patients with primary hernias and 35% of patients with recurrent hernias. There were 30 cases (18.3%) of an incorrect preoperative diagnosis. Peroperatively, femoral hernias were observed in 17.3% of women who were diagnosed with an inguinal hernia before surgery. In addition, inguinal hernias were found in 24.0% of women who were diagnosed with a femoral hernia preoperatively. After a follow-up of 25 months, moderate to severe (VAS 4-10) postoperative pain was reported by 8 of 125 patients (6.4%) after TEP and 5 of 23 patients (21.7%) after open hernia repair (P = 0.03). Five patients had a recurrent hernia, two following TEP (1.4%) and three following open anterior repair (12.5%, P = 0.02). Two of these three patients presented with a femoral recurrence after a previous repair of an inguinal hernia. Femoral hernias are common in women with groin hernias, but not always detected preoperatively; this argues for the use of a preperitoneal approach. TEP hernia repair combines the advantage of a peroperative diagnosis and subsequent appropriate treatment with the known good clinical outcomes.

  14. Tension-free procedures in the treatment of groin hernias

    Directory of Open Access Journals (Sweden)

    Milić Dragan J.

    2003-01-01

    Full Text Available Hernia repair is one of the most common surgical procedures performed in the United States, with 700,000 operations performed each year. Improvements in surgical technique, together with the development of new prosthetic materials and a better understanding of how to use them, have significantly improved outcomes for many patients. These improvements have occurred most notably in centers specializing in hernia surgery, with some institutions reporting failure rates of less than 1%. In contrast, failure rates for general surgeons, who perform most hernia repairs, remain significantly higher. This has important socioeconomic implications, adding an estimated $28 billion or more to the cost of treating the condition, based on calculations utilizing conservative estimates of failure rates and the average cost of a hernia repair. Success of groin hernia repair is measured primarily by the permanence of the operation, fewest complications, minimal costs, and earliest return to normal activities. This success depends largely on the surgeon's understanding of the anatomy and physiology of the surgical area as well as a knowledge of how to use most effectively the currently available techniques and materials. The most important advance in hernia surgery has been the development of tension-free repairs. In 1958, Usher described a hernia repair using Marlex mesh. The benefit of that repair he described as being "tension-eliminating", or what we now call "tension-free". Usher opened the posterior wall and sutured a swatch of Marlex mesh to the undersurface of the medial margin of the defect and to the shelving edge of the inguinal ligament. He created tails from the mesh that encircled the spermatic cord and secured them to the inguinal ligament. Every type of tension-free repair requires a mesh, whether it is done through an open anterior, open posterior, or laparoscopic route. The most common prosthetic open repairs done today are the Lichtenstein onlay

  15. Use of the femoral vein ('groin injecting' by a sample of needle exchange clients in Bristol, UK

    Directory of Open Access Journals (Sweden)

    Maliphant John

    2005-04-01

    Full Text Available Abstract Background Use of the femoral vein for intravenous access by injecting drug users (IDUs (commonly called 'groin injecting' is a practice that is often observed but on which little is written in the literature. The purpose of this study was to describe self-reported data from a sample of groin injectors on the natural history and rationale regarding their groin injecting, to inform future research and the development of appropriate harm reduction strategies. Methods A convenience sample of groin injectors willing to participate in a semi-structured interview were recruited through the Bristol Drugs Project Harm Reduction Service. The interviews were conducted over the period of one week. Data on transition to groin injecting, rationale for use and incidence of problems were collected. Results Forty seven IDUs currently injecting in their femoral vein ('groin' were interviewed, 66% (n = 31 male and 34% (n = 16 female. Their mean age was 31 yrs (range 17 to 50 yrs; SD = 7.7. The mean length of time since first injecting episode was 9.6 yrs (range 6 mths to 30 yrs; SD = 7.0. The mean length of time since use of the groin began was 2.6 years (range 1 mth to 15 yrs; SD = 3.3. The mean length of time between first injection and first use of the groin was 7.0 yrs (SD = 7.0. One person had used no other area for venous access prior to using the groin, nine people had used one, nine people had used two, 10 people had used three, five people had used four and 13 people had used more than four areas. The main reason given for starting to inject in the groin was that 'no other sites were left'. However further discussion identified this meant no other convenient sites were accessible. Practises such as the rotation of injecting sites, as advocated in many harm reduction leaflets, were reported to be difficult and unreliable. The risk of missing the vein and subsequently losing the 'hit' was considered high. Use of the non-dominant hand to administer

  16. Shaeer’s Technique: A Minimally Invasive Procedure for Monsplasty and Revealing the Concealed Penis

    Science.gov (United States)

    2016-01-01

    Background: A concealed penis is a condition where part of the penis is invisible below the surface of the prepubic skin. Dermolipectomy can correct this condition, although it involves a long abdominal crease incision, or infrapubic incision around the base of the penis, and a possibility for genital lymphedema. This study describes Shaeer’s technique, a minimally invasive method for revealing the concealed penis. Methods: A 1- to 2-cm-long incision was cut over the anterior superior iliac spine (ASIS) on either side. A long curved blunt forceps was inserted from one incision, down to the base of the penis and then up to the contralateral ASIS. A 5-mm wide nonabsorbable tape was picked up by the forceps from 1 incision and pulled through to emerge from the other. Pulling on the tape cephalad pulled the mons pubis and revealed the penis. The tape was sutured to the periosteum overlying the ASIS on either side. Patients were followed up for 18 months for penile length, complications, and overall satisfaction. Results: Twenty patients were operated upon. Preoperatively, flaccid visible length was 3 ± 0.9 cm, and erect visible length was 8 ± 4.6 cm. Postoperatively, the flaccid visible length was 7.1 ± 2.1 cm, with a 57.9% improvement in length (P penis. PMID:27622092

  17. Testosterone regulates keratin 33B expression in rat penis growth through androgen receptor signaling.

    Science.gov (United States)

    Ma, Yan-Min; Wu, Kai-Jie; Dang, Qiang; Shi, Qi; Gao, Yang; Guo, Peng; Xu, Shan; Wang, Xin-Yang; He, Da-Lin; Gong, Yong-Guang

    2014-01-01

    Androgen therapy is the mainstay of treatment for the hypogonadotropic hypogonadal micropenis because it obviously enhances penis growth in prepubescent microphallic patients. However, the molecular mechanisms of androgen treatment leading to penis growth are still largely unknown. To clarify this well-known phenomenon, we successfully generated a castrated male Sprague Dawley rat model at puberty followed by testosterone administration. Interestingly, compared with the control group, testosterone treatment stimulated a dose-dependent increase of penis weight, length, and width in castrated rats accompanied with a dramatic recovery of the pathological changes of the penis. Mechanistically, testosterone administration substantially increased the expression of androgen receptor (AR) protein. Increased AR protein in the penis could subsequently initiate transcription of its target genes, including keratin 33B (Krt33b). Importantly, we demonstrated that KRT33B is generally expressed in the rat penis and that most KRT33B expression is cytoplasmic. Furthermore, AR could directly modulate its expression by binding to a putative androgen response element sequence of the Krt33b promoter. Overall, this study reveals a novel mechanism facilitating penis growth after testosterone treatment in precastrated prepubescent animals, in which androgen enhances the expression of AR protein as well as its target genes, such as Krt33b.

  18. Pathological Fracture of the Femur by Metastatic Carcinoma Penis-a Rare Presentation.

    Science.gov (United States)

    Hussain, Shabbir; Solanki, Fanindra Singh; Sharma, Deepti B; Sharma, Dhananjay

    2016-04-01

    We report herein a clinical case of a patient with femur fracture due to metastasis from penile squamous cell carcinoma. A young man, who was treated for carcinoma penis, presented with pathological fracture of femur and lung metastasis from metastatic carcinoma penis after 18 months. Long bone metastasis from penile cancer is extremely rare, to the best of our knowledge; this is the first report of a patient with penile cancer spread to the femur from primary squamous cell carcinoma of the penis.

  19. What importance do women attribute to the size of the penis?

    OpenAIRE

    Francken, AB; van de Wiel, HBM; van Driel, MF; Schultz, WCMW

    2002-01-01

    Objective: A great deal of men consider that the size of the penis is directly proportional to its sexual power. Some men, who are worried that their penis is too small, wish to be considered for surgical lengthening or thickening procedures. The argumentation for this chiefly points in the direction of women. However, have women actually been asked about the extent to which they consider the size of the penis to be of importance from a sexual point of view? Or asked what they think about ide...

  20. [Condition of cavernous tissue of the penis after unilateral incomplete proximal intracavernous falloprosthesis].

    Science.gov (United States)

    Taurashvili, G I; Medvedev, V L; Chilov, S A; Kochov, V N; Taruashvili, I G

    2011-01-01

    Unilateral incomplete proximal intracavernous falloprosthesis (UIPIF) was followed by US-dopplerography of the intact penis and penis in medical erection induced by E1 prostoglandin introduction into the intact cavernous body. UIPIF preserves 89-90% of functionally active cavernous tissue with effective blood flow. Investigation 2 months and more after operation demonstrated that systolic blood flow rate in the cavernous artery of the cavernous tissue around the endoprosthersis can reach values registered in normal erection. The conclusion is made that after UIPIF quality of sexual life of the patient improves due to creation of additional density and axial stability of the trunk of the penis.

  1. [Self-amputation of the penis treated immediately: Case report and review of the literature].

    Science.gov (United States)

    Odzébé, A W S; Bouya, P A; Otiobanda, G F; Banga Mouss, R; Nzaka Moukala, C; Ondongo Atipo, A M; Ondziel Opara, A S

    2015-12-01

    Self-amputation of the penis treated immediately: case report and review of the literature. Self-amputation of the penis is rare in urological practice. It occurs more often in a context psychotic disease. It can also be secondary to alcohol or drugs abuse. Treatment and care vary according on the severity of the injury, the delay of consultation and the patient's mental state. The authors report a case of self-amputation of the penis in an alcoholic context. The authors analyze the etiological and urological aspects of this trauma.

  2. The Possible Neuronal Mechanism of Acupuncture: Morphological Evidence of the Neuronal Connection between Groin A-Shi Point and Uterus

    OpenAIRE

    Chun-Yen Chen; Rey-Shyong Chern; Ming-Huei Liao; Yung-Hsien Chang; Hsu, Jung-Yu C.; Chi-Hsien Chien

    2013-01-01

    Somatovisceral reflex suggested that the somatic stimulation could affect visceral function like acupuncture which treats diseases by stimulating acupoints. The neuronal connection between somatic point and visceral organ was not clear. Uterine pain referred to the groin region has long been recognized clinically. Wesselmann, using neurogenic plasma extravasation method, showed that uterine pain was referred to the groin region through a neuronal mechanism (Wesselmann and Lai 1997). This conn...

  3. Cumulative incidence and registry validation of groin hernia repair in a 34-year nationwide cohort

    DEFF Research Database (Denmark)

    Burcharth, Jakob; Liljekvist, Mads Svane; Pommergaard, Hans-Christian

    2016-01-01

    INTRODUCTION: The purpose of this study was to present a nationwide cumulative incidence and an age-specific incidence rate of groin hernia repair as well as to evaluate the validity of inguinal and femoral hernia operation codes in the Danish National Patient Registry (DNPR). METHODS: All persons...... registered with inguinal hernia operations in the DNPR who had been operated for an inguinal hernia was 100% (95% CI: 96-100%) and 91.3% (95% CI: 83-96%) for femoral hernia operations. CONCLUSIONS: The incidence rate of groin hernia operations peaked at the 0-1 year age group in males and at the 3-4-year age...... group in females. Furthermore, the validation of the DNPR showed very high positive predictive values for both inguinal hernia operations and femoral hernia operations. FUNDING: none. TRIAL REGISTRATION: not relevant....

  4. Can preoperative electrical nociceptive stimulation predict acute pain after groin herniotomy?

    DEFF Research Database (Denmark)

    Aasvang, Eske Kvanner; Hansen, J.B.; Kehlet, H.

    2008-01-01

    pain (rho = -0.13, P = .09, and rho = -1.2, P = .4, respectively. PERSPECTIVE: Although preoperative electrical nociceptive stimulation may predict patients at risk of high-intensity acute pain after other surgical procedures, this was not the case in groin hernia repair patients receiving concomitant......Preoperative identification of patients at risk for high-intensity postoperative pain may be used to predict patients at risk for development of a persistent pain state and allocate patients to more intensive specific pain therapy. Preoperative pain threshold to electrocutaneus stimulation has...... recently been shown to correlate to acute postoperative pain after cesarean section, but the findings have not been confirmed in larger studies or other procedures. Preoperative electrical pain detection threshold and pain tolerance were assessed in patients undergoing a primary unilateral groin hernia...

  5. Cumulative incidence and registry validation of groin hernia repair in a 34-year nationwide cohort

    DEFF Research Database (Denmark)

    Burcharth, Jakob; Liljekvist, Mads Svane; Pommergaard, Hans-Christian;

    2016-01-01

    INTRODUCTION: The purpose of this study was to present a nationwide cumulative incidence and an age-specific incidence rate of groin hernia repair as well as to evaluate the validity of inguinal and femoral hernia operation codes in the Danish National Patient Registry (DNPR). METHODS: All persons...... registered with inguinal hernia operations in the DNPR who had been operated for an inguinal hernia was 100% (95% CI: 96-100%) and 91.3% (95% CI: 83-96%) for femoral hernia operations. CONCLUSIONS: The incidence rate of groin hernia operations peaked at the 0-1 year age group in males and at the 3-4-year age...... group in females. Furthermore, the validation of the DNPR showed very high positive predictive values for both inguinal hernia operations and femoral hernia operations. FUNDING: none. TRIAL REGISTRATION: not relevant....

  6. [A case of bowenoid papulosis of the penis].

    Science.gov (United States)

    Iwai, Y; Someya, K; Moriya, K; Kobayakawa, H; Ohyama, T; Horii, A

    1989-03-01

    A 44-year-old man, who was seen for further examination of macroscopic hematuria, was found to have black eruptions on the penis and the scrotum. These eruptions appeared benign clinically, but on histological examination they showed the features of Bowen's disease. These eruptions were diagnosed as Bowenoid papulosis and were successfully treated with 5-FU cream. Twenty five cases of Bowenoid papulosis observed in men have been reported in Japan. Although Bowenoid papulosis is characterized by the histopathologic conditions of Bowen's disease, the lesions of Bowenoid papulosis differ clinically from those of Bowen's disease in several respects: onset at earlier average age, multiplicity of lesion, lack of associated symptoms, smaller size of the lesion, clinical morphologic features and possible spontaneous regression.

  7. Does penis size influence condom slippage and breakage?

    Science.gov (United States)

    Smith, A M; Jolley, D; Hocking, J; Benton, K; Gerofi, J

    1998-08-01

    This study examined the effect of penis dimensions on the probability of complete condom slippage and condom breakage in actual use. Men were recruited through advertising, used the condoms supplied and completed a diary sheet for each condom used. A total of 3658 condoms were used by 184 men of which 1.34% broke and 2.05% slipped off. No significant effect was demonstrated for penile dimensions on the probability of complete condom slippage. However, condom breakage was strongly associated with penile circumference. These findings suggest that condom manufacturers may need to increase the range of condom sizes available, or some aspects of their performance, in order to ensure that condoms meet the needs of all men without unduly exposing them to risk.

  8. Granuloma inguinale mimicking as squamous cell carcinoma of penis

    Directory of Open Access Journals (Sweden)

    Abhishek Pilani

    2014-01-01

    Full Text Available Granuloma inguinale (GI is an acquired chronic, slowly progressive, mildly contagious disease of venereal origin, characterized by granulomatous ulceration of the genitalia and neighboring sites, with little or no tendency to spontaneous healing caused by Klebsiella (Calymmatobacterium granulomatis. A 55-year-old male presented with fissured, foul smelling, fungating growth over prepuce with phimosis mimicking squamous cell carcinoma (SCC without lymphadenopathy. It started with painless papulonodular showed pseudoepitheliomatous hyperplasia, infiltration in dermis, acanthosis and vacuolated macrophages suggestive of GI and not showing any histopathological features of SCC. Patient was successfully treated by giving cotrimoxazole twice a day for 21 days. Here, we presented a case of GI mimicking SCC of penis, which was diagnosed on basis of histopathology and treated with excision followed by medical therapy with cotrimoxazole.

  9. Man Cuts Off Penis in Fit of Religious Fervor

    Institute of Scientific and Technical Information of China (English)

    朱土英

    2002-01-01

    一位菲律宾的男子自残,用利刃割下了自己的阳物。主要原因是其妻离他而去。到首都马尼拉去做保姆(housemaid)了。他想象自己的阳物正像眼镜蛇一样逼近其他女性(his penis as a"cobra"(眼镜蛇)drawing him towardwomen),而《马太福音》曾云:If your hand or your foot causes you to sin,cut it offand throw it away.于是,此君对自己下了“毒手”。可幸的是,手术成功,割下的阳物又被接上。只是短了20%……

  10. Trichilemmal Cyst of the Penis in a Paediatric Patient

    Directory of Open Access Journals (Sweden)

    Samuel Madan

    2015-01-01

    Full Text Available Paediatric penile cysts are uncommon. We report a five-year-old child with an asymptomatic progressively growing cyst on the ventral aspect of the penis after a hypospadias repair. The patient presented to the Cooper Health Clinic, Dubai, United Arab Emirates, in March 2012. A complete excision of the cyst was performed. Histology results delineated a capsulated benign trichilemmal cyst. No recurrence or complications were reported in the 26 months following the excision. We recommend an early and complete excision of all penile cysts to prevent the risk of urethral obstruction, infection, inflammation and rare malignant changes. This is the first reported case of a penile trichilemmal cyst in a child.

  11. The Possible Neuronal Mechanism of Acupuncture: Morphological Evidence of the Neuronal Connection between Groin A-Shi Point and Uterus

    Directory of Open Access Journals (Sweden)

    Chun-Yen Chen

    2013-01-01

    Full Text Available Somatovisceral reflex suggested that the somatic stimulation could affect visceral function like acupuncture which treats diseases by stimulating acupoints. The neuronal connection between somatic point and visceral organ was not clear. Uterine pain referred to the groin region has long been recognized clinically. Wesselmann, using neurogenic plasma extravasation method, showed that uterine pain was referred to the groin region through a neuronal mechanism (Wesselmann and Lai 1997. This connection could be considered through the somatovisceral reflex pathway. However, the relay center of this pathway is still not clearly identified. In the present study, bee venom was injected in the groin region to induce central Fos expression to map the sensory innervation of groin region. Pseudorabies virus (PrV, a transneuronal tracer, was injected in the uterus to identify the higher motor control of the uterus. Immunohistochemistry staining revealed the Fos expression and PrV-infected double-labeled neurons in the nucleus of solitary tract (NTS, the dorsal motor nucleus of vagus (DMX, and the paraventricular hypothalamic nucleus (PVN. These results suggest a somatoparasympathetic neuronal connection (groin-spinal dorsal horn-NTS/DMX-uterus and a somatosympathetic neuronal connection (groin-spinal dorsal horn-NTS-PVN-uterus. These two neuronal connections could be the prerequisites to the neuronal basis of the somatovisceral reflex and also the neuronal mechanism of acupuncture.

  12. Selective resection of dorsal nerves of penis for premature ejaculation.

    Science.gov (United States)

    Zhang, G-X; Yu, L-P; Bai, W-J; Wang, X-F

    2012-12-01

    Premature ejaculation (PE) is one of the most prevalent male sexual dysfunctions. Selective resection of the dorsal nerve (SRDN) of penis has recently been used for the treatment of PE and has shown some efficacy. To further clarify the efficacy and safety of SRDN on PE, we performed a preliminary, randomized, placebo-controlled clinical observational study. Persons with the complaints of rapid ejaculation, asking for circumcision because of redundant foreskin, intravaginal ejaculation latency time (IELT) within 2 min, not responding to antidepressant medication or disliking oral medication were randomly enrolled in two groups. From April 2007 to August 2010, a total of 101 eligible persons were enrolled, 40 of them received SRDN which dorsal nerves of the penis were selectively resected, and those (n = 61) enrolled in the control group were circumcised only. IELT and the Brief Male Sexual Function Inventory (BMSFI) questionnaire were implemented pre- and post-operatively for the evaluation of the effect and safety of the surgery. There are no statistically significant differences in the baseline data including mean ages, mean IELTs, perceived control abilities and the BMSFI mean scores between the two groups. With regard to the post-operative data of the surgery, both IELTs and perceived control abilities were significantly increased after SRDN (1.1 ± 0.9 min vs. 3.8 ± 3.1 min for pre- and post-operative IELT, respectively, p 0.05). Also, there were no statistically significant differences both in BMSFI composite and subscale scores between the two groups after surgery. Hence, we conclude that SRDN is effective in delaying ejaculation and improving ejaculatory control, whereas erectile function is not affected. The results imply that SRDN may be an alternative method for the treatment of PE for some patients.

  13. Laparoscopic Totally Extraperitoneal Groin Hernia Repair Using a Self-Gripping Mesh: Clinical Results of 235 Primary and Recurrent Groin Hernias.

    Science.gov (United States)

    Ozmen, John; Choi, Vincent; Hepburn, Kirsten; Hawkins, Will; Loi, Ken

    2015-11-01

    Compared with open surgery, laparoscopic groin hernia repair has been shown to significantly reduce postoperative pain. However, chronic pain remains a problem with the laparoscopic approach, affecting approximately 10% of patients. The purpose of this study was to evaluate clinical outcomes following the use of Parietex ProGrip™ (Covidien, Dublin, Ireland) self-gripping mesh during laparoscopic totally extraperitoneal groin hernia repair. Data were collected prospectively from 145 male and 15 female patients with 235 inguinal hernias. All patients underwent repair by the laparoscopic totally extraperitoneal approach using Parietex ProGrip mesh. During follow-up ranging from 5 to 24 months, complications, pain score, patient satisfaction, and recurrence were analyzed. All patients were discharged on the day of surgery or the next morning. There were no immediate complications or returns to the operating room. Delayed postoperative complications included minor bruising to the genital region (3 cases), hematoma/seroma (1 case), and wound infection (1 case). The mean follow-up was 15 months, at which time there were no reports of hernia recurrence and 99% of patients were satisfied with their hernia repair. One patient (0.63%) reported severe pain (numeric rating scale score of >7), and 4 patients (2.5%) reported intermittent mild pain on exertion. The results of this study suggest that the use of a self-gripping mesh during the laparoscopic totally extraperitoneal approach is a promising and effective technique for repairing both primary and recurrent inguinal hernias.

  14. MRI FINDINGS DO NOT CORRELATE WITH OUTCOME IN ATHLETES WITH CHRONIC GROIN PAIN

    Directory of Open Access Journals (Sweden)

    Adrien Daigeler

    2007-03-01

    Full Text Available This trial aimed to assess the value of MRI in the differential diagnosis of chronic groin pain in athletes, a condition caused by various pathologies, the most common being posterior abdominal wall deficiency, osteitis pubis and muscular imbalance. Nineteen subjects with clinically ruled-out hernia and recurrent episodes of exercise-triggered groin pain were assessed. Dynamic MRI was performed under Valsalva manoeuver and at rest within a training- free period and after training activity. Follow-up was performed after 4 years using a questionnaire and physical examination. An incipient hernia was seen in one case, Valsalva manoeuver provoked a visible bulging in 7 others (3 bilateral. Eight athletes showed symphysitis (accompanied by bulging in 3 cases. MRI visualized one hydrocele, one osteoma of the left femur, one enchondroma of the pubic bone, and one dilated left ureter without clinical symptoms or therapeutic relevance. MRI findings after training and during the training free period did not vary. Fifteen participants were available for a follow-up control examination 4 years later - one suffered from ongoing pain, eleven were free of symptoms and three had improvement. However, most of them improved only with changing or reducing training. There were four participants with a specific therapy of their MRI findings. MRI revealed a variety of pathological findings in athletes suffering from chronic groin pain, but it was not reliable enough in differentiating between diagnoses requiring conservative or operative treatment. The MRI examination within the training interval did not have an advantage to that within the training-free period. Further randomized prospective trials with a long follow-up should establish whether MRI findings could be of help in the choice between conservative and surgical treatment for chronic groin pain

  15. Characteristics of acute groin injuries in the hip flexor muscles - a detailed MRI study in athletes.

    Science.gov (United States)

    Serner, A; Weir, A; Tol, J L; Thorborg, K; Roemer, F; Guermazi, A; Yamashiro, E; Hölmich, P

    2017-06-26

    Hip flexor injuries account for one-third of acute groin injuries; however, little is known about specific injury characteristics. The aims of this study were to describe acute hip flexor injuries using magnetic resonance imaging (MRI) in athletes with acute groin pain and to compare specific muscle injuries with reported injury situations. Male athletes with acute groin pain were prospectively and consecutively included during three sports seasons. MRI was performed within 7 days of injury using a standardized protocol and a reliable assessment approach. All athletes with an MRI confirmed acute hip flexor muscle injury were included. A total of 156 athletes presented with acute groin pain of which 33 athletes were included, median age 26 years (range 18-35). There were 16 rectus femoris, 12 iliacus, 7 psoas major, 4 sartorius, and 1 tensor fascia latae injury. Rectus femoris injuries primarily occurred during kicking (10) and sprinting (4), whereas iliacus injuries most frequently occurred during change of direction (5). In 10 (63%) rectus femoris injuries, tendinous injury was observed. The iliacus and psoas major injuries were mainly observed at the musculotendinous junction (MTJ), and two included tendinous injury. We have illustrated specific injury locations within these muscles, which may be relevant for the clinical diagnosis and prognosis of these injuries. Most proximal rectus femoris injuries included tendinous injury. In contrast, distinct acute iliacus and psoas injuries predominantly occurred at the MTJ. Only the iliacus or psoas major were injured during change of direction, whereas rectus femoris injuries occurred primarily during kicking and sprinting. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  16. Sir Ganga Ram Hospital classification of groin and ventral abdominal wall hernias

    Directory of Open Access Journals (Sweden)

    Chowbey Pradeep

    2006-01-01

    Full Text Available Background: Numerous classifications for groin and ventral hernias have been proposed over the past five to six decades. The old, simple classification of groin hernia in to direct, inguinal and femoral components is no longer adequate to understand the complex pathophysiology and management of these hernias. The most commonly followed classification for ventral hernias divide them into congenital, acquired, incisional and traumatic, which also does not convey any information regarding the predicted level of difficulty. Aim: All the previous classification systems were based on open hernia repairs and have their own fallacies particularly for uncommon hernias that cannot be classified in these systems. With the advent of laparoscopic/ endoscopic approach, surgical access to the hernia as well as the functional anatomy viewed by the surgeon changed. This change in the surgical approach and functional anatomy opened the doors for newer classifications. The authors have thus proposed a classification system based on the expected level of intraoperative difficulty for endoscopic hernia repair. Classification: In the proposed classification higher grades signify increasing levels of expected intraoperative difficulty. This functional classification grades groin hernias according to the: a Pre -operative predictive level of difficulty of endoscopic surgery, and b Intraoperative factors that lead to a difficult repair. Pre operative factors include multiple or pantaloon hernias, recurrent hernias, irreducible and incarcerated hernias. Intraoperative factors include reducibility at operation, degree of descent of the hernial sac and previous hernia repairs. Hernial defects greater than 7 cm in diameter are categorized one grade higher. Conclusion: Though there have been several classification systems for groin or inguinal hernias, none have been described for total classification of all ventral hernias of the abdomen. The system proposed by us includes

  17. Infrascrotal, perineal, femorofemoral bypass for arterial graft infection at the groin.

    Science.gov (United States)

    Illuminati, Giulo; Caliò, Francesco G; D'Urso, Antonio; Giacobbi, Daniela; Papaspyropoulos, Vassilios; Ceccanei, Gianluca

    2004-12-01

    Infrascrotal, perineal, femorofemoral bypass is an acceptable procedure for treating infection of a prosthetic arterial graft limited to a unilateral groin. A consecutive sample clinical study with a mean follow-up of 29 months. The surgical department of an academic tertiary care center and an affiliated secondary care center. Nineteen patients with a mean age of 68 years with prosthetic graft infection at the outflow anastomosis on a femoral artery at the Scarpa triangle underwent an infrascrotal, perineal, femorofemoral bypass, with excision of the graft material limited at the groin. The recipient artery was the profunda femoris artery in 12 cases, the superficial femoral in 5, and the distal common femoral artery in 2. Cumulative survival, recurrence of sepsis, primary graft patency, and limb salvage rates expressed by standard life-table analysis. Postoperative mortality rate was 5%. Cumulative (SE) survival rate was 65% (11.6%) at 3 years. Cumulative (SE) rate of freedom from recurrent sepsis was 88% (8.6%) at 3 years. Cumulative (SE) primary patency and limb salvage rates were 86% (9.4%) and 91% (7.9%), respectively, at 3 years. Femorofemoral bypass with an infrascrotal perineal approach is a valuable procedure for the treatment of femoral arterial graft infection limited at a unilateral groin.

  18. 改良半脱套松解法治疗青少年及成人短小阴茎临床疗效观察%An improved half-gloving cordectomy surgery for adolescent concealed penis and its primary experience on adults micro-penis patients

    Institute of Scientific and Technical Information of China (English)

    孙伟桂; 强鹏; 储旭; 蒋堃; 郑奇传

    2016-01-01

    ObjectiveTo summarize some effects of half-gloving cordectomy in the treatments for children concealed penis for 3 years, and turn the improved method to some adolescent concealed penis and adult micro-penis patients.MethodsFrom 2012, we had successfully finished a group of children concealed penis with half-gloving technique, and then we effectively applied the device in adult micro-penis operations. In this paper, 51 patients whose average age was 19.1(10-38) years, were contained 31 teenagers (aged 10-18, 60.78%) and 20 adult patients (39.22%). The procedure steps mainly included redundant stricture prepuce correction and completely glans exposure, coronal sulcus ring incision and semi degloving prepuce, cutting-off dysplasia fibrous bands and dartos till the front of penis suspensory ligament, freed the phallic body without penis fixation, and scrotum angle anaplasty. After the operation, freed from urine catheter indwelling, the incision was tied up with a 2 cm-wide ribbon gauze which was removed until 48 h later. At last, the penis wound was wholly naked external use with mixed creams of erythromycin and dexamethasone. Patients always left hospital 3-5 days later, and went back for first review in a week.ResultsAll patients were successfully cured in one operation, and the average operation time was about 26.36(15-35) min. There was no re-operation case, and no postoperative bleeding, infection, edema, skin flap necrosis and other complications. The external penis lengths of pre-operation in children and adults were about 1.45(0.5-4.0) cm and 3.13(2.5-5.5) cm prolonged to 3.60(3.0-8.5) cm and 7.92(5.5-10.5) cm of past-operation, respectively. The most patients (167/178, 93.82%), in a week later after the surgery, showed a good recovery with the wound fully healed and satisfied appearance. A few patients (11/178, 6.18%) were replaced with Mabel moist burn ointment if they left few wound problems. All patients received long-term follow-up in postoperative 1

  19. Size did not matter: An evolutionary account of the variation in penis size and size anxiety

    Directory of Open Access Journals (Sweden)

    Menelaos Apostolou

    2016-12-01

    Full Text Available The human penis exhibits considerable variation in size, while a substantial proportion of the adult male population experiences size anxiety. This paper employs an evolutionary framework in order to understand this variation, as well as the concern men exhibit about the adequacy of the size of their penis. It is argued that female choice has been one important sexual selection force, responsible for shaping the size of the penis. However, this force has been relatively weak, because women do not consider the size of their partners’ penis to be the most important determinant of their sexual satisfaction. Also, in ancestral human societies, sexual satisfaction was a secondary concern, while women had limited space to exercise mate choice. The mismatch between ancestral and modern conditions, with female choice being stronger in the present than in the past, causes anxiety in men about their ability to satisfy their partners, which is also manifested in their concerns about size.

  20. Skin resurfacing in a circumferential full thickness burn to the penis: lessons learnt.

    Science.gov (United States)

    Jabir, Shehab; Frew, Quentin; Thompson, Richard; Dziewulski, Peter

    2013-08-13

    A circumferential full-thickness burn to the penis is a rarely encountered injury. However, when it does occur, it proves a management challenge to the plastic and burns surgeon in terms of reconstruction. This is due to the need of not only regaining adequate function of the organ, but also because of the need for a pleasing aesthetic outcome. Split-skin grafts have been utilised successfully to resurface full thickness burns of the penis and have given good results. Yet the success of split-skin grafts, especially those applied to an anatomically challenging region of the body such as the penis, depends on a number of carefully thought-out steps. We discuss the case of a circumferential full-thickness burn to the penis which was treated with split-skin grafting and highlight important pitfalls that the plastic and burns surgeon need to be aware of to ensure a successful outcome.

  1. Surgical site infections after lower extremity revascularization procedures involving groin incisions.

    Science.gov (United States)

    Kuy, SreyRam; Dua, Anahita; Desai, Sapan; Dua, Arshish; Patel, Bhavin; Tondravi, Nader; Seabrook, Gary R; Brown, Kellie R; Lewis, Brian D; Lee, Cheong J; Kuy, SreyReath; Subbarayan, Rishi; Rossi, Peter J

    2014-01-01

    We sought to evaluate the incidence, epidemiology, and factors associated with surgical site infections (SSIs) after lower extremity revascularization procedures involving groin incisions and determine outcomes based on SSI status. This is a single-institution, retrospective cohort study of 106 patients who underwent lower extremity revascularization procedures involving femoral artery exposure through a groin incision at a tertiary referral hospital. The primary outcome was occurrence of SSI at the groin wound. The duration of hospital stay, reoperation within 30 days, discharge disposition, and 30-day mortality were also evaluated. Independent variables included patient demographics and operative variables (i.e., procedure type, transfusion requirements, preoperative antibiotics, intraoperative vasopressors, and operative duration). Statistical analysis included chi-squared tests, t-tests, and multivariable regression analysis. Of the 106 patients who underwent a lower extremity revascularization procedure with a groin incision for femoral artery exposure, 62% were male, and the mean age was 62 years. Comorbidities included hypertension (93%), dyslipidemia (65%), statin use (63%), active smoker (50%), diabetes (24%), and chronic obstructive pulmonary disease (23%). All patients received preoperative antibiotics, 50% required intraoperative pressors, 21% received a blood transfusion, and the mean operative time was 296 min. The overall duration of stay was 10.7 days, the 30-day reoperation rate was 18%, and the 30-day mortality rate was 12%. Overall, 22% developed a seroma or hematoma, and 31% developed a SSI. Patients who developed an SSI compared with those who did not were more likely to have a postoperative seroma or hematoma (55% vs 5%) and to receive a blood transfusion (33% vs 15%), but less likely to be treated with a statin (47% vs 69%) or carry a diagnosis of dyslipidemia (50% vs 72%), respectively, all P surgical site complications after lower

  2. DYNAMIC HIP ADDUCTION, ABDUCTION AND ABDOMINAL EXERCISES FROM THE HOLMICH GROIN-INJURY PREVENTION PROGRAM ARE INTENSE ENOUGH TO BE CONSIDERED STRENGTHENING EXERCISES - A CROSS-SECTIONAL STUDY

    DEFF Research Database (Denmark)

    Krommes, Kasper; Bandholm, Thomas; Jakobsen, Markus D

    2017-01-01

    BACKGROUND: Training intensity is an important variable in strength training and above 80% of one repetition maximum is recommended for promoting strength for athletes. Four dynamic and two isometric on-field exercises are included in the Hölmich groin-injury prevention study that initially failed...... to show a reduction in groin injuries in soccer players. It has been speculated that exercise-intensity in this groin-injury prevention program was too low to induce the strength gains necessary to protect against groin-related injuries. PURPOSE: To estimate the intensity of the six exercises from...... in the Hölmich groin injury prevention program, except cross-county skiing, is sufficient to be considered strength-training for specific muscle groups in and around the groin region. LEVEL OF EVIDENCE: 3....

  3. A rare case of penis agenesis (Aphallia with associated multiple urogenital anomalies

    Directory of Open Access Journals (Sweden)

    Zafer Demirer

    2015-01-01

    Full Text Available The penis as a component of external genitalia, takes part in fertility, urinary and psychosexual structure of males with its complex character. We report a case of penis agenesis with associated left renal agenesis, left superior segment ureteral agenesis, prostate agenesis, left ureterocele, right vesicoureteral reflux and high urethrorectal communication above the rectal sphincter. The patient refused any surgical intervention because of his religious beliefs.

  4. Fixed Drug Eruption of the Penis Secondary to Sulfamethoxazole-Trimethoprim

    Directory of Open Access Journals (Sweden)

    Nathan Lawrentschuk

    2006-01-01

    Full Text Available Penile lesions are encountered in a variety of fields from family medicine practice through urology, to sexual health specialists. It is important that practitioners consider and recognize fixed drug eruptions of the penis while being able to initiate appropriate treatment in order to avoid misdiagnosis and avoidable stress. In summary, withdrawal of the offending medication and initiation of corticosteroid therapy remain the cornerstones of treatment of fixed drug eruptions of the penis.

  5. The association between penis size and sexual health among men who have sex with men.

    Science.gov (United States)

    Grov, Christian; Parsons, Jeffrey T; Bimbi, David S

    2010-06-01

    Larger penis size has been equated with a symbol of power, stamina, masculinity, and social status. Yet, there has been little research among men who have sex with men assessing the association between penis size and social-sexual health. Survey data from a diverse sample of 1,065 men who have sex with men were used to explore the association between perceived penis size and a variety of psychosocial outcomes. Seven percent of men felt their penis was "below average," 53.9% "average," and 35.5% "above average." Penis size was positively related to satisfaction with size and inversely related to lying about penis size (all ps Size was unrelated to condom use, frequency of sex partners, HIV status, or recent diagnoses of HBV, HCV, gonorrhea/Chlamydia/urinary tract infections, and syphilis. Men with above average penises were more likely to report HPV and HSV-2 (Fisher's exact p average penises were significantly more likely to identify as "bottoms" (anal receptive) and men with above average penises were significantly more likely to identify as "tops" (anal insertive). Finally, men with below average penises fared significantly worse than other men on three measures of psychosocial adjustment. Though most men felt their penis size was average, many fell outside this "norm." The disproportionate number of viral skin-to-skin STIs (HSV-2 and HPV) suggest size may play a role in condom slippage/breakage. Further, size played a significant role in sexual positioning and psychosocial adjustment. These data highlight the need to better understand the real individual-level consequences of living in a penis-centered society.

  6. Penis size interacts with body shape and height to influence male attractiveness

    OpenAIRE

    Mautz, Brian S.; Wong, Bob B. M.; Peters, Richard A; Jennions, Michael D.

    2013-01-01

    Compelling evidence from many animal taxa indicates that male genitalia are often under postcopulatory sexual selection for characteristics that increase a male’s relative fertilization success. There could, however, also be direct precopulatory female mate choice based on male genital traits. Before clothing, the nonretractable human penis would have been conspicuous to potential mates. This observation has generated suggestions that human penis size partly evolved because of female choice. ...

  7. A new surgical technique for concealed penis using an advanced musculocutaneous scrotal flap

    OpenAIRE

    Han, Dong-Seok; Jang, Hoon; Youn, Chang-Shik; Yuk, Seung-Mo

    2015-01-01

    Background Until recently, no single, universally accepted surgical method has existed for all types of concealed penis repairs. We describe a new surgical technique for repairing concealed penis by using an advanced musculocutaneous scrotal flap. Methods From January 2010 to June 2014, we evaluated 12 patients (12–40 years old) with concealed penises who were surgically treated with an advanced musculocutaneous scrotal flap technique after degloving through a ventral approach. All the patien...

  8. Diffuse Cavernous Hemangioma of the Penis, Scrotum, Perineum, and Rectum - A rare tumor

    Directory of Open Access Journals (Sweden)

    Rastogi Rajul

    2008-01-01

    Full Text Available Hemangiomas are benign lesions that occur in any part of the body. Genital hemangioma involving the entire penis and scrotum are extremely rare. More rarely they can extend in to the pelvis making preoperative imaging imperative and decisive in treatment. Very few cases have been reported in the medical literature. Hereby, a rare cavernous hemangioma that involves the entire penis, scrotum and extends into perineum and rectum in an 18-year-old male is presented with review of literature.

  9. Women's Preferences for Penis Size: A New Research Method Using Selection among 3D Models.

    Directory of Open Access Journals (Sweden)

    Nicole Prause

    Full Text Available Women's preferences for penis size may affect men's comfort with their own bodies and may have implications for sexual health. Studies of women's penis size preferences typically have relied on their abstract ratings or selecting amongst 2D, flaccid images. This study used haptic stimuli to allow assessment of women's size recall accuracy for the first time, as well as examine their preferences for erect penis sizes in different relationship contexts. Women (N = 75 selected amongst 33, 3D models. Women recalled model size accurately using this method, although they made more errors with respect to penis length than circumference. Women preferred a penis of slightly larger circumference and length for one-time (length = 6.4 inches/16.3 cm, circumference = 5.0 inches/12.7 cm versus long-term (length = 6.3 inches/16.0 cm, circumference = 4.8 inches/12.2 cm sexual partners. These first estimates of erect penis size preferences using 3D models suggest women accurately recall size and prefer penises only slightly larger than average.

  10. Women's Preferences for Penis Size: A New Research Method Using Selection among 3D Models.

    Science.gov (United States)

    Prause, Nicole; Park, Jaymie; Leung, Shannon; Miller, Geoffrey

    2015-01-01

    Women's preferences for penis size may affect men's comfort with their own bodies and may have implications for sexual health. Studies of women's penis size preferences typically have relied on their abstract ratings or selecting amongst 2D, flaccid images. This study used haptic stimuli to allow assessment of women's size recall accuracy for the first time, as well as examine their preferences for erect penis sizes in different relationship contexts. Women (N = 75) selected amongst 33, 3D models. Women recalled model size accurately using this method, although they made more errors with respect to penis length than circumference. Women preferred a penis of slightly larger circumference and length for one-time (length = 6.4 inches/16.3 cm, circumference = 5.0 inches/12.7 cm) versus long-term (length = 6.3 inches/16.0 cm, circumference = 4.8 inches/12.2 cm) sexual partners. These first estimates of erect penis size preferences using 3D models suggest women accurately recall size and prefer penises only slightly larger than average.

  11. Sexual Functioning and Behavior of Men with Body Dysmorphic Disorder Concerning Penis Size Compared with Men Anxious about Penis Size and with Controls: A Cohort Study

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    David Veale, MD, FRCPsych

    2015-09-01

    Conclusion: Men with BDD are more likely to have erectile dysfunction and less satisfaction with intercourse than controls but maintain their libido. Further research is required to develop and evaluate a psychological intervention for such men with adequate outcome measures. Veale D, Miles S, Read J, Troglia A, Wylie K, and Muir G. Sexual functioning and behavior of men with body dysmorphic disorder concerning penis size compared with men anxious about penis size and with controls: A cohort study. Sex Med 2015;3:147–155.

  12. Phenomenology of men with body dysmorphic disorder concerning penis size compared to men anxious about their penis size and to men without concerns:A cohort study

    OpenAIRE

    Veale, David; Miles, Sarah; Read, Julie; Troglia, Andrea; Carmona, Lina; Fiorito, Chiara; Wells, Hannah; Wylie, Kevan; Muir, Gordon

    2015-01-01

    Men with body dysmorphic disorder (BDD) may be preoccupied with the size or shape of the penis, which may be causing significant shame or impairment. Little is known about the characteristics and phenomenology of such men and whether they can be differentiated from men with small penis anxiety (SPA) (who do not have BDD), and men with no penile concerns. Twenty-six men with BDD, 31 men with SPA, and 33 men without penile concerns were compared on psychopathology, experiences of recurrent imag...

  13. [Inaccurate information about the size of the penis in the Democratic Republic of the Congo: about 21 information sources].

    Science.gov (United States)

    Mulenga, Philippe Cilundika; Kazadi, Alex Bukasa

    2016-01-01

    Penis size is a huge topic of anxiety for a lot of men. Some of them are unhappy with their penis size as shown in the study conducted by Tiggemann in 2008. There are relatively few studies on erect penis size. This may reflect cultural taboos of researchers or doctors interacting with men who are in a state of sexual arousal. On the other hand, it is important for people who announce details on penis size to give the average penis size first and then sizes suggested by the researchers. We performed a cross-sectional survey in the two major urban centres of the Democratic Republic of Congo namely Kinshasa and Lubumbashi over a period of two years from May 2014 to May 2016. A total of 21 information sources constituted our sample, 8 in Kinshasa and 13 in Lubumbashi. We found it sufficient because in our culture discussing about sexual matter is rare. The parameters studied were: the nature of the source, the accuracy of the measurement method, the presence of bibliographical reference, the announced penis size. The majority of information sources used were radio or television broadcastings (23,8%); this can be explained by the fact that there are an increasing number of radio and television stations in our country and especially in large cities. With regard to accuracy of information about penis measurement method when sharing the message about penis size, our study showed that the majority of information sources did not indicate it when they announced penis size to the public (85,7%). Several sources did not report bibliographical references (57,1%). Announced data analysis on penis size showed that the average penis size was: 14 cm (28,6%), 15 cm (23,8%) and 15-20 cm (19%). All these results are intended to offer a warning to all players responsible for diffusing information on sexual health (penis size): scientific rigor consists in seeking information from reliable sources.

  14. Intracardiac metastasis of squamous cell carcinoma of the penis

    Directory of Open Access Journals (Sweden)

    Sheila Aparecida Coelho Siqueira

    2013-12-01

    Full Text Available Penile cancer shows variable incidence in different countries with a higher prevalence in developing countries. Squamous cell carcinoma represents the most common histologic type. The seventh decade of life corresponds to the mean age at diagnosis, but it is not an unusual diagnosis among young adults. Most cases present as “in situ” neoplasia or loco regional disease; however, systemic disseminated disease occurs via lymphatic and/or hematogeneous routes. The lymph nodes, liver, and lungs are the most frequently involved sites whereas the heart constitutes an exceptional and atypical site for penile cancer metastases. We report a case of a 79-year-old patient who presented a metastatic squamous cell carcinoma of the penis with intracardiac dissemination. The patient had a past history of cardiomyopathy, which required an artificial cardiac pacemaker implantation. He had been treated 1 year before with a partial penectomy but was admitted for emasculation due to the cancer relapse. During the postoperative period, he experienced sudden respiratory distress and died. The autopsy findings showed metastatic disease into the cardiac right chambers, pulmonary tumoral thrombi, and pulmonary hilar involvement. The authors call attention to the possibility of the presence of pacing leads, cardiomyopathy and the altered low blood flow in the right chambers, as predisposing factors for the tumoral seeding in this case.

  15. Obturator or "lateral" bypass in the management of infected vascular prostheses at the groin

    Directory of Open Access Journals (Sweden)

    Davidović Lazar B.

    2002-01-01

    Full Text Available The infection of the previously implanted vascular graft at the groin, is associated with great mortality and morbidity rate [1]. The authors present a retrospective study in which they analyzed management of infected vascular prostheses at the groin, using obturator bypass in 26 cases, and "lateral" bypass in 15 cases. The indications for obturator bypass reconstructions included: 20 infections of aorto-femoral grafts, two infected pse udoaneurysms in the groin after RTA of the superficial femoral artery, and 4 infections of iliac-femoral grafts. The indications for lateral bypass reconstructions were: infections after aorto-femoral reconstructions - 8 cases; infection after femora-popliteal reconstructions - 4 cases; infection after iliac-femoral reconstruction - 2 patients, and one infected pseudoaneurysm in the groin after RTA of the superficial femoral artery. In 3 subjects obturator bypass was performed using extraperitoneal approach while in other 23 patients transperitoneal approach was done by donor's artery. The obturator bypass was performed using a PTFE graft in 3 cases and Dacron graft in 23. The donor's artery used for obturator bypass was a noninfected proximal part of aortofemoral graft in 20 cases, and iliac artery in 6 patients. The superfical femoral artery was recipient artery for obturator bypass in 3 cases, deep femoral artery in one case, and above the knee popliteal artery in 22 cases (Figure 1. In two patients transperitoenal approach to donors artery for "lateral" bypass has been used, and in 13 cases extraperitoneal. The proximal noninfected part of aorto femoral graft was used as a donor's artery for lateral bypass in 8 patients, while common iliac artery in 7 subjects. In 5 cases recon structions were performed using PTFE grafts, in 3 using autologous saphenous vein grafts, and in 7 using Dacron grafts. The recipient artery for "lateral" bypass was deep femoral in 8 cases, superficial femoral in three patients and

  16. Effects of buried penis on the structure and function of corpus cavernosum in a rat model

    Institute of Scientific and Technical Information of China (English)

    CHENG Fan; YU Wei-min; XIA Yue; ZHANG Xiao-bin; YANG Si-xing; GE Ming-huan

    2010-01-01

    Background While the abnormal appearance of the concealed penis has been well recognized, the effect of buried penis on the structure and function of corpus cavernosum has not been well studied. To explore this issue, we established a rat model and evaluated the effect of buried penis on cavernosum weight, contents and ultrastructure of tissue, and nitric oxide synthase (NOS) activity.Methods Two hundred and ten rats were randomly divided into 3 equal cohorts for 2, 4 and 6 months study (groups A, B and C). Each group was randomly divided into buried group (n=40), control group (n=15), and normal group (n=15), respectively. Intra-purse-string suture of the root of the penis was used to establish the model. Macroscopic development was judged by measuring the weight of the corpus cavernosum. Masson's trichrome staining was performed for observing microstructure while a transmission electron microscope was used for observing ultrastructure. The NOS activity was detected by a NOS activity assay kit.Results Buried penis had no significant influence on the appearance and weight of the corpus cavemosum. Buried penis resulted in decreased smooth muscle content (P>0.05 in group A, and P0.05 in groups A and B, and P <0.05 in group C) compared with the normal and control groups. Ultrastructural abnormalities of corpus cavernosum were observed in the 6-month buried group. Moreover, there was decrease of NOS activity in groups B and C (P<0.05 in group B and P<0.01 in group C) when compared with the normal and control groups.Conclusion Buried penis affects the structure and function of corpus cavemosum in rats and the effect is positively correlated with the buried time, but there is no significant effect on the macroscopic development.

  17. Cost-Utility Analysis: Sartorius Flap versus Negative Pressure Therapy for Infected Vascular Groin Graft Managment.

    Science.gov (United States)

    Chatterjee, Abhishek; Macarios, David; Griffin, Leah; Kosowski, Tomasz; Pyfer, Bryan J; Offodile, Anaeze C; Driscoll, Daniel; Maddali, Sirish; Attwood, John

    2015-11-01

    Sartorius flap coverage and adjunctive negative pressure wound therapy (NPWT) have been described in managing infected vascular groin grafts with varying cost and clinical success. We performed a cost-utility analysis comparing sartorius flap with NPWT in managing an infected vascular groin graft. A literature review compiling outcomes for sartorius flap and NPWT interventions was conducted from peer-reviewed journals in MEDLINE (PubMed) and EMBASE. Utility scores were derived from expert opinion and used to estimate quality-adjusted life years (QALYs). Medicare current procedure terminology and diagnosis-related groups codes were used to assess the costs for successful graft salvage with the associated complications. Incremental cost-effectiveness was assessed at $50,000/QALY, and both univariate and probabilistic sensitivity analyses were conducted to assess robustness of the conclusions. Thirty-two studies were used pooling 384 patients (234 sartorius flaps and 150 NPWT). NPWT had better clinical outcomes (86.7% success rate, 0.9% minor complication rate, and 13.3% major complication rate) than sartorius flap (81.6% success rate, 8.0% minor complication rate, and 18.4% major complication rate). NPWT was less costly ($12,366 versus $23,516) and slightly more effective (12.06 QALY versus 12.05 QALY) compared with sartorius flap. Sensitivity analyses confirmed the robustness of the base case findings; NPWT was either cost-effective at $50,000/QALY or dominated sartorius flap in 81.6% of all probabilistic sensitivity analyses. In our cost-utility analysis, use of adjunctive NPWT, along with debridement and antibiotic treatment, for managing infected vascular groin graft wounds was found to be a more cost-effective option when compared with sartorius flaps.

  18. Characteristics of acute groin injuries in the adductor muscles: A detailed MRI study in athletes.

    Science.gov (United States)

    Serner, A; Weir, A; Tol, J L; Thorborg, K; Roemer, F; Guermazi, A; Yamashiro, E; Hölmich, P

    2017-06-26

    Acute adductor injuries account for the majority of acute groin injuries; however, little is known about specific injury characteristics, which could be important for the understanding of etiology and management of these injuries. The study aim was to describe acute adductor injuries in athletes using magnetic resonance imaging (MRI). Male athletes with acute groin pain and an MRI confirmed acute adductor muscle injury were prospectively included. MRI was performed within 7 days of injury using a standardized protocol and a reliable assessment approach. 156 athletes presented with acute groin pain of which 71 athletes were included, median age 27 years (range 18-37). There were 46 isolated muscle injuries and 25 athletes with multiple adductor injuries. In total, 111 acute adductor muscle injuries were recorded; 62 adductor longus, 18 adductor brevis, 17 pectineus, 9 obturator externus, 4 gracilis, and 1 adductor magnus injury. Adductor longus injuries occurred at three main injury locations; proximal insertion (26%), intramuscular musculo-tendinous junction (MTJ) of the proximal tendon (26%) and the MTJ of the distal tendon (37%). Intramuscular tendon injury was seen in one case. At the proximal insertion, 12 of 16 injuries were complete avulsions. This study shows that acute adductor injuries generally occur in isolation from other muscle groups. Adductor longus is the most frequently injured muscle in isolation and in combination with other adductor muscle injuries. Three characteristic adductor longus injury locations were observed on MRI, with avulsion injuries accounting for three-quarters of injuries at the proximal insertion, and intramuscular tendon injury was uncommon. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  19. [Cat Scratch Disease as a differential diagnosis in a patient with swelling in the groin].

    Science.gov (United States)

    Makki, Ahmad; Murra, May; Sommer, Thorbjørn

    2014-08-11

    at Scratch Disease is caused by the bacteria Bartonella henselae and presents in patients exposed to a scratch/bite from cats. We present a case with a 12-year-old boy with an enlarged inguinal lymph node, initially suspected to be a femoral hernia by ultrasonography. Histologic examination of an inguinal lymph node showed necrosis and B. henselae infection. It is important with a thorough anamnesis including any history of animal bites/scratch and it should be kept in mind as a differential diagnosis in patients with swelling in the groin, despite the rare diagnosis of this disease.

  20. Deep SSI after mesh-mediated groin hernia repair: management and outcome in an Emergency Surgery Department.

    Science.gov (United States)

    Salamone, G; Licari, L; Augello, G; Campanella, S; Falco, N; Tutino, R; Cocorullo, G; Gullo, R; Raspanti, C; De Marco, P; Porrello, C; Profita, G; Gulotta, G

    2017-01-01

    Mesh-mediated groin hernia repair is considered the goldstandard procedure. It has low recurrence rate. Rarely a deep Surgical Site Infection (SSI) is seen when a synthetic prosthesis is used. We describe a rare case of bilateral deep SSI after mesh-mediated groin hernia repair. Diagnosis was performed through the physical examination and radiological exams. Microbiological samples identified a methicillin-resistant Staphylococcus aureus responsible of the infection. Target therapy was performed and re-operation performed in order to remove the infected prosthesis and to apply a biological one to create the fibrous scaffold. During follow-up time, right side recurrence was observed. Tru-cut biopsy of fascia was obtained in order to identify the responsible of the recurrence. Combination of antibiotic therapy and surgical reoperation seems to be the correct way to approach the deep SSI after mesh-mediated groin hernia repair. The use of biological mesh after synthetic removal seems to improve the final outcome.

  1. The role of ultrasound-guided cytology of groin lymph nodes in the management of squamous cell carcinoma of the vulva: 5-year experience in 44 patients

    Energy Technology Data Exchange (ETDEWEB)

    Hall, T.B.; Barton, D.P.J.; Trott, P.A.; Nasiri, N.; Shepherd, J.H.; Thomas, J.M.; Moskovic, E.C. E-mail: eleanor.moskovic@rmh.nthames.nhs.uk

    2003-05-01

    AIM: To assess the accuracy of ultrasound combined with fine-needle aspiration cytology (FNAC) in the detection of lymph node metastasis in patients with squamous cell carcinoma of the vulva. MATERIALS AND METHODS: The groin nodes of 44 consecutive patients with primary squamous cell carcinoma of the vulva undergoing groin node dissection were assessed with ultrasound and FNAC. The results were compared with histology from subsequent inguinofemoral lymph node dissection. Twenty-nine patients underwent bilateral groin node dissections and 15 unilateral providing comparable data for 73 groins. RESULTS: Histology demonstrated metastatic disease in 28 groins and no evidence of metastatic disease in 45. Ultrasound agreed with the histology in 67 of the 73 groins (92%), with two false-positives, four false-negatives and two indeterminate appearances. Cytology agreed with the histology in 65 of 72 FNAC samples obtained (90%), with six false-negatives, and one indeterminate result. No false-positive cytology results were seen. Ultrasound and FNAC together failed to detect metastatic disease in four groins, one with an indeterminate ultrasound appearance, another with indeterminate cytology, the two others each having a single positive inguinal node despite a negative ultrasound and FNAC. CONCLUSION: The combination of ultrasound and FNAC provides a sensitive and specific tool for pre-operative assessment and may prevent unnecessary groin dissection and the attendant morbidity in selected patients with vulval cancer.

  2. Effect of a high-dose target-controlled naloxone infusion on pain and hyperalgesia in patients following groin hernia repair

    DEFF Research Database (Denmark)

    Pereira, Manuel Pedro; Utke Werner, Mads; Berg Dahl, Joergen

    2015-01-01

    -dose target-controlled naloxone infusion can reinstate pain and hyperalgesia following recovery from open groin hernia repair and thus consistently demonstrate opioid-mediated latent sensitization in humans. METHODS/DESIGN: Patients submitted to unilateral, primary, open groin hernia repair will be included...

  3. A Rare Case of a Symptomatic Tumor Found in the Groin Area: An Atypical Location Unexposed to the Known Causes

    Directory of Open Access Journals (Sweden)

    Ellen Toyonaga

    2015-11-01

    Full Text Available Nevoid basal cell carcinoma syndrome (NBCCS, also known as Gorlin syndrome, is a rare hereditary condition characterized by a wide range of developmental abnormalities and a predisposition to neoplasms. The syndrome consists of early-onset and/or multiple BCC. Herein we report a rare NBCCS case in which the first BCC onset occurred in the groin area. To the best of our knowledge, there have been no reports of first-onset BCC in the groin area in an NBCCS patient of any race.

  4. Does bony hip morphology affect the outcome of treatment for patients with adductor-related groin pain?

    DEFF Research Database (Denmark)

    Hölmich, Per; Thorborg, Kristian; Nyvold, Per

    2014-01-01

    BACKGROUND: Adductor-related groin pain and bony morphology such as femoroacetabular impingement (FAI) or hip dysplasia can coexist clinically. A previous randomised controlled trial in which athletes with adductor-related groin pain underwent either passive treatment (PT) or active treatment (AT...... was assessed by a standardised clinical outcome combining patient-reported activity, symptoms and physical examination. Anterioposterior pelvic radiographs were obtained and the centre-edge angle of Wiberg, α angle, presence of a crossover sign and Tönnis grade of osteoarthritis were assessed by a blinded...

  5. The gymnasts' hip and groin: a magnetic resonance imaging study in asymptomatic elite athletes

    Energy Technology Data Exchange (ETDEWEB)

    Papavasiliou, A.; Sykaras, E. [Aristotle Univ., Thessaloniki (Greece). Sport Injuries Lab.; Siatras, T. [Aristotle Univ., Thessaloniki (Greece). Lab. of Excercise Physiology-Ergometry; Bintoudi, A. [Papageorgiu NHS General Hospital, Thessaloniki (Greece); Milosis, D. [Aristotle Univ., Thessaloniki (Greece). Dept. of Physical Education and Sport Sciences; Lallas, V. [Euromedica Diagnostic Centre, Thessaloniki (Greece); Karantanas, A. [University Hospital Heraklion (Greece). Dept. of Medical Imaging

    2014-08-15

    Specific patterns of developmental adaptation of the proximal femur have been recognized in some sports. Gymnastics are characterized by repetitive axial loading and hip rotations in combination with extreme hip positions. It is unknown how and if these forces can affect an immature skeleton in the long term. We sought to evaluate this, by means of magnetic resonance imaging of the hip and groin of such elite asymptomatic athletes. We performed a case-control comparative MR imaging study of both hips and groin of 12 (7 male, 5 female) skeletally mature young (mean age 18.6 years) asymptomatic international level gymnasts with a minimum of 10 years' training with age-matched non-athletes. At the time of recruitment, none of the athletes had a recorded musculoskeletal complaint or injury in the anatomical area around the hip. The study showed that elite gymnasts share four common morphological characteristics on MRI that deviate from normal and are considered to be the result of adaptational changes to the specific sport: high centre-column-diaphysis angle (coxa valga140 on average), ligamentum teres hypertrophy, friction of the iliotibial band with oedema surrounding the greater trochanter, and a high incidence (62.5 %) of radiological appearances of ischiofemoral impingement. Our study showed that elite gymnasts share four common morphological characteristics on MRI that deviate from normal. These findings were in asymptomatic subjects; hence, radiologists and sports physicians should be aware of them in order to avoid unnecessary treatment. (orig.)

  6. A Literature Review on the Role of Totally Extraperitoneal Repairs for Groin Pain in Athletes

    Science.gov (United States)

    Siddiqui, Muhammad R. S.; Kovzel, Makysym; Brennan, Stephen; Priest, Oliver H.; Preston, Shaun R.; Soon, Yuen

    2012-01-01

    A literature review was made on the role of totally extraperitoneal (TEP) hernia repairs for groin pain in athletes. Electronic databases were searched for literature published from January 1993 to November 2011. There were 10 articles incorporating 196 patients included in this review. Thirty percent of patients were reported to have direct inguinal hernias, 22% had indirect inguinal hernias, and 41% had dilated internal rings. Of note, 30% of cases had no macroscopic abnormality. Four studies reported on an early follow-up ranging between 3 and 6 weeks. Only minimal or mild symptoms were reported. Up to 33% of patients had impaired ability to perform at peak levels. Up to 53% of patients had persistence of symptoms at the early follow-up. Total follow-up time ranged from 3 to 80 months, and most patients were active (90%–100%). At long-term follow-up, 3% to 10% were unable to play, and 5% were reported as being unable to train. Two studies from the same center reported on TEP surgery for osteitis pubis, and most patients returned to sporting activity after 4 to 8 weeks. TEP repair is a good operative intervention in athletes with chronic groin pain not relieved by conservative measures. Athletes recover quickly and return to sport early. PMID:23294074

  7. Free groin flap for recurrent severe contractures of the neck in children

    Directory of Open Access Journals (Sweden)

    Ghosh Abhishek

    2010-10-01

    Full Text Available Context: Severe post burns contracture in children not only leads to functional impairment but also has profound psychological impact on the child. Untreated neck contractures have been shown to inhibit mandibular growth. Skin grafting in children has a higher rate of recurrence and in these cases a thin pliable flap seems to provide a durable solution. Aim : To study the feasibility of using primarily thinned free groin flap in the treatment of recurrent neck contractures in children. Materials and Methods: Five patients, in the age group of 5-10 years, with recurrent neck contractures and operated between 2005 and 2008 were included in this study. The sternomental distance, lateral flexion angle and cervicomental angle were measured preoperatively, postoperatively and during the subsequent follow-up visits. The patients were followed up for a period between 1 and 3 years with a mean of 29 months. Results: All the flaps survived. The cervicomental angle improved significantly to 90-105°, the lateral flexion angle improved to 35-45° and the sternomental distance increased considerably. Conclusions: Recurrent post burns contracture of the neck in children causes not only functional and aesthetic impairment but also psychological problems. A free micro-thinned groin flap provides a very attractive solution for this problem and should be seen as an effective alternative in recurrent cases.

  8. Acute appendicitis presenting with abdominal wall and right groin abscess: A case report

    Institute of Scientific and Technical Information of China (English)

    Mustafa Yildiz; Ahmet Sevki Karakayali; Saadet Ozer; Hilal Ozer; Aydin Demir; Bugra Kaptanoglu

    2007-01-01

    We report a case of right lower abdominal wall and groin abscess resulting from acute appendicitis. The patient was an 27-year-old man who had no apparent abdominal signs and was brought to the hospital due to progressive painful swelling of right lower abdomen and the groin for 10 d. Significant inflammatory changes of soft tissue involving the right lower trunk were noted without any apparent signs of peritonitis. Laboratory results revealed leukocytosis. Abdominal ultrasonography described the presence of abscess at right inguinal site also communicating with the intraabdominal region. Right inguinal exploration and laparotomy were performed and about 250 mL of pus was drained from the subcutaneous tissue and preperitoneal space. No collection of pus was found intraabdominally and subserous acute appendicitis was the cause of the abscess. The patient fully recovered at the end of the second post-operation week. This case reminds us that acute appendicitis may have an atypical clinical presentation and should be treated carefully on an emergency basis to avoid serious complications.

  9. [The value of diagnostic ultrasound for detecting occult inguinal hernia in patients with groin pain].

    Science.gov (United States)

    Lorenzini, Cesare; Sofia, Lorenzo; Pergolizzi, Francesca Pia; Trovato, Massimo

    2008-01-01

    The value of diagnostic ultrasound for detecting occult inguinal hernia in The aim of this study was to demonstrate the accuracy of ultrasound in diagnosing occult hernia in patients with recurrent inguinal pain and a negative clinical examination. Over a period of three years, a total of 51 patients were referred for ultrasound examination with clinically suspected occult inguinal hernia. Patients with positive US scans were offered surgery, while those with negative US findings were offered further imaging or other diagnostic tests. The ultrasound examination of the inguinal region was conducted using a 5-10 MHz linear probe. The scan was performed with the patient in the supine and erect positions, in a relaxed state, as well as during coughing and during a Valsalva manoeuvre. Overall, ultrasound diagnosed 20 inguinal hernias and all 20 patients with positive scans underwent surgery. Surgery confirmed the ultrasound diagnosis in 19 patients, only 1/20 having no hernia at operation (100% ultrasound sensitivity and 96.9% specificity). Patients undergoing surgery showed complete symptom resolution at a three-month follow-up. This study confirms that ultrasound is capable of accurately diagnosing groin hernia and this may justify its use in patients with chronic groin pain due to a suspected occult hernia.

  10. Algorithmic approach to lower abdominal, perineal, and groin reconstruction using anterolateral thigh flaps.

    Science.gov (United States)

    Zelken, Jonathan A; AlDeek, Nidal F; Hsu, Chung-Chen; Chang, Nai-Jen; Lin, Chih-Hung; Lin, Cheng-Hung

    2016-02-01

    Lower abdominal, perineal, and groin (LAPG) reconstruction may be performed in a single stage. Anterolateral thigh (ALT) flaps are preferred here and taken as fasciocutaneous (ALT-FC), myocutaneous (ALT-MC), or vastus lateralis myocutaneous (VL-MC) flaps. We aim to present the results of reconstruction from a series of patients and guide flap selection with an algorithmic approach to LAPG reconstruction that optimizes outcomes and minimizes morbidity. Lower abdomen, groin, perineum, vulva, vagina, scrotum, and bladder wounds reconstructed in 22 patients using ALT flaps between 2000 and 2013 were retrospectively studied. Five ALT-FC, eight ALT-MC, and nine VL-MC flaps were performed. All flaps survived. Venous congestion occurred in three VL-MC flaps from mechanical cause. Wound infection occurred in six cases. Urinary leak occurred in three cases of bladder reconstruction. One patient died from congestive heart failure. The ALT flap is time tested and dependably addresses most LAPG defects; flap variations are suited for niche defects. We propose a novel algorithm to guide reconstructive decision-making.

  11. Agminated cellular blue naevi of the penis: dermoscopic, confocal and histopathological correlation of two cases.

    Science.gov (United States)

    Collgros, H; Vicente, A; Díaz, A M; Rodríguez-Carunchio, L; Malvehy, J; Puig, S

    2016-07-01

    Blue naevi may present rarely as multiple lesions grouped in a circumscribed area, described as agminated blue naevi. This clinical presentation may mimic metastatic malignant melanoma. We present two cases of agminated cellular blue naevi of the penis, with dermoscopy, reflectance confocal microscopy and histopathological correlation. Dermoscopy of the area showed multiple grouped lesions of homogeneous dark-brown to blue colour. Using reflectance confocal microscopy, focusing on the bluish areas, predominantly bright dendritic cells were visible at the dermoepidermal junction and papillary dermis, while in the brownish areas the presence of dendritic and bright cells predominated in the basal layer. Our patients are of special interest as they are the first cases, to our knowledge, reported of agminated blue naevi on the penis, studied by both dermoscopy and confocal microscopy, confirming the diagnosis with histopathological correlation. Moreover, one case represented a divided or 'kissing' blue naevus of the penis.

  12. Size Matters: Penis Size and Sexual Position in Gay Porn Profiles.

    Science.gov (United States)

    Brennan, Joseph

    2017-08-18

    This article combines qualitative and quantitative textual approaches to the representation of penis size and sexual position of performers in 10 of the most visited gay pornography Web sites currently in operation. Specifically, in excess of 6,900 performer profiles sourced from 10 commercial Web sites are analyzed. Textual analysis of the profile descriptions is combined with a quantitative representation of disclosed penis size and sexual position, which is presented visually by two figures. The figures confirm that these sites generally market themselves as featuring penises that are extraordinarily large and find a sample-wide correlation between smaller penis sizes (5-6.5 inches) and receptive sexual acts (bottoming), and larger (8.5-13 inches) with penetrative acts (topping). These observations are supported through the qualitative textual readings of how the performers are described on these popular sites, revealing the narratives and marketing strategies that shape the construction of popular porn brands, performers, and profitable fantasies.

  13. Gangrene of the penis, scrotum, and perineum, occurred after radiotherapy of rectal cancer.

    Science.gov (United States)

    Zyczkowski, Marcin; Bogacki, Rafał; Bryniarski, Piotr; Nowakowski, Krzysztof; Muskała, Bartosz; Paradysz, Andrzej

    2013-01-01

    We present a case of a 58-year-old man hospitalized because of gangrene of the penis and scrotum, after radiochemotherapy for rectal cancer. At the time of the admission the patient presented with extensive gangrene with necrosis affecting the scrotum and the penis. During the first day of hospitalization the patient was operated. Due to the progress of the disease he had to be operated again. The status of the patient, which initially was very bad, was gradually improving. He was discharged from the hospital after 59 days in a good general state with good wound healing.

  14. Granulomas do pênis: uma complicação rara da terapia intravesical com Bacilo Calmette-Guérin Granulomas of the penis: a rare complication of intravesical therapy with Bacillus Calmette-Guerin

    Directory of Open Access Journals (Sweden)

    Sara Isabel Alcântara Lestre

    2011-08-01

    Full Text Available A imunoterapia com o Bacilo Calmette-Guérin é amplamente usada no tratamento e profilaxia da neoplasia urotelial superficial. As complicações associadas ao tratamento são comuns. Os autores relatam um caso de inflamação granulomatosa do pênis, associada à terapia intravesical com Bacilo Calmette-Guérin, com múltiplos nódulos eritematosos indolores localizados na glande. É também efetuada uma revisão da literatura. A balanopostite granulomatosa é uma complicação rara associada à imunoterapia com Bacilo Calmette-Guérin, com uma apresentação clinicamente heterogênea que pode dificultar o diagnóstico. O seu reconhecimento clínico é essencial para o início precoce de tuberculostáticos e interrupção de Bacilo Calmette-GuérinImmunotherapy with Bacillus Calmette-Guérin is widely used for treatment and prophylaxis of superficial urothelial cancer. Complications associated with Bacillus Calmette-Guérin treatment are common. The authors describe a case of granulomatous inflammation of the penis associated with intravesical Bacillus Calmette-Guérin therapy, presenting with multiple erythematous and painless nodules located on the glans. A review of the literature is also performed. Granulomatous balanoposthitis is a rare complication of Bacillus Calmette-Guérin immunotherapy, with heterogeneous clinical presentation, which can make the diagnosis difficult. Its clinical recognition is essential for early start of therapy with antitubercular agents and interruption of Bacillus Calmette-Guérin

  15. Audit of ultrasound and decision to operate in groin pain of unknown aetiology with ultrasound technique explained

    Energy Technology Data Exchange (ETDEWEB)

    Depasquale, R. [Countess of Chester Hospital NHS Foundation Trust, Countess of Chester Health Park, Chester, Cheshire (United Kingdom)], E-mail: ruben.depasquale@gmail.com; Landes, C.; Doyle, G. [Countess of Chester Hospital NHS Foundation Trust, Countess of Chester Health Park, Chester, Cheshire (United Kingdom)

    2009-06-15

    Aim: To determine the ability of a groin ultrasound service to identify inguinal/femoral hernias in patients with groin pain and equivocal clinical signs, and to evaluate the number of positive cases undergoing surgery. Methods and materials: A retrospective review of 243 examinations performed during the period January 2000 to June 2004 was undertaken. The referral information, as well as details of the examination and subsequent follow-up, were obtained through our hospital/radiological information system. Results: Of 243 patients, 92 (38%) were referrals from general practitioners and 151 (62%) were hospital referrals. The examinations were performed by radiology consultants or specialist registrars, the former accounting for 228 examinations (94%). The age range of the patients was 3 months to 88 years (mean age = 48.7), with a male to female ratio of 3.2:1. One hundred and forty-three examinations were negative for hernias. Two of these patients underwent groin explorations and were found to be normal. The rest were discharged and none returned with related complaints. Ninety-four examinations (39%) were positive for hernias, as a result of which 62 patients underwent surgery. Of these, only four were found to be false-positives giving a positive predictive value of 94% in operated patients. Three scans were equivocal, and three were positive for other conditions. Conclusion: In patients with equivocal clinical signs, groin ultrasound is a useful tool for identifying hernias, and therefore, aids surgical management.

  16. An unusual case of persistent groin pain after total hip arthroplasty: a case report

    Directory of Open Access Journals (Sweden)

    Friederich Niklaus F

    2011-02-01

    Full Text Available Abstract Introduction Arthroplasty is a well-established routine elective surgical procedure in orthopaedics. To a great extent, diagnosis, treatment and post-operative rehabilitation in these patients is standardised. In a busy clinic, surgeons from time to time tend to focus their attention on common causes of joint pain, but it may lead them to overlook sinister but less common pathologies. Here we report a case of a patient with groin pain due to pre-operatively undetected pelvic metastases from a pyeloureteral carcinoma who underwent total hip arthroplasty. There are several case reports which deal with primary or secondary tumours which were either discovered at the time of replacement surgery or developed at the site of prosthesis years after total hip or knee replacement. To the best of our knowledge, this is the first case report in which a metastatic cancer was missed pre-operatively and intra-operatively both by the radiologist and by the orthopaedic surgeon and should be reported so that surgeons are reminded to be careful when dealing with seemingly routine cases. Case presentation A 79-year-old Caucasian woman presented to the arthroplasty clinic with groin pain. Initial radiographs showed subtle bilateral abnormalities in the pelvis. Neither the radiologist nor the orthopaedic surgeon recognized it. A diagnosis of osteoarthritis of the hip was established, and she underwent total hip arthroplasty. Despite initial improvement, the patient came back with worsening hip pain three months later. Further radiological examination revealed multiple metastatic lesions throughout the pelvis due to a pyeloureteral carcinoma. Conclusions This case report emphasizes the importance of meticulous, unbiased pre-operative assessment of patients and their radiographs, even in so-called routine clinical cases. Often subtle radiological changes are classed as normal, especially if they are bilateral. Further radiological imaging should be recommended

  17. Efficacy of three topical hemostatic agents applied by medics in a lethal groin injury model.

    Science.gov (United States)

    Sohn, Vance Y; Eckert, Matthew J; Martin, Matthew J; Arthurs, Zachary M; Perry, Jason R; Beekley, Alec; Rubel, Eric J; Adams, Richard P; Bickett, Gerald L; Rush, Robert M

    2009-06-15

    Advanced topical hemostatic agents are increasingly utilized to control traumatic hemorrhage. We sought to determine the efficacy of three chitosan based hemostatic agents in a lethal groin injury model when applied by combat medic first responders. After creation of a standardized femoral artery injury in a goat model, medics attempted hemorrhage control with standard gauze dressing followed by randomization to one of three hemostatic agents in this two tiered study. In the first tier, medics were randomized to either a chitosan based one-sided wafer (OS) or a dual-sided, flexible, roll (DS). In the second tier, medics were randomized to the flexible DS dressing or a chitosan powder (CP). Efficacy of gauze, each chitosan agent, proper application, and participant surveys were obtained and included for analysis using univariate techniques. From January 2007 to June 2007, 55 (45%) DS, 36 (29%) OS, and 32 (26%) CP agents were used to treat 123 actively bleeding arterial injuries in 62 animals. Standard gauze failed to stop hemorrhage in 122 (99%) groins. Although all three chitosan agents were marginally effective at 2 min, the recommended time for application, hemostasis improved after 4 min. The DS dressing was the most effective, controlling hemorrhage 76% at 4 min. Of the failures, 3 (23%) DS and 9 (53%) OS were due to improper application. End-user survey results demonstrated that medics preferred the DS dressing 77% and 60% over the OS and CP, respectively. Chitosan based bandages are significantly more effective at hemorrhage control compared to standard gauze field dressings. The dual-sided chitosan dressing demonstrated better hemorrhage control than the one-sided dressing and the chitosan powder, and was less likely to fail despite application errors.

  18. Immunosuppression with a combination of triptolide and cyclosporin A in rat vascularized groin flap allotransplantation.

    Science.gov (United States)

    Liu, Fei; Luo, Xusong; Lan, Shenghui; Zhang, Xianrong; Wang, Shoubao; Yang, Jun; Levin, L Scott

    2013-03-01

    Triptolide is an immunosuppressive fraction purified from a Chinese medicinal plant. In an effort to develop a new immunosuppressive strategy for vascularized composite allotransplantation, the authors investigated the effects of combined treatment with cyclosporin A and triptolide on the survival of rat groin flap allotransplants. Groin flap transplantation was performed from Brown Norway rats to Fischer 344 recipients, which were then treated with triptolide, cyclosporin A, or both. Flap biopsy specimens were harvested, stained, and submitted to histopathologic evaluation. Levels of CCR5, CCR7, CCL19, CCL21, and Foxp3 in spleen were examined by real-time polymerase chain reaction, and the percentage of CD4+CD25+ regulatory T cells was detected by flow cytometry. The mean survival time for allografts in recipients receiving triptolide and cyclosporin A was 57 ± 7.7 days compared with 20.5 ± 2.3 days for cyclosporin A alone, 23.3 ± 3.6 days for triptolide alone, and 7.8 ± 0.8 days for no treatment. Histologic examination also showed that inflammatory cell infiltration was reduced in grafts with combination treatment. Down-regulation of CCR5, CCR7, and CCL19 in the combination treatment was accompanied by increased expression of Foxp3. Flow cytometric analysis also revealed that the percentage of CD4+CD25+ regulatory T cells in the combination treatment was higher than in the monotherapy groups. Combination therapy with triptolide and cyclosporin A substantially prolonged allograft survival, which means calcineurin inhibitor-related drug-toxicity may be alleviated and treatment cost reduced. This immunosuppressive effect is mediated by inhibition of dendritic cells maturation and the expansion of regulatory T cells.

  19. Severe Ventral Erosion of Penis Caused by Indwelling Urethral Catheter and Inflation of Foley Balloon in Urethra—Need to Create List of “Never Events in Spinal Cord Injury” in order to Prevent These Complications from Happening in Paraplegic and Tetraplegic Patients

    Directory of Open Access Journals (Sweden)

    Subramanian Vaidyanathan

    2010-01-01

    Full Text Available Never Events are serious, largely preventable patient safety incidents that should not occur if the available preventative measures have been implemented. We propose that a list of “Never Events” is created for spinal cord injury patients in order to improve the quality of care. To begin with, following two preventable complications related to management of neuropathic bladder may be included in this list of “Never Events.” (i Severe ventral erosion of glans penis and penile shaft caused by indwelling urethral catheter; (ii incorrect placement of a Foley catheter leading to inflation of Foley balloon in urethra. If a Never Event occurs, health professionals should report the incident through hospital risk management system to National Patient Safety Agency's Reporting and Learning System, communicate with the patient, family, and their carer as soon as possible about the incident, undertake a comprehensive root cause analysis of what went wrong, how, and why, and implement the changes that have been identified and agreed following the root cause analysis.

  20. Case Report - Erectile dysfunction due to a 'hidden' penis after pelvic trauma

    NARCIS (Netherlands)

    Simonis, LAJ; Borovets, S; van Driel, MF; Ten Duis, HJ; Mensink, HJA

    We describe a twenty-six year old patient who presented us with a dorsally retracted 'hidden' penis, which was entrapped in scar tissue and prevesical fat, 20 y after a pelvic fracture with symphysiolysis. Penile 'lengthening' was performed by V-Y plasty, removal of fatty tissue, dissection of the

  1. Role of dynamic sentinel node biopsy in carcinoma penis with or without palpable nodes

    Directory of Open Access Journals (Sweden)

    N Kathiresan

    2016-01-01

    Conclusion: DSLNB is a useful and reliable technique to identify the involved node(s in patients diagnosed as having carcinoma penis with clinical N0 status (with or without palpable nodes. It helps to avoid the morbidity associated with a staging inguinal dissection in these patients.

  2. Case Report - Erectile dysfunction due to a 'hidden' penis after pelvic trauma

    NARCIS (Netherlands)

    Simonis, LAJ; Borovets, S; van Driel, MF; Ten Duis, HJ; Mensink, HJA

    1999-01-01

    We describe a twenty-six year old patient who presented us with a dorsally retracted 'hidden' penis, which was entrapped in scar tissue and prevesical fat, 20 y after a pelvic fracture with symphysiolysis. Penile 'lengthening' was performed by V-Y plasty, removal of fatty tissue, dissection of the e

  3. Diagnosis and treatment of inconspicuous penis%隐匿阴茎的诊治(附36例报告)

    Institute of Scientific and Technical Information of China (English)

    杨庞; 杨罗艳

    2003-01-01

    目的探讨隐匿阴茎的临床分类和手术方法,提高对隐匿阴茎的诊疗水平.方法对收治的36例隐匿阴茎,按Bergeson(1993)的隐匿阴茎分类标准进行分类,埋藏阴茎27例,蹼状阴茎5例,束缚阴茎4例,均行手术治疗,并术后随访.结果术后所有病例阴茎显露良好,随访月~1年,所有阴茎外观满意,阴茎皮肤与阴茎体附着正常.结论对隐匿阴茎进行正确的临床分类,选择合适的手术方法,才能取得满意的效果.%Objective:To evaluated the definition and the classification of inconspicuous penis and to choose a proper surgical management to improve the effects of various kind of surgical management.Methods:Thirty-six cases of inconspicuous penis were treated,including 27 cases of buried penis,5 cases of webbed penis and 4 cases of trapped penis.Results:All patients have been followed up for 3 ~ 12 months .They had an effective exposure of penis postoperatively.The appearances of the penis were satisfactorily improved.Conclusions:The surgical treatment is necesssary for inconspicuous penis.Giving the classification to the incorspicuous penis will be able to select optimal surgical method.

  4. The biomechanics of erections: two- versus one-compartment pressurized vessel modeling of the penis.

    Science.gov (United States)

    Mohamed, Ahmed M; Erdman, Arthur G; Timm, Gerald W

    2010-12-01

    Previous biomechanical models of the penis simulated penile erections utilizing 2D geometry, simplified 3D geometry or made inaccurate assumptions altogether. These models designed the shaft of the penis as a one-compartment pressurized vessel fixed at one end when in reality it is a two-compartment pressurized vessel in which the compartments diverge as they enter the body and are fixed at two separate anatomic sites. This study utilizes the more anatomically correct two-compartment penile model to investigate erectile function. Simplified 2D and 3D models of the erect penis were developed using the finite element method with varying anatomical considerations for analyzing structural stresses, axial buckling, and lateral deformation. This study then validated the results by building and testing corresponding physical models. Finally, a more complex and anatomically accurate model of the penis was designed and analyzed. When subject to a lateral force of 0.5 N, the peak equivalent von Mises (EVM) stress in the two-compartment model increased by about 31.62%, while in the one-compartment model, the peak EVM stress increased by as high as 70.11%. The peak EVM stress was 149 kPa in the more complex and anatomically accurate penile model. When the perforated septum was removed, the peak EVM stress increased to 455 kPa. This study verified that there is significant difference between modeling the penis as a two- versus a one-compartment pressurized vessel. When subjected to external forces, a significant advantage was exhibited by two corporal based cavernosal bodies separated by a perforated septum as opposed to one corporal body. This is due to better structural integrity of the tunica albuginea when subjected to external forces.

  5. A systematic review of the literature on the effectiveness of exercise therapy for groin pain in athletes

    Directory of Open Access Journals (Sweden)

    Machotka Zuzana

    2009-03-01

    Full Text Available Abstract Background Athletes competing in sports that require running, changes in direction, repetitive kicking and physical contact are at a relatively higher risk of experiencing episodes of athletic groin pain. To date, there has been no systematic review that aims to inform clinicians about the best available evidence on features of exercise interventions for groin pain in athletes. The primary aim of this systematic review was to evaluate the available evidence on the effectiveness of exercise therapy for groin pain in athletes. The secondary aim of this review was to identify the key features of exercise interventions used in the management of groin pain in an athletic population. Methods MEDLINE, CINAHL, PubMed, SPORTSDiscus, Embase, AMED, Ovid, PEDro, Cochrane Controlled Trials Register and Google Scholar databases were electronically searched. Data relating to research design, sample population, type of sport and exercise intervention was extracted. The methodological evaluation of included studies was conducted by using a modified quantitative critical appraisal tool. Results The search strategy identified 468 studies, 12 of which were potentially relevant. Ultimately five studies were included in this review. Overall the quality of primary research literature was moderate, with only one randomised controlled trial identified. All included studies provided evidence that an exercise intervention may lead to favourable outcomes in terms of return to sport. Four of the five studies reviewed included a strengthening component and most utilised functional, standing positions similar to those required by their sport. No study appropriately reported the intensity of their exercise interventions. Duration of intervention ranged from 3.8 weeks to 16 weeks. All five studies reported the use of one or more co-intervention. Conclusion Best available evidence to date, with its limitations, continues to support common clinical practice of exercise

  6. Fibrin sealant for mesh fixation in laparoscopic groin hernia repair does not increase long-term recurrence

    DEFF Research Database (Denmark)

    Fenger, Andreas Qwist; Helvind, Neel Maria; Pommergaard, Hans-Christian;

    2016-01-01

    ) laparoscopic groin hernia repair using either fibrin sealant or tacks for mesh fixation. METHODS: This study used data from the Danish Hernia Database to create the following cohort: All patients operated laparoscopically for primary groin hernia with a TAPP procedure using fibrin sealant for mesh fixation....... These patients were matched 1:2 with patients, where the mesh was fixated using tacks. A validated questionnaire was sent to all included patients to determine recurrence, which was defined as reoperation or clinical diagnosis of recurrence by a physician. Follow-up was from index operation to either reoperation...... were found, of which 30 (5.8%) were in the fibrin sealant group and 84 (8.3%) in the tacks group (p = 0.084). The Cox regression analysis found no difference in recurrence with the use of tacks compared to fibrin sealant (hazard ratio 0.8) [95% CI (0.5-1.2)]. CONCLUSION: We found no significant...

  7. Pre-season adductor squeeze test and HAGOS function sport and recreation subscale scores predict groin injury in Gaelic football players.

    Science.gov (United States)

    Delahunt, Eamonn; Fitzpatrick, Helen; Blake, Catherine

    2017-01-01

    To determine if pre-season adductor squeeze test and HAGOS function, sport and recreation subscale scores can identify Gaelic football players at risk of developing groin injury. Prospective study. Senior inter-county Gaelic football team. Fifty-five male elite Gaelic football players (age = 24.0 ± 2.8 years, body mass = 84.48 ± 7.67 kg, height = 1.85 ± 0.06 m, BMI = 24.70 ± 1.77 kg/m(2)) from a single senior inter-county Gaelic football team. Occurrence of groin injury during the season. Ten time-loss groin injuries were registered representing 13% of all injuries. The odds ratio for sustaining a groin injury if pre-season adductor squeeze test score was below 225 mmHg, was 7.78. The odds ratio for sustaining a groin injury if pre-season HAGOS function, sport and recreation subscale score was football players at risk of developing groin injury. Copyright © 2016 Elsevier Ltd. All rights reserved.

  8. [Status of penis and testicular development and effects of overweight/obesity on them in boys in the Zhengzhou area].

    Science.gov (United States)

    Zhang, Yao-Dong; Tan, Li-Na; Luo, Shu-Ying; Chen, Yong-Xing; Wei, Hai-Yan

    2015-01-01

    To evaluate the current status of penis and testicular development in boys and the effects of overweight/obesity on their development in the Zhengzhou area of Henan Province. Height, weight, waist circumference, hip circumference, penis length and testicular volume were measured in 3 546 4 to 12-year-old boys. The penis length and testicular volume were compared between the overweight/obesity and normal weight groups. Before 9 years of age, the testicular volume was progressively smaller, and after 9 years old, it gradually increased. By the age of 11, it increased rapidly. The penis length increased gradually between 4 and 11 years of age, and after the age of 11 it increased rapidly. Phimosis was found in 144 cases (4.01%) and cryptorchidism was found in 18 cases (0.51%). A total of 639 (18.02%) boys were overweight or obese among 3 546 boys. At the ages of 6 and 7 years, the testicular volume in the overweight/obesity group was greater than in the normal control group (Poverweight/obesity group was significantly shorter than in the normal control group (Poverweight/obese boys. The penis length at the ages of 7 and 8 years was negatively correlated with weight, waist circumference and hip circumference. By the age of 12 years, the penis length was positively correlated with the height. The development of penis and testicles in boys in the Zhengzhou area is in line with the level of sex development of Chinese boys. Overweight/obesity adversely affects the development of penis and testicles.

  9. De Garengeot's hernia: an unusual right groin mass due to acute appendicitis in an incarcerated femoral hernia.

    Science.gov (United States)

    Salkade, Parag R; Chung, Alexander Y F; Law, Y M

    2012-10-01

    The presence of an acutely inflamed vermiform appendix in a femoral hernia sac is extremely rare; the condition is termed De Garengeot's hernia. Here we describe an elderly patient for whom preoperative computed tomography aided the diagnosis of this rare entity. This Chinese woman had presented with a painful right groin mass. The patient successfully underwent an emergency appendicectomy and primary femoral hernia repair. Once diagnosed, it is imperative to follow key surgical principles to limit the spread of infection.

  10. Anatomical basis of neuropathies and damage to the ilioinguinal nerve during repairs of groin hernias. (about 100 dissections).

    Science.gov (United States)

    Ndiaye, A; Diop, M; Ndoye, J M; Konaté, I; Ndiaye, A I; Mané, L; Nazarian, S; Dia, A

    2007-12-01

    Surgical access to the inguinal region, notably during hernia repairs, exposes the ilioinguinal nerve to the risk of damage at the origin of the neuralgia. The incidence of these post-operative neuropathies and their medicolegal consequences justify this study about the anatomical variations of the ilioinguinal nerve. With the aim of preventing its damage during repairs of groin hernias and identifying the factors of onset of chronic spontaneous neuropathy of the ilioinguinal nerve, we dissected 100 inguinal regions of 51 fresh adult corpses. The nerve was absent in seven cases and double in one case. Out of the 94 ilioinguinal nerves observed, we analyzed the path in relation to the inguinal ligament and the connections with the walls of the inguinal canal and its content. The ilioinguinal nerve travels along the superficial surface of the internal oblique muscle, passing on average 1.015 cm from the inguinal ligament. In one case, the fibers of the internal oblique muscle spanned it in several places. The nerve was antero-funicular in 78.72% of cases and perforated the fascia of the external oblique in 28.72% of cases. The terminal division took place in the inguinal canal in 86% of cases, with terminal branches that sometimes perforated the fascia of the external oblique. These results enabled us to better understand the etiopathogenic aspects of certain neuropathies of the groin and to propose techniques useful for the protection of the nerve during repairs of groin hernias.

  11. Donovanosis with auto-amputation of penis in a HIV-2 infected person

    Directory of Open Access Journals (Sweden)

    Chandra Gupta T

    2008-01-01

    Full Text Available Donovanosis is a slowly progressive, granulomatous ulcerative disease , caused by Klebsiella (Calymmatobacterium granulomatis. The disease is known to persist for years together, leading to complications. A male patient aged 30 years with underlying HIV-2 infection presented to the department of STD with painful ulceration over the genital region of 5 months duration, with absence of penis. Tissue smear from the ulcer and histopathological examination revealed large histiocytes with intracellular Donovan bodies (Pund cell. A final diagnosis of donovanosis with auto-amputation of penis with HIV-2 infection was made. The old conventional medicines, viz. streptomycin, doxycycline and amoxycillin, were effective. Though HIV-2 infections are milder than HIV-1 infections in all aspects, donovanosis in this HIV-2 infected case presented with complications. However, since the CD4 count was 748 cells/cmm, the severity is attributed to the long standing nature and negligence by the patient, and not to possible immunodeficiency.

  12. Successful penile reconstruction after multimodal therapy in patients with primitive neuroectodermal tumor originating from the penis.

    Science.gov (United States)

    Akino, Tomoshige; Shinohara, Nobuo; Hatanaka, Kanako; Kobayashi, Nozomi; Yamamoto, Yuhei; Nonomura, Katsuya

    2014-06-01

    We herein present an extremely rare case of primitive neuroectodermal tumor originating in the penis. A 16-year-old male adolescent presented with painful penile swelling. Pathological, immunohistochemical and cytogenetical examinations of the specimens obtained from total penectomy confirmed the diagnosis of primitive neuroectodermal tumor. After total penectomy, the patient received adjuvant chemotherapy with ifosfamide-based regimen for 48 weeks. As a series of therapies, the patient underwent penile reconstruction surgery after completing adjuvant chemotherapy. The patient has not shown any evidence of recurrence for the 7 years after penile reconstruction surgery, and voiding function is completely normal. A favorable outcome was observed by multimodal therapy including aggressive resection for local control, intensive adjuvant chemotherapy, and penile reconstruction with cosmetic and functional success. Similar therapeutic approaches might be selected for children with primary malignant tumors of the penis.

  13. Penile fracture: penoscrotal approach with degloving of penis after Magnetic Resonance Imaging (MRI).

    Science.gov (United States)

    Antonini, Gabriele; Vicini, Patrizio; Sansalone, Salvatore; Garaffa, Giulio; Vitarelli, Antonio; De Berardinis, Ettore; Von Heland, Magnus; Giovannone, Riccardo; Casciani, Emanuele; Gentile, Vincenzo

    2014-03-28

    Fracture of the penis, a relatively uncommon emergency in Urology, consists in the traumatic rupture of the tunica albuginea of the corpus cavernosum. Examination and clinical history can be highly suspicious of penile fracture in the majority of cases and ultrasonography (USS) can be useful to identify the exact location of the tunical rupture, which is proximal in 2/3 of cases and therefore manageable through a penoscrotal approach. Although expensive and not readily available in the acute setting, Magnetic Resonance Imaging (MRI) may play a role in the differential diagnosis with rupture of a circumflex or dorsal vein of the penis or when the tunical rupture is not associated with tear of the overlying Buck's fascia. This form of imaging is more sensitive than USS at identifying the presence of a tunical tear. The treatment of choice is immediate surgical repair, which allows preserving erectile function and minimizing corporeal fibrosis.

  14. The preperitoneal approach to the groin and the inferior epigastric vessels.

    Science.gov (United States)

    Read, R C

    2005-03-01

    Preperitoneal, a word coined by Nyhus in the 1960s, has been applied not only to posterior approaches that he, Stoppa, and Wantz popularized but to anterior exposures of the groin, which divide the transversalis fascia. This assumes that all give similar views of the easily cleaved space of Bogros. However, accumulated anatomical observations reveal the transversalis fascia as having not one but two layers. The inferior epigastric vessels run between rather than in the preperitoneal space, which is avascular and has its own fascia lining the peritoneum. Historical evidence shows that both the midline Cheatle-Henry and lateral Ugahary-Kugel approaches, which transect the abdominal wall, provide excellent exposure of the avascular preperitoneal space. However, neither the unilateral posterior McEvedy approach nor the anterior approach does, as only part of the musculature and fasciae are retracted. The inferior epigastric vasculature and posterior lamina transversalis fascia, which remain in situ, block the view. Unless they are disrupted or circumvented, neither of the latter approaches or subsequent repairs should be labeled preperitoneal.

  15. Wind Pressure Distribution and Wind-induced Dynamic Response for Spatial Groined Latticed Vaults

    Institute of Scientific and Technical Information of China (English)

    MA Jun; ZHOU Dai; BAO Yan

    2008-01-01

    The wind pressure distribution and wind-induced vibration responses of long-span spatial groined latticed vaults (SGLVs) were numerically simulated, which always are ones of the most important problems in the structural wind resistance design. Incompressible visco-fluid model was introduced, and the standard k-εtwo equation model and semi-implicit method for pressure linked equation (SIMPLE) were used to describe the flow turbulence. Furthermore, the structural dynamic equation was set up, which is solved by Newmark-β method. And several sort of wind-induced vibration coefficients such as the wind-induced vibration coefficient corresponding to the nodal displacement responses and wind loads were suggested. In the numerical simulation where the SGLV consisting of the cylindrical sectors with different curved surface was chosen as the example,the influence on the relative wind pressure distribution and structural wind-induced vibration responses of the closed or open SGLV caused by such parameters as the number of cylindrical sectors, structural curvature and the ratio of rise to span was investigated. Finally, some useful conclusions on the local wind pressure distribution on the structural surface and the wind-induced vibration coefficients of SGLV were developed.

  16. Continuous irrigation as a therapeutic option for graft infections of the groin.

    Science.gov (United States)

    Thermann, Florian; Wollert, Ulrich

    2014-10-01

    Wound infections following vascular procedures occur in 1-7 % of patients and can lead to severe problems including amputation and death. There are no established treatment options for this complication. The aim of our study was to introduce continuous irrigation as a new treatment technique. We retrospectively evaluated patients who had undergone bypass surgery involving the groin and had been treated with continuous irrigation because of deep wound infections. The irrigation solution was saline in all cases. The patients were additionally treated with antibiotics. The end point of the study was either complete wound healing or complications such as recurrent infection, amputation, or death. Wound complications occurred in 65 (15.3 %) of 424 operations. Overall, 20 patients (4.7 %) developed a deep wound infection involving prosthetic graft material. They were treated with continuous irrigation. Complete wound healing was achieved in 13 cases (65.0 %). One patient died. No amputations were necessary. Based on our results, constant irrigation may be a therapeutic option in patients with deep wound infections. The main advantages of continuous irrigation over other treatments are ongoing bacterial reduction despite primary wound closure and the ability to measure the remaining colonization by microbiologic examination of the irrigation fluid.

  17. Poverty eradication and decreased human papilloma virus related cancer of the penis and vulva in Jamaica.

    Science.gov (United States)

    Fletcher, H M; Hanchard, B

    2008-04-01

    Human papilloma virus causes genital cancers. Decreases in cervical cancer have been reported to be due to comprehensive screening programmes difficult to replicate in poorer countries. HPV cancer may be related to poverty. In Jamaica, we have seen decreases in cancer of the penis and vulva and there has also been a decrease in poverty. The decrease cannot be attributed to screening. We believe elimination of poverty has decreased HPV persistence and decreased cancer rates.

  18. The efficacy and safety of topical EMLA cream application for minor surgery of the adult penis

    Directory of Open Access Journals (Sweden)

    Kostis I Gyftopoulos

    2012-01-01

    Conclusions: The topical anesthetic EMLA cream is a useful, efficient and safe tool for minor surgical procedures of the penis at the office setting, with the exception of circumcision, where an additional type of anesthesia is likely to be necessary. Side effects can be kept to a minimum when the suggested doses are respected (especially at mucosal application and the time allowed for action is carefully tailored to the site of application and the type of procedure.

  19. Gouty Tophi in the Penis: A Case Report and Review of the Literature

    Directory of Open Access Journals (Sweden)

    José Francisco Flores Martín

    2012-01-01

    Full Text Available Gout is a metabolic disease characterized by hyperuricemia and the deposition of monosodium urate crystals in different anatomical locations. We report the case of a 61-year-old man who received consultation for gouty tophi in the penis, which is an unusual location for this type of pathology, that was resolved with the surgical removal of the tophi. We provide a review on gout and its treatment as well as other locations where atypical gouty tophi have been described.

  20. Warty carcinoma of the penis: A clinicopathological study from South India

    OpenAIRE

    Marie Therese Manipadam; Suresh Kumar Bhagat; Ganesh Gopalakrishnan; Kekre, Nitin S.; Ninan K Chacko; Samuel Prasanna

    2013-01-01

    Aims: There are few studies on the pathology of warty carcinoma (WC) of the penis and these have been from South America. Penile cancers are not uncommon in India. We reviewed the frequency of subtypes of penile squamous carcinoma (SC) and the pathological features and outcome of WC when compared to squamous carcinoma-not otherwise specified (SC-NOS). We also compared the clinicopathological features of WC in our series with those published earlier. Materials and Methods: We studied 103 ...

  1. Reference standard of penile size and prevalence of buried penis in Japanese newborn male infants.

    Science.gov (United States)

    Matsuo, Nobutake; Ishii, Tomohiro; Takayama, John I; Miwa, Masayuki; Hasegawa, Tomonobu

    2014-01-01

    The present study set forth the reference values for penile size and determined the prevalence of buried penis in Japanese full-term newborns. The stretched penile length was measured and the presence of buried penis was assessed at 1-7 days of age in 547 Japanese full-term newborn infants born between 2008 and 2012 in Tokyo. The stretched penile lengths were compared at 1-12 hours and 1-7 days of age in 63 infants and by two observers in 73 infants to estimate postnatal changes and interobserver variation, respectively. The mean stretched penile length was 3.06 cm (SD, 0.26; 95% confidence interval [CI], 3.04-3.08) and the mean ratio of penile length to body length was 6.24 × 100(-1) (SD, 0.55 × 100(-1)), both of which were significantly smaller than those in Caucasian newborn infants. Buried penis was identified in 20 of 547 infants (3.7%; 95% CI, 2.1-5.2%). The first measurements of penile length at 1-12 hours were significantly smaller than the next measurements at 1-7 days (95% CI of the difference, 0.22-0.34). The 95% CI for the limits of agreement in the penile lengths measured by the two observers was -0.58 to -0.40 for the lower limit and 0.33 to 0.51 for the upper limit. These findings indicate that the penile length should be assessed after 24 hours of age by the reference standard of the same ethnicity for identifying micropenis and that buried penis is not uncommon in Japanese full-term newborns.

  2. Phenomenology of men with body dysmorphic disorder concerning penis size compared to men anxious about their penis size and to men without concerns: a cohort study.

    Science.gov (United States)

    Veale, David; Miles, Sarah; Read, Julie; Troglia, Andrea; Carmona, Lina; Fiorito, Chiara; Wells, Hannah; Wylie, Kevan; Muir, Gordon

    2015-03-01

    Men with body dysmorphic disorder (BDD) may be preoccupied with the size or shape of the penis, which may be causing significant shame or impairment. Little is known about the characteristics and phenomenology of such men and whether they can be differentiated from men with small penis anxiety (SPA) (who do not have BDD), and men with no penile concerns. Twenty-six men with BDD, 31 men with SPA, and 33 men without penile concerns were compared on psychopathology, experiences of recurrent imagery, avoidance and safety-seeking behaviours. Men with BDD had significantly higher scores than both the SPA group and no penile concern group for measures of imagery, avoidance, safety seeking and general psychopathology. The groups differed on the phenomenology of BDD specific to penile size preoccupation clearly from the worries of SPA, which in turn were different to those of the men without concerns. The common avoidance and safety seeking behaviours were identified in such men that may be used clinically.

  3. Trace elemental analysis in cancer-afflicted tissues of penis and testis by PIXE technique

    Energy Technology Data Exchange (ETDEWEB)

    Naga Raju, G.J. [Swami Jnanananda Laboratories for Nuclear Research, Andhra University, Visakhapatnam 530 003 (India); John Charles, M. [Swami Jnanananda Laboratories for Nuclear Research, Andhra University, Visakhapatnam 530 003 (India); Bhuloka Reddy, S. [Swami Jnanananda Laboratories for Nuclear Research, Andhra University, Visakhapatnam 530 003 (India)]. E-mail: sbr_r@yahoo.com; Sarita, P. [Swami Jnanananda Laboratories for Nuclear Research, Andhra University, Visakhapatnam 530 003 (India); Seetharami Reddy, B. [Swami Jnanananda Laboratories for Nuclear Research, Andhra University, Visakhapatnam 530 003 (India); Rama Lakshmi, P.V.B. [Pathology Department, Andhra Medical College, Visakhapatnam 530 002 (India); Vijayan, V. [Institute of Physics, Sachivalaya Marg, Bhubaneswar 751 001 (India)

    2005-04-01

    PIXE technique was employed to estimate the trace elemental concentrations in the biological samples of cancerous penis and testis. A 3 MeV proton beam was employed to excite the samples. From the present results it can be seen that the concentrations of Cl, Fe and Co are lower in the cancerous tissue of the penis when compared with those in normal tissue while the concentrations of Cu, Zn and As are relatively higher. The concentrations of K, Ca, Ti, Cr, Mn, Br, Sr and Pb are in agreement within standard deviations in both cancerous and normal tissues. In the cancerous tissue of testis, the concentrations of K, Cr and Cu are higher while the concentrations of Fe, Co and Zn are lower when compared to those in normal tissue of testis. The concentrations of Cl, Ca, Ti and Mn are in agreement in both cancerous and normal tissues of testis. The higher levels of Cu lead to the development of tumor. Our results also support the underlying hypothesis of an anticopper, antiangiogenic approach to cancer therapy. The Cu/Zn ratios of both penis and testis were higher in cancer tissues compared to that of normal.

  4. [Induratio penis plastica and the capability of vaginal penetration in the context of forensic evaluation].

    Science.gov (United States)

    Albrecht, K; Kedia, G T; Ückert, S; Hagemeier, L; Kuczyk, M A; Klintschar, M

    2014-09-01

    The so-called Induratio penis plastica (IPP), also known as Peyronie Disease or Morbus Peyronie, is the most common cause for deviation of the male penis. In most cases, the deviation is directed to the dorsal side. In face of a lawsuit related to a sexual offence, the opponent might argue that, due to an existing IPP, he is generally unable to insert his penis into a female's vagina. The aim of the present study was to examine the clinical files of thirty (30) consecutive patients who presented with IPP. Particular attention was given to the individual degree of penile deviation and the ability of the subjects to conduct vaginal intercourse. Subjects who had a dorsal penile deviation of 800 to 900, or a lateral deviation of 600, were unable to commence vaginal coitus. In contrast, three (3) subjects who presented with a ventral deviation of 30° to 40° had no difficulties in performing vaginal penetration. The medicolegal aspects of these findings are being discussed.

  5. Reduction in penis size and plasma testosterone concentrations in juvenile alligators living in a contaminated environment.

    Science.gov (United States)

    Guillette, L J; Pickford, D B; Crain, D A; Rooney, A A; Percival, H F

    1996-01-01

    The development of the male reproductive ducts and external genitalia in vertebrates is dependent on elevated androgen concentrations during embryonic development and the period of postnatal growth. We have observed that a population of juvenile alligators living on Lake Apopka exhibit significantly smaller penis size (24% average decrease) and lower plasma concentrations of testosterone (70% lower concentrations) when compared to animals of similar size on Lake Woodruff. In addition to smaller phalli, no relationship exists between plasma testosterone concentrations and penile size in males from Lake Apopka, whereas a positive relationship exists for males from Lake Woodruff. The alligators on Lake Apopka are known to have elevated concentrations of the antiandrogenic DDT breakdown product p.p'-DDE stored in their fat. We suggest a number of hypotheses that could explain the modification in the phenotype of the juvenile male living in Lake Apopka. These modifications in phenotype include a smaller penis size, lower plasma androgen concentrations, and lack of responsiveness of the penis to the plasma androgens present.

  6. Precisely proportioned: intertidal barnacles alter penis form to suit coastal wave action.

    Science.gov (United States)

    Neufeld, Christopher J; Palmer, A Richard

    2008-05-07

    For their size, barnacles possess the longest penis of any animal (up to eight times their body length). However, as one of few sessile animals to copulate, they face a trade-off between reaching more mates and controlling ever-longer penises in turbulent flow. We observed that penises of an intertidal barnacle (Balanus glandula) from wave-exposed shores were shorter than, stouter than, and more than twice as massive for their length as, those from nearby protected bays. In addition, penis shape variation was tightly correlated with maximum velocity of breaking waves, and, on all shores, larger barnacles had disproportionately stouter penises. Finally, field experiments confirmed that most of this variation was due to phenotypic plasticity: barnacles transplanted to a wave-exposed outer coast produced dramatically shorter and wider penises than counterparts moved to a protected harbour. Owing to the probable trade-off between penis length and ability to function in flow, and owing to the ever-changing wave conditions on rocky shores, intertidal barnacles appear to have acquired the capacity to change the size and shape of their penises to suit local hydrodynamic conditions. This dramatic plasticity in genital form is a valuable reminder that factors other than the usual drivers of genital diversification--female choice, sexual conflict and male-male competition--can influence genital form.

  7. Rhabdomysarcoma of the penis in a boy. Report of a case

    Directory of Open Access Journals (Sweden)

    Palacios Acosta José Martín

    2014-07-01

    Full Text Available Rhabdomyosarcoma (RMS is the most common pediatric soft tissue malignant tumor. It is more likely to occur in children under 5 years of age and it is most often found in the head and neck. The presentation in the penis is extremely rare. The embryonic variety is the most common histologic subtype. The RMS of the penis is usually a painless mass. In some cases dysuria and priapism can also be present. Treatment is based on surgical resection, che- motherapy and radiation therapy. We describe a 3 year old boy with a 6 month history of a painless enlargement of the penis due to the presence of a mass. On its dorsal aspect measuring 3 x 3 cm with necrotic and ulcerated areas; it did not affect the urethral meatus. On the CT scan a tumor on the left lateral side of the penile shaft was found, with a diameter of 2.8 x 2.5 x 3.3 cm and a 12 cc volume. Surgical resection of the mass was performed. The histopathologic study reported an embryonal type RMS. The patient was treated with chemotherapeutic agents including ifosfamide and doxorubicin, with a favorable outcome.

  8. [Normal connective tissue in penis and its changes in patients with erectile dysfunction and Peyronie's disease].

    Science.gov (United States)

    Neĭmark, A I; Klimachev, V V; Gerval'd, V Ia; Bobrov, I P; Avdalian, A M; Muzalevskaia, N I; Gerval'd, I V; Aliev, R T; Kazymov, M A

    2009-01-01

    The aim of this study was to examine the connective tissue of penis in normal individuals and in patients with erectile dysfunction (ED) and Peyronie's disease (PD) using computer methods of image analysis. Penis tissues were obtained from 20 males aged 20-40 years who died in accidents, penis biopsies were taken from 23 patients with ED and 9 patients with PD (average age: 51 +/- 11.5 years). In both groups of patients, the volumetric fraction of collagen fibers in the tunica albuginea and corpora cavernosa was increased, while that one of elastic fibers was decreased. At the same time, the changes of elastic fibers were noted: the fibers become thinner and formed "rods". The reduction of the amplitude and the wavelength in the collagen fibers of the tunica albuginea in patients with ED and the presence of fibrous plaques in corpora cavernosa in in patients with PD were registered. The methods of computer image analysis may improve the morphologic diagnosis of ED and PD.

  9. 格兰-泰勒棱镜消光比分析%Analysis of extinction ratio of a Glan-Taylor prism

    Institute of Scientific and Technical Information of China (English)

    李春艳; 吴易明; 高立民; 陆卫国; 王卫峰

    2014-01-01

    The calculation formula of Glan-Taylor prism′s transmittance between emanative lights′azimuth, incident angle and structure angle of prism was obtained by using refraction law and Fresnel formula as well as the ray-tracing method. The relationship between the extinction ratio and transmittance was indicated. By computer simulation of Matlab, the characteristic of extinction ratio in the whole azimuth was analyzed; the extinction ratio′s transformation relationship along with incident angle and structure angle was investigated. From simulation results, we discover that the extinction ratio is unacted on the incident angle when the angle is in the vertical azimuth of prism′s optical axis. And the ratio becomes bad with increasing of the structure angle. The theoretical results are in good agreement with problems appeared from practical system which verifies its correctness, and it explains the problem in project item. The work of this article has great guiding significance in the design and use of Glan-Taylor prism.%利用折射定律和菲涅耳公式,采用光线追迹的方法,推导了格兰-泰勒棱镜的透过率与发散光束入射的方位角、入射角及棱镜结构角之间的计算公式,并指出与棱镜消光比的关系。通过Matlab仿真,分析了全方位角范围内,棱镜的消光比特性以及消光比随入射角和结构角的变化关系。仿真结果发现,在垂直棱镜光轴的方位上,消光比不受入射角大小的影响,且消光比随棱镜结构角的增大而变差。理论计算结果与实际系统出现的问题相符,验证了理论公式的正确性,解释了工程项目出现的问题,对格兰-泰勒棱镜的设计与应用具有一定的指导意义。

  10. The vascularized groin lymph node flap (VGLN): Anatomical study and flap planning using multi-detector CT scanner. The golden triangle for flap harvesting.

    Science.gov (United States)

    Zeltzer, Assaf A; Anzarut, Alexander; Braeckmans, Delphine; Seidenstuecker, Katrin; Hendrickx, Benoit; Van Hedent, Eddy; Hamdi, Moustapha

    2017-09-01

    A growing number of surgeons perform lymph node transfers for the treatment of lymphedema. When harvesting a vascularized lymph node groin flap (VGLNF) one of the major concerns is the potential risk of iatrogenic lymphedema of the donor-site. This article helps understanding of the lymph node distribution of the groin in order to minimize this risk. Fifty consecutive patients undergoing abdominal mapping by multi-detector CT scanner were included and 100 groins analyzed. The groin was divided in three zones (of which zone II is the safe zone) and lymph nodes were counted and mapped with their distances to anatomic landmarks. Further node units were plotted and counted. The average age was 48 years. A mean number of nodes of 6.5/groin was found. In zone II, which is our zone of interest a mean of 3.1 nodes were counted with a mean size of 7.8 mm. In three patients no nodes were found in zone II. In five patients nodes were seen in zone II but were not sufficient in size or number to be considered a lymph node unit. On average the lymph node unit in zone II was found to be 48.3 mm from the pubic tubercle when projected on a line from the pubic tubercle to the anterior superior iliac spine, 16.0 mm caudal to this line, and 20.4 mm above the groin crease. On average the lymph node unit was a mean of 41.7 mm lateral to the SCIV-SIEV confluence. This study provides increased understanding of the lymphatic anatomy in zone II of the groin flap and suggests a refined technique for designing the VGLNF. As with any flap there is a degree of individual patient variability. However, having information on the most common anatomy and flap design is of great value. © 2017 Wiley Periodicals, Inc.

  11. Assessment of Groin Application of Junctional Tourniquets in a Manikin Model.

    Science.gov (United States)

    Kragh, John F; Lunati, Matthew P; Kharod, Chetan U; Cunningham, Cord W; Bailey, Jeffrey A; Stockinger, Zsolt T; Cap, Andrew P; Chen, Jacob; Aden, James K; Cancio, Leopoldo C

    2016-08-01

    Introduction To aid in preparation of military medic trainers for a possible new curriculum in teaching junctional tourniquet use, the investigators studied the time to control hemorrhage and blood volume lost in order to provide evidence for ease of use. Hypothesis Models of junctional tourniquet could perform differentially by blood loss, time to hemostasis, and user preference. In a laboratory experiment, 30 users controlled simulated hemorrhage from a manikin (Combat Ready Clamp [CRoC] Trainer) with three iterations each of three junctional tourniquets. There were 270 tests which included hemorrhage control (yes/no), time to hemostasis, and blood volume lost. Users also subjectively ranked tourniquet performance. Models included CRoC, Junctional Emergency Treatment Tool (JETT), and SAM Junctional Tourniquet (SJT). Time to hemostasis and total blood loss were log-transformed and analyzed using a mixed model analysis of variance (ANOVA) with the users represented as random effects and the tourniquet model used as the treatment effect. Preference scores were analyzed with ANOVA, and Tukey's honest significant difference test was used for all post-hoc pairwise comparisons. All tourniquet uses were 100% effective for hemorrhage control. For blood loss, CRoC and SJT performed best with least blood loss and were significantly better than JETT; in pairwise comparison, CRoC-JETT (P .5, all models). The CRoC and SJT performed best in having least blood loss, CRoC performed best in having least time to hemostasis, and users did not differ in preference of model. Models of junctional tourniquet performed differentially by blood loss and time to hemostasis. Kragh JF Jr , Lunati MP , Kharod CU , Cunningham CW , Bailey JA , Stockinger ZT , Cap AP , Chen J , Aden JK 3d , Cancio LC . Assessment of groin application of junctional tourniquets in a manikin model. Prehosp Disaster Med. 2016;31(4):358-363.

  12. Treatment of paraffin-induced lipogranuloma of the penis by bipedicled scrotal flap with Y-V incision.

    Science.gov (United States)

    Kim, Sun Wook; Yoon, Byung Il; Ha, U-Syn; Kim, Sae Woong; Cho, Yong-Hyun; Sohn, Dong Wan

    2014-12-01

    The authors aimed to report 5 cases of patients with penile lipogranuloma-induced full necrosis of penile skin, wherein they obtained good results from simultaneous implementation of Y-V incision to prevent the shortening of penile length together with bipedicular scrotal flap. The full excision of penile lipogranuloma and a bipedicled scrotal flap was performed. After finishing the scrotal flap, for extension in length, the authors performed the inverted V incision on the upper skin of followed by partial resection of suspensory ligament and sutured up to subcutaneous tissue in the inverted Y shape, extending the dorsal portion skin toward the penis. There was no shortening in length of the penis or reduction in girth and the resulting penis had no difference to normal skin of penis, with almost no contraction of the scrotum, and all patients were satisfied with the visual postoperative shape of the penis. The authors had performed a complete excision of paraffinoma in patients with penile paraffinoma with concurrent skin necrosis and obtained good outcomes of preventing the shortening of penile length by performing a bipedicled scrotal flap with Y-V incision using the scrotal skin.

  13. Groin Pain and Muscular Imbalance of Quadriceps and Hamstrings in an Elite Soccer Player - A Case Study.

    Science.gov (United States)

    Ludwig, O; Kelm, J

    2016-08-01

    Soccer and football players are exposed to a high risk of groin pain. In some cases, the pubic symphysis is the origin of the problems.This article presents a case report of a young elite soccer player who, over a period of two years, suffered from pain in the groin and symphysis area. The right leg was the kicking leg. Imaging techniques did not reveal pathological findings. Sports hernia, osteomyelitis, enthesopathy, adductor tendonitis, and muscle sprains, as well as rheumatic or urogenital disorders were excluded.A 3 D posture analysis was performed to examine the statics of the body and pelvis. The maximum isometric strength of the left and right leg adductors and abductors, as well as the knee flexors and extensors were measured.We found a muscular imbalance resulting from the type of sport the athlete engaged in with an unfavourable ratio between the right knee extensor and flexor muscles. Comparing sides, an imbalance was also identified between the right and left knee extensor. This imbalance resulted in a one-sided forward tilt of the right hemi-pelvis. This pelvic torsion may lead to an increase in shear forces in the pubic symphysis, which we suspected to be the reason for the recurring problems.After three months of specific training exercises, the pelvic position was harmonised and the muscular imbalances were significantly reduced. Even 6 months after completion of the specific training exercises, the player remained without complaints despite his unvaried soccer training intensity.Causal treatment of functional pain in the groin or symphysis area should take into account the ipsilateral and contralateral strength ratios of the knee extensors and flexors as well as the three-dimensional position of the pelvis.

  14. OUTCOME OF ELECTIVE PROPHYLACTIC ILIOINGUINAL NEURECTOMY IN PREVENTION OF CHRONIC GROIN PAIN AFTER OPEN INGUINAL HERNIA REPAIR

    Directory of Open Access Journals (Sweden)

    Suneel

    2016-04-01

    Full Text Available BACKGROUND Chronic groin pain is one of the most important complications of the repair of inguinal hernia. Randomized trials have identified that chronic groin pain (>10% surpasses recurrence (<2%. Factors proposed as predictors of post-operative pain are damage to inguinal nerves, nerve entrapment during suturing, fibrosis of the placed material as well as that of surrounding area, mesh implantation, partial division and neuroma formation. Routine ilioinguinal division or excision has been associated with a lower incidence of post-operative neuralgia compared to nerve preservation with reduced morbidity and no detrimental effect on quality of life. OBJECTIVE The purpose of our study was to assess the effects of prophylactic ilioinguinal neurectomy on the incidence and intensity of groin pain after open inguinal hernia repair. PATIENTS AND METHODS A total of 50 patients with uncomplicated inguinal hernias were subjected to Lichtenstein mesh hernioplasty with prophylactic ilioinguinal neurectomy over a period of one year (November 2014 - October 2015. Relation of pain to Rest (R, Activities (A and Exercise (E preoperatively and at 1, 3 and 6 months after surgery was noted. McGill Pain Questionnaire was used to assess pain 1 week after surgery, 4 weeks after surgery and after 3 and 6 months of surgery. RESULTS Routine ilioinguinal neurectomy during open groin hernia repair was associated with mean McGill pain score of 1.76 and 1.48 at follow-up period of 3 and 6 months, respectively. Numbness was present in 12% patients at follow-up period of 3 and 6 months. At 3 and 6 months follow-up, pain at rest was present in 2% and 0% patients; pain only during daily activities was present in 4% and 2% patients; and pain only during exercise was present in 6% and 4% patients, respectively. Only 2% patients required analgesics to control pain at 3 months and no patient required analgesics to control pain at 6 months. CONCLUSIONS Ilioinguinal neurectomy during

  15. Prognostic factors and 5-year survival of patients with carcinoma penis: Tertiary health center study

    Directory of Open Access Journals (Sweden)

    A A Shah

    2016-01-01

    Full Text Available Context: To identify prognostic factors in carcinoma penis with its impact on survival. Aims: To find out the relation of various prognostic factors of carcinoma penis with the various outcomes. Settings and Design: Retrospective cohort study. Subjects and Methods: Each patient diagnosed as having carcinoma of penis by incision biopsy and operated from January 2004 to May 2009 at the institute was included in the study (n = 117. Data were collected and analyzed. Statistical Analysis Used: The Chi-square (χ2 test was used to test for the significance of association between the independent (predictor and dependent (outcome variables. Multivariate logistic regression analysis was used to determine predictor variables that predicted the outcome. Five year disease-free survival (DFS and overall survival (OS were calculated using the Kaplan–Meier method. Results: Of the total 117 patients studied, 30 patients died within 5 years (median = 25 months. Recurrences (local or systemic were seen in 23 patients (median = 14 months. Five-year DFS was 80.34% and OS was 72.22%. Kaplan–Meier analysis showed that well to moderately differentiated grade, lymph node negative disease and low stage have higher survivals than poorly differentiated grade, lymph node positive disease and higher stage, respectively. Multiple logistic regression analysis revealed that inguinal lymph node positivity and grade were significantly associated with local or systemic recurrence. Conclusions: Penile cancer patients with advanced disease had poor survival. Tumor grade and inguinal lymph node metastasis are factors affecting DFS. Lymphadenectomy remains an integral part of the management of patients with penile cancer.

  16. Surgical correction of ectopic penis and scrotum associated with bilateral orchidopexy.

    Science.gov (United States)

    Sobral, Daniel Santos Rocha; Silva, Helder Damásio da; Damázio, Eulálio

    2017-01-01

    Ectopic penis is usually associated with penoscrotal transposition, and it is rarely observed in isolation. We report a surgical approach for an extremely rare case. A 10-year-old male patient with bilateral cryptorchidism and ectopic penis and scrotum in perineal area, with no penoscrotal transposition, representing an association not yet described in literature. A previous orchiopexy failed due to ectopic scrotum. By means of an inverted Y incision, the penis was mobilized and a perineal skin flap in form of a testicular sac was prepared. Finally orchiopexy was performed. The surgery was essential to treat cryptorchidism and to improve the self-image of the patient. RESUMO O pênis ectópico geralmente ocorre associado à transposição peno-escrotal, sendo raro isoladamente. Relatamos uma abordagem cirúrgica para um caso extremamente raro. Tratava-se de paciente do sexo masculino, 10 anos, com criptorquidia bilateral e pênis e escroto ectópicos, na região perineal, sem transposição peno-escrotal, representando uma associação ainda não descrita na literatura. Orquidopexia prévia sem sucesso, devido à ectopia do escroto. Por meio de uma incisão em Y invertido, mobilizou-se o pênis e preparou-se um retalho da pele perineal em forma de bolsa testicular. Por fim, realizou-se a orquidopexia. A cirurgia foi fundamental para tratar a criptorquidia e promover ganho na autoimagem do paciente.

  17. The burden of hospitalizations for anus and penis neoplasm in Spain (1997-2008).

    Science.gov (United States)

    Gil-Prieto, Ruth; Ester, Pablo Viguera; Álvaro-Meca, Alejandro; Rodríguez, María San Martín; De Miguel, Ángel Gil

    2012-02-01

    An epidemiological retrospective study has been performed to assess the burden of hospitalization by anus and penis neoplasm in the general population in Spain. All hospital discharges and deaths related to anal malign neoplasm and penile malign neoplasm from 1997 to 2008 in Spain were obtained. A total of 19,608 hospital admissions were recorded during the study period: 11,965 were related to anal malign neoplasm (4,992 in women and 6,973 in men) and 7,643 to penis malignant neoplasm. This corresponds to a hospitalization rate of 1.97 (CI 95%: 1.91-2.02) hospitalizations per 100,000 women/ year, 2.84 (CI 95%: 2.77-2.91) hospitalizations per 100,000 men/ year and 3.11 (CI 95%: 3.04- 3.18) hospitalizations per 100,000 men/ year, respectively during the study period.   The hospitalization rate increased significantly during the study period in all locations. It also increased significantly with age for all locations. Hospitalization and mortality rates in men were 50% higher than in women A total of 530 deaths related to penis malignant neoplasm and 738 deaths related to anus malignant neoplasm in men and 488 in women were reported during the 12-y study period. Although a decrease in smoking prevalence has led to a decrease in the incidence of cancers in the last decade, the hospitalizations due to anal and penile malign neoplasm have not declined in our study. This might be attributed to a high prevalence of HPV infection in these particular genital malign neoplasms.

  18. Sinusoidal Constriction and Vascular Hypertrophy in the Diabetes-Induced Rabbit Penis

    Directory of Open Access Journals (Sweden)

    Vivian Alves Pereira

    2013-06-01

    Full Text Available Objective To assess the morphological changes of penile vascular structures and the corpus cavernosum area in alloxan-induced diabetic rabbits. Materials and Methods Twenty male rabbits (2 months old were divided into two groups with 10 rabbits each, the control group (CG and the diabetic group (DG. The animals from DG received an intravenous injection of alloxan (100mg/kg to induce the diabetes. Ten weeks after the induction of diabetes, all animals were euthanized. Two fragments of the penile shaft were harvested and samples were processed and paraffin embedded. Sections (5µm were cut and stained for histological and immunohistochemical markers. Results Nuclear protrusion toward the lumen, and cytoplasmic vacuolization were observed in the tunica intima of the dorsal artery of the penis in DG. The thicknesses of the tunica media increased significantly in DG (p = 0.0350. It was also observed a significant increase in the area of the tunica media (p = 0.0179. There was no significant change in smooth muscle cell density in the tunica media of the dorsal artery of the penis (p = 0.0855. The collagen fiber pattern of the tunica adventitia of the dorsal artery of the penis was different between the control and diabetic groups. There was a significant decrease in the area occupied by the cavernous sinuses in DG (p = 0.0013. Conclusion Alloxan-induced diabetes mellitus in rabbits promotes important changes in penile vascular structures, thereby decreasing blood supply and affecting penile hemodynamics, leading to erectile dysfunction.

  19. Eccentric and Isometric Hip Adduction Strength in Male Soccer Players With and Without Adductor-Related Groin Pain An Assessor-Blinded Comparison

    DEFF Research Database (Denmark)

    Thorborg, Kristian; Branci, Sonia; Nielsen, Peter Martin;

    2014-01-01

    investigated. PURPOSE: To investigate whether isometric and eccentric hip strength are decreased in soccer players with adductor-related groin pain compared with asymptomatic soccer controls. The hypothesis was that players with adductor-related groin pain would have lower isometric and eccentric hip adduction.......5 ± 2.5 years, and the mean age of the asymptomatic controls was 22.9 ± 2.4 years. Isometric hip strength (adduction, abduction, and flexion) and eccentric hip strength (adduction) were assessed with a handheld dynamometer using reliable test procedures and a blinded assessor. RESULTS: Eccentric hip...... adduction strength was lower in soccer players with adductor-related groin pain in the dominant leg (n = 21) compared with asymptomatic controls (n = 16), namely 2.47 ± 0.49 versus 3.12 ± 0.43 N·m/kg, respectively (P

  20. Nationwide quality improvement of groin hernia repair from the Danish Hernia Database of 87,840 patients from 1998 to 2005

    DEFF Research Database (Denmark)

    Kehlet, H.; Bay-Nielsen, M.

    2008-01-01

    BACKGROUND: Increased focus and research on surgical technique and anaesthesia in groin hernia repair have improved outcomes from centres of interest in hernia surgery, but little information is available from nationwide data to document the incorporation of scientific evidence into general...... clinical practice. AIM: To review outcomes after groin hernia repair in Denmark from the Danish Hernia Database 1998-2005 in 87,840 patients. RESULTS: The nationwide Danish hernia collaboration with two annual meetings discussing own results and those of others has led to >50% reduction in reoperation...... rates, increased use of the Lichtenstein hernia technique, higher rate of outpatient surgery, near elimination of regional anaesthesia, and documentation and focus on incidence and mechanisms of chronic pain. CONCLUSION: Establishment of nationwide groin hernia databases leads to general improvement...

  1. Critical androgen-sensitive periods of rat penis and clitoris development.

    Science.gov (United States)

    Welsh, Michelle; MacLeod, David J; Walker, Marion; Smith, Lee B; Sharpe, Richard M

    2010-02-01

    Androgen control of penis development/growth is unclear. In rats, androgen action in a foetal 'masculinisation programming window' (MPW; e15.5-e18.5)' predetermines penile length and hypospadias occurrence. This has implications for humans (e.g. micropenis). Our studies aimed to establish in rats when androgen action/administration affects development/growth of the penis and if deficits in MPW androgen action were rescuable postnatally. Thus, pregnant rats were treated with flutamide during the MPW +/- postnatal testosterone propionate (TP) treatment. To assess penile growth responsiveness, rats were treated with TP in various time windows (late foetal, neonatal through early puberty, puberty onset, or combinations thereof). Phallus length, weight, and morphology, hypospadias and anogenital distance (AGD) were measured in mid-puberty (d25) or adulthood (d90) in males and females, plus serum testosterone in adult males. MPW flutamide exposure reduced adult penile length and induced hypospadias dose-dependently; this was not rescued by postnatal TP treatment. In normal rats, foetal (e14.5-e21.5) TP exposure did not affect male penis size but increased female clitoral size. In males, TP exposure from postnatal d1-24 or at puberty (d15-24), increased penile length at d25, but not ultimately in adulthood. Foetal + postnatal TP (e14-postnatal d24) increased penile size at d25 but reduced it at d90 (due to reduced endogenous testosterone). In females, this treatment caused the biggest increase in adult clitoral size but, unlike in males, phallus size was unaffected by TP during puberty (d15-24). Postnatal TP treatment advanced penile histology at d25 to more resemble adult histology. AGD strongly correlated with final penis length. It is concluded that adult penile size depends critically on androgen action during the MPW but subsequent growth depends on later androgen exposure. Foetal and/or postnatal TP exposure does not increase adult penile size above its

  2. Engrosamiento peneano: complicación de lipotransferencia Penis enlargement: complication of lipotransfer

    Directory of Open Access Journals (Sweden)

    C.G. Conde

    2012-12-01

    Full Text Available La solicitud de engrosamiento del pene por parte de los pacientes tiene un crecimiento sostenido. El empleo de grasa autóloga como relleno puede causar una deformidad que provoca un menoscabo funcional y estético. Presentamos un caso de complicación que requirió de tratamiento quirúrgico.Penis enlargement is a practice widely requested by the patients. The use of autologous fat transplantation can produce deformity and functional and aesthetic deficiency. The authors present a clinical case of complication and its surgical resolution.

  3. A new surgical procedure for phallic reconstruction in partial penis necrosis: penile elongation in combination with glanuloplasty.

    Science.gov (United States)

    Xiao, Kaiyan; Cheng, Kaixiang; Song, Nan

    2014-01-01

    The radial forearm flap transfer has proved to be the standard technique in penile reconstruction. However, this operation still leads to a residual scar on the forearm. In the reconstruction of partial penis necrosis, achieving a desirable appearance and functional recovery while minimizing donor-site damage remains an unsolved problem. In this study, we report our experience using penile elongation combined with glanuloplasty to rebuild the partially necrotic penis.A retrospective review of a consecutive series of 33 patients with partial penis necrosis after microwave thermotherapy (not from our hospital) from December 2008 to May 2012 was conducted at the Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital. These patients, with an age range from 20 to 36 years, first underwent a scrotal skin flap transfer to cover residual cavernosum. The penis was simultaneously elongated at the proximal end. Six months later, all patients received glanuloplasty using expanded polytetrafluoroethylene that was implanted at the distal end of transferred scrotal skin flap to create the neoglans.Anthropometric measurements of preoperative and postoperative penile length were performed with an average follow-up period of 28 months. The mean extended penile length average was 2.57 cm, ranging from 3.16 to 5.73 cm. Patients' satisfaction rate was 88%. In addition, preoperative and postoperative photographs were reviewed for objective and subjective assessment of outcome parameters such as appearance of neophallus, urination, and erogenous sensation. Most importantly, the rebuilt penis postoperatively showed almost normal shape and restoration of basic physiologic function in most of the patients, with an acceptable complication rate. These preliminary results may provide a useful strategy for the reconstruction of a partially necrotic penis using a novel, simple, and effective approach.

  4. Isokinetic imbalance of adductor-abductor hip muscles in professional soccer players with chronic adductor-related groin pain.

    Science.gov (United States)

    Belhaj, K; Meftah, S; Mahir, L; Lmidmani, F; Elfatimi, A

    2016-11-01

    This study aims to compare the isokinetic profile of hip abductor and adductor muscle groups between soccer players suffering from chronic adductor-related groin pain (ARGP), soccer players without ARGP and healthy volunteers from general population. Study included 36 male professional soccer players, who were randomly selected and followed-up over two years. Of the 21 soccer players eligible to participate in the study, 9 players went on to develop chronic ARGP and 12 players did not. Ten healthy male volunteers were randomly selected from the general population as a control group. Comparison between the abductor and adductor muscle peak torques for players with and without chronic ARGP found a statistically significant difference on the dominant and non-dominant sides (p muscle significantly stronger than the adductor muscle. In the group of healthy volunteers, the adductor muscle groups were significantly stronger than the abductor muscle groups on both dominant and non-dominant sides (p muscle strength was also significantly decreased on the affected side. This imbalance appears to be a risk factor for adductor-related groin injury. Therefore, restoring the correct relationship between these two agonist and antagonist hip muscles may be an important preventative measure that should be a primary concern of training and rehabilitation programmes.

  5. Controversies of Sex Re-assignment in Genetic Males with Congenital Inadequacy of the Penis.

    Science.gov (United States)

    Raveenthiran, Venkatachalam

    2017-07-08

    Sex assignment in 46XY genetic male children with congenital inadequacy of the penis (CIP) is controversial. Traditionally, children with penile length less than 2 cm at birth are considered unsuitable to be raised as males. They are typically re-assigned to female-sex and feminizing genitoplasty is usually done in infancy. However, the concept of cerebral androgen imprinting has caused paradigm shift in the philosophy of sex re-assignment. Masculinization of the brain, rather than length of the penis, is the modern criterion of sex re-assignment in CIP. This review summarizes the current understanding of the complex issue. In 46XY children with CIP, male-sex assignment appears appropriate in non-hormonal conditions such as idiopathic micropenis, aphallia and exstrophy. Female-sex re-assignment appears acceptable in complete androgen insensitivity (CAIS), while partial androgen insensitivity syndrome (PAIS) patients are highly dissatisfied with the assignment of either sex. Children with 5-alpha reductase deficiency are likely to have spontaneous penile lengthening at puberty. Hence, they are better raised as males. Although female assignment is common in pure gonadal dysgenesis, long-term results are not known to justify the decision.

  6. Treatment of carcinoma of the penis by iridium 192 wire implant

    Energy Technology Data Exchange (ETDEWEB)

    Daly, N.J.; Douchez, J.; Combes, P.F.

    1982-07-01

    Since 1971, a group of 22 adult patients with squamous cell carcinoma of the penis have been treated by iridium 192 wire implants. There were 6 T1 tumors, 14 T2 tumors and 2 T3; only one patient (T3) presented with local failure after implant. Local necrosis occurred in 2 patients without local tumoral recurrence, but was sufficient enough to warrant amputation. Thus 19/22 (86%) patients were locally cured with penile conservation. In these patients the most frequent posttherapeutic complication is chronic urethral stenosis (9/19 patients, 47%) requiring repeated instrumental dilations. Four patients presented with initial inguinal mestastatic nodes; only one was cured by radiosurgical treatment. Among patients without metastatic nodes at the time of diagnosis, none had delayed metastatic nodes. Three patients died of nodal evolution, 5 patients died of intercurrent disease without evidence of disease and 14 are now alive and NED. It appears that iridium 192 wire implant is the most effective conservative treatment of invasive squamous cell carcinoma of the penis; however, these results confirm that no particular treatment is required for inguinal nodal areas for patients who initially present with no disease.

  7. Complex beam diagnostics erectile dysfunction of the venoocclusive apparatus of a penis

    Directory of Open Access Journals (Sweden)

    V. I. Mustafina

    2012-01-01

    Full Text Available Erectile dysfunction – it disability to reach and support an erection, sufficient for sexual intercourse carrying out.A research objective – to use complex beam diagnostics with application of ultrasonic research with Doppler techniques (color, power and spectral Doppler, regimen Dynamic flow, a pharmacological and visual induction of an erection, a computer tomography (СТ, MR-tomographies (MRT, dynamic cavernosography to estimate opportunities and to lead the comparative analysis. 47 men have been surveyed. The control group was made by 8 volunteers at the age from 25 till 55 years without complaints to erection disturbances. The basic group was made by 39 patients at the age from 30 till 60 years with suspicion of dysfunction of the venoocclusive apparatus of a penis. In the basic group at 39 men have been found out sonographic signs of dysfunction of the venoocclusive apparatus of a penis. The referential estimation was spent with dynamic cavernosography, МRT, СТ.

  8. Complex beam diagnostics erectile dysfunction of the venoocclusive apparatus of a penis

    Directory of Open Access Journals (Sweden)

    V. I. Mustafina

    2014-11-01

    Full Text Available Erectile dysfunction – it disability to reach and support an erection, sufficient for sexual intercourse carrying out.A research objective – to use complex beam diagnostics with application of ultrasonic research with Doppler techniques (color, power and spectral Doppler, regimen Dynamic flow, a pharmacological and visual induction of an erection, a computer tomography (СТ, MR-tomographies (MRT, dynamic cavernosography to estimate opportunities and to lead the comparative analysis. 47 men have been surveyed. The control group was made by 8 volunteers at the age from 25 till 55 years without complaints to erection disturbances. The basic group was made by 39 patients at the age from 30 till 60 years with suspicion of dysfunction of the venoocclusive apparatus of a penis. In the basic group at 39 men have been found out sonographic signs of dysfunction of the venoocclusive apparatus of a penis. The referential estimation was spent with dynamic cavernosography, МRT, СТ.

  9. Histological characteristics of human papilloma-virus-positive and -negative invasive and in situ squamous cell tumours of the penis

    DEFF Research Database (Denmark)

    Krustrup, Dorrit; Jensen, Helle Lone; van den Brule, Adriaan J C

    2009-01-01

    A high prevalence of cervical cancer associated high-risk types of human papillomavirus (hrHPV) has been demonstrated in premalignant and invasive squamous cell lesions of the penis, but large studies correlating histological characteristics with HPV status are few in number. Tumour tissues from...

  10. Central Somatosensory Networks Respond to a De Novo Innervated Penis : A Proof of Concept in Three Spina Bifida Patients

    NARCIS (Netherlands)

    Kortekaas, Rudie; Nanetti, Luca; Overgoor, Max L. E.; de Jong, Bauke M.; Georgiadis, Janniko R.

    Introduction. Spina bifida (SB) causes low spinal lesions, and patients often have absent genital sensation and a highly impaired sex life. TOMAX (TO MAX-imize sensation, sexuality and quality of life) is a surgical procedure whereby the penis is newly innervated using a sensory nerve originally

  11. Central Somatosensory Networks Respond to a De Novo Innervated Penis : A Proof of Concept in Three Spina Bifida Patients

    NARCIS (Netherlands)

    Kortekaas, Rudie; Nanetti, Luca; Overgoor, Max L. E.; de Jong, Bauke M.; Georgiadis, Janniko R.

    2015-01-01

    Introduction. Spina bifida (SB) causes low spinal lesions, and patients often have absent genital sensation and a highly impaired sex life. TOMAX (TO MAX-imize sensation, sexuality and quality of life) is a surgical procedure whereby the penis is newly innervated using a sensory nerve originally tar

  12. Evaluation of hip internal and external rotation range of motion as an injury risk factor for hip, abdominal and groin injuries in professional baseball players

    Directory of Open Access Journals (Sweden)

    Xinning Li

    2015-12-01

    Full Text Available Normal hip range of motion (ROM is essential in running and transfer of energy from lower to upper extremities during overhead throwing. Dysfunctional hip ROM may alter lower extremity kinematics and predispose athletes to hip and groin injuries. The purpose of this study is characterize hip internal/external ROM (Arc and its effect on the risk of hip, hamstring, and groin injuries in professional baseball players. Bilateral hip internal and external ROM was measured on all baseball players (N=201 in one professional organization (major and minor league during spring training. Players were organized according to their respective positions. All injuries were documented prospectively for an entire MLB season (2010 to 2011. Data was analyzed according to position and injuries during the season. Total number of players (N=201 with an average age of 24±3.6 (range=17-37. Both pitchers (N=93 and catchers (N=22 had significantly decreased mean hip internal rotation and overall hip arc of motion compared to the positional players (N=86. Players with hip, groin, and hamstring injury also had decreased hip rotation arc when compared to the normal group. Overall, there is a correlation between decreased hip internal rotation and total arc of motion with hip, hamstring, and groin injuries.

  13. Case report of the free vascularized iliac bone graft with groin flap for the pseudoarthrosis of the tibia caused by irradiation osteonecrosis

    Energy Technology Data Exchange (ETDEWEB)

    Moriyama, Masatoshi; Ohkubo, Koichi; Asanuma, Kazuo; Murota, Kagehisa

    1987-04-01

    In a 35-year-old man, bone fracture occurred 6 years after radiotherapy with a total dose of 130 Gy for osteosarcoma of the middle end of the right tibia. The patient developed osteomyelitis and was dignosed as having pseudoarthrosis in the irradiated field. Satisfactory synostosis was attained by performing free vascularized iliac bone graft with groin flap. (Namekawa, K.).

  14. Groin Injuries Mechanisms and Rehabilitation Measures%腹股沟部损伤机制与预防及康复措施

    Institute of Scientific and Technical Information of China (English)

    姜咏; 王晓东

    2012-01-01

    运动中腹股沟部疼痛是常见的运动损伤之一。腹股沟部损伤可严重影响运动员的竞技状态,甚至影响继续从事其运动项目的能力。目前,腹股沟部损伤在有关运动创伤康复研究中的讨论还不多,本文依据国内及国外文献及临床的实际应用经验,对它的受损机制以及康复措施做一简单归纳,旨在为运动员能尽早的摆脱伤病困扰、回归赛场做出贡献。%Groin injuries are among the most common injuries in speed skating,ice hockey and soccer,etc.The groin injuries can seriously affect the competitive state of the athletes,and even affect the ability to continue sports.Discussion of the groin injuries related to sports injuries rehabilitation research is not enough.The author analyzed and discussed some references,reviewed about the application of groin injuries in the recovery after training.

  15. A prospective randomised controlled trial comparing chronic groin pain and quality of life in lightweight versus heavyweight polypropylene mesh in laparoscopic inguinal hernia repair

    Directory of Open Access Journals (Sweden)

    Pradeep Prakash

    2016-01-01

    Full Text Available Background: The aim of our study was to compare chronic groin pain and quality of life (QOL after laparoscopic lightweight (LW and heavyweight (HW mesh repair for groin hernia. Materials and Methods: One hundred and forty adult patients with uncomplicated inguinal hernia were randomised into HW mesh group or LW mesh group. Return to activity, chronic groin pain and recurrence rates were assessed. Short form-36 v2 health survey was used for QOL analysis. Results: One hundred and thirty-one completed follow-up of 3 months, 66 in HW mesh group and 65 in LW mesh group. Early post-operative convalescence was better in LW mesh group in terms of early return to walking (P = 0.01 and driving (P = 0.05. The incidence of early post-operative pain, chronic groin pain and QOL and recurrences were comparable. Conclusion: Outcomes following laparoscopic inguinal hernia repair using HW and LW mesh are comparable in the short-term as well as long-term.

  16. Dosimetric comparison of axilla and groin radiotherapy techniques for high-risk and locally advanced skin cancer

    Energy Technology Data Exchange (ETDEWEB)

    Mattes, Malcolm D.; Zhou, Ying; Berry, Sean L.; Barker, Christopher A. [Memorial Sloan Kettering Cancer Center, New York (United States)

    2016-06-15

    Radiation therapy targeting axilla and groin lymph nodes improves regional disease control in locally advanced and high-risk skin cancers. However, trials generally used conventional two-dimensional radiotherapy (2D-RT), contributing towards relatively high rates of side effects from treatment. The goal of this study is to determine if three-dimensional conformal radiation therapy (3D-CRT), intensity-modulated radiation therapy (IMRT), or volumetric-modulated arc therapy (VMAT) may improve radiation delivery to the target while avoiding organs at risk in the clinical context of skin cancer regional nodal irradiation. Twenty patients with locally advanced/high-risk skin cancers underwent computed tomography simulation. The relevant axilla or groin planning target volumes and organs at risk were delineated using standard definitions. Paired t-tests were used to compare the mean values of several dose-volumetric parameters for each of the 4 techniques. In the axilla, the largest improvement for 3D-CRT compared to 2D-RT was for homogeneity index (13.9 vs. 54.3), at the expense of higher lung V{sub 20} (28.0% vs. 12.6%). In the groin, the largest improvements for 3D-CRT compared to 2D-RT were for anorectum D{sub max} (13.6 vs. 38.9 Gy), bowel D{sub 200cc} (7.3 vs. 23.1 Gy), femur D{sub 50} (34.6 vs. 57.2 Gy), and genitalia D{sub max} (37.6 vs. 51.1 Gy). IMRT had further improvements compared to 3D-CRT for humerus D{sub mean} (16.9 vs. 22.4 Gy), brachial plexus D{sub 5} (57.4 vs. 61.3 Gy), bladder D{sub 5} (26.8 vs. 36.5 Gy), and femur D{sub 50} (18.7 vs. 34.6 Gy). Fewer differences were observed between IMRT and VMAT. Compared to 2D-RT and 3D-CRT, IMRT and VMAT had dosimetric advantages in the treatment of nodal regions of skin cancer patients.

  17. Sentinel node biopsy in carcinoma penis using methylene blue dye technique

    Directory of Open Access Journals (Sweden)

    Rohan Vinayak

    2009-01-01

    Full Text Available Purpose : Penile carcinoma is a common disease in India. This paper shows the results of sentinel node biopsy using methylene blue and discusses the incidence of false-negative rates. Materials and Methods: From September 2005 to March 2008, 22 newly diagnosed penile carcinoma patients (T1, T2, N0 were included in this prospective study. Intraoperative lymphatic mapping was done using methylene blue dye and the sentinel node was identified and removed. Lymphadenectomy was performed for positive inguinal lymph node metastasis. Results : There were 22 patients (mean age 52.7. The tumors were mostly located in the glans (73%. Eighty six percent was T1 lesions and 14% was T2. Ninety one percent of the patients underwent partial penectomy, and 9% underwent total penectomy. Sentinel node was identified in 20 patients (90.9%. In total, 49 sentinel nodes were identified (2.45 nodes per person. Only one patient had a positive pathological lymph node metastasis at the time of the surgery. Additionally, two patients became inguinal lymph node positive at the follow-up. This data yielded a sensitivity rate of 33% and a false-negative rate of 66%. There were no complications due to methylene blue. Conclusion : Sentinel node biopsy using only methylene blue for penile carcinoma has a very low sensitivity and a high false-negative rate. However, methylene blue can be used as a substitute for lymphazurin.

  18. Cancer - penis

    Science.gov (United States)

    ... smelling substance under the foreskin History of genital warts , or human papillomavirus (HPV). Smoking. Injury to the ... common experiences and problems may help relieve the stress associated with diagnosis and treatment of cancer of ...

  19. Characteristics of PCR-SSCP and RAPD-HPCE methods for identifying authentication of Penis et testis cervi in Traditional Chinese Medicine based on cytochrome b gene.

    Science.gov (United States)

    Li, Mingcheng; Gao, Lijun; Qu, Li; Sun, Jingyu; Yuan, Guangxin; Xia, Wei; Niu, Jiamu; Fu, Guilian; Zhang, Lihua

    2016-07-01

    The use of Penis et testis cervi, as a kind of precious Traditional Chinese Medicine (TCM), which is derived from dry deer's testis and penis, has been recorded for many years in China. There are abundant species of deer in China, the Penis et testis from species of Cervus Nippon and Cervus elaphusL were authentic, others species were defined as adulterant (different subspecies of deer) or counterfeits (different species). Identification of their origins or authenticity becomes a key in controlling the herbal products. A modified column chromatography was used to extract mitochondrial DNA of dried deer's testis and penis from sika deer (C. Nippon) and red deer (C. elaphusL) in addition to adulterants and counterfeits. Column chromatography requires for a short time to extract mitochondrial DNA of high purity with little damage of DNA molecules, which provides the primary structure of guarantee for the specific PCR; PCR-SSCP method showed a clear intra-specific difference among patterns of single-chain fragments, and completely differentiate Penis et testis origins from C. Nippon and C. elaphusL. RAPD-HPCE was based on the standard electropherograms to compute a control spectrum curve as similarity reference (R) among different samples. The similarity analysis indicated that there were significant inter-species differences among Penis et testis' adulterant or counterfeits. Both techniques provide a fast, simple, and accurate way to directly identify among inter-species or intra-species of Penis et testis.

  20. Doppler ultrasound study of penis in men with systemic sclerosis: a correlation with Doppler indices of renal and digital arteries.

    Science.gov (United States)

    Rosato, E; Barbano, B; Gigante, A; Cianci, R; Molinaro, I; Quarta, S; Digiulio, M A; Messineo, D; Pisarri, S; Salsano, F

    2013-01-01

    Erectile dysfunction (ED) prevalence in male systemic sclerosis (SSc) is high and its pathogenesis is unclear. The aim of the study is to assess correlation between Doppler ultrasound indices of penis and kidneys or digital arteries in male systemic sclerosis. Fourteen men with systemic sclerosis were enrolled in this study. Erectile function was investigated by the International Index of Erectile Function-5. Peak systolic velocity, end diastolic velocity, resistive index, pulsative index, and systolic/diastolic ratio were measured on the cavernous arteries at the peno-scrotal junction in the flaccid state, on the interlobar artery of both kidneys and all ten proper palmar digital arteries. Ten (71 percent) patients have an International Index of Erectile Function-5 less than 21. Reduction of penis peak systolic velocity was observed in all SSc subjects. Doppler indices of cavernous arteries correlate with the International Index of Erectile Function-5. The renal and digital arteries resistive index demonstrated a good correlation (p less than 0.0001) with International Index of Erectile Function-5. A positive correlation exists between penis and kidney arteries Doppler indices: end diastolic velocity (p less than 0.05, r=0.54), resistive index (p less than 0.0001, r=0.90), systolic/diastolic ratio (p less than 0.01, r=0.69). A positive correlation was observed between penis and digital arteries Doppler indices: peak systolic velocity (p less than 0.01, r=0.68), end diastolic velocity (p less than 0.01, r=0.75), resistive index (p less than 0.001, r=0.79), systolic/diastolic ratio (p less than 0.05, r=0.59). A correlation exists between arterial impairment of penis and renal or digital arteries.

  1. Application of a 2D shallow water model to analyze the flow and the use of groins to Project an area of the Amazon river estuary

    Directory of Open Access Journals (Sweden)

    Yves Secretan

    2009-08-01

    Full Text Available The waterfront of Belém, the capital of Pará State, Brazil, has undergone a beautification process whereby a hydraulic embankment is being executed at a section located at the confluence of the Guamá River and the Guajará Bay. A two-way avenue and a leisure and tourist complex will be built on this filled area. Protection of the construction site may be required in order to minimize loss of material during the build up operation and it could serve to maintain the tourist complex as well. Other important point is the impact analysis of the construction on the global flow at the confluence of the Guamá River and the Guajará Bay. Thus, a two-dimensional hydrodynamic finite elements model is used to simulate the velocities in the region for three configurations, namely: the first with the natural configuration of the area; the second where the work area is being protected by one groin; and the third one with two groins. The flow simulation for flood tide or ebb tide showed that for flood tide the velocities are higher than those in ebb tide. The simulated velocities with the presence of groins are slower than those simulated with the natural configuration model. Thus, it shows the efficacy of the groins to slow down the currents` velocities. In addition, the groins could protect the section of the revitalized Belém shore. In a general way, the construction does not change the global flow in the region.

  2. Application of a 2D shallow water model to analyze the flow and the use of groins to protect an area of the Amazon river estuary

    Directory of Open Access Journals (Sweden)

    Manoel José dos Santos Sena

    2009-08-01

    Full Text Available The waterfront of Belém, the capital of Pará State, Brazil, has undergone a beautification process whereby a hydraulic embankment is being executed at a section located at the confluence of the Guamá River and the Guajará Bay. A two-way avenue and a leisure and tourist complex will be built on this filled area. Protection of the construction site may be required in order to minimize loss of material during the build up operation and it could serve to maintain the tourist complex as well. Other important point is the impact analysis of the construction on the global flow at the confluence of the Guamá River and the Guajará Bay. Thus, a two-dimensional hydrodynamic finite elements model is used to simulate the velocities in the region for three configurations, namely: the first with the natural configuration of the area; the second where the work area is being protected by one groin; and the third one with two groins. The flow simulation for flood tide or ebb tide showed that for flood tide the velocities are higher than those in ebb tide. The simulated velocities with the presence of groins are slower than those simulated with the natural configuration model. Thus, it shows the efficacy of the groins to slow down the currents` velocities. In addition, the groins could protect the section of the revitalized Belém shore. In a general way, the construction does not change the global flow in the region.

  3. Patient-Reported Outcome (PRO) questionnaires for young to middle-aged adults with hip and groin disability

    DEFF Research Database (Denmark)

    Thorborg, K; Tijssen, M; Habets, B;

    2015-01-01

    ratings of poor study methodology (23% and 31%, respectively), whereas IHOT-33 and HOS had a somewhat larger distribution (46%). These PROs all contain adequate measurement qualities for content validity (except HOS), test-retest reliability, construct validity, responsiveness and interpretability....... No information or poor quality rating on methodological aspects made it impossible to fully evaluate the remaining PROs at present. CONCLUSIONS: HAGOS, HOS, IHOT-12 and IHOT-33 can be recommended for assessment of young-aged to middle-aged adults with pain related to the hip joint, undergoing non......BACKGROUND/AIM: To recommend Patient-Reported Outcome (PRO) questionnaires to measure hip and groin disability in young-aged to middle-aged adults. METHODS: A systematic review was performed in June 2014. The methodological quality of the studies included was determined using the COnsensus...

  4. Assessment of deep tissue hyperalgesia in the groin – a method comparison of electrical vs. pressure stimulation

    DEFF Research Database (Denmark)

    Aasvang, E K; Werner, M U; Kehlet, H

    2014-01-01

    and preventive strategies. Thus, there is a need for development of methods with direct stimulation of suspected hyperalgesic tissues to identify the peripheral origin of nociceptive input. METHODS: We compared the reliability of an ultrasound-guided needle stimulation protocol of electrical detection and pain...... thresholds to pressure algometry, by performing identical test-retest sequences 10 days apart, in deep tissues in the groin region. Electrical stimulation was performed by five up-and-down staircase series of single impulses of 0.04 ms duration, starting from 0 mA in increments of 0.2 mA until a threshold......-retest repeatability, but with superior same-day reliability for electrical stimulation (P source for test variation. There were no systematic differences in electrical thresholds across tissues and locations (P > 0.05). CONCLUSION...

  5. Patients experiences of negative pressure wound therapy at home for the treatment of deep perivascular groin infection after vascular surgery.

    Science.gov (United States)

    Monsen, Christina; Acosta, Stefan; Kumlien, Christine

    2017-05-01

    To explore experiences of negative pressure wound therapy at home, in patients with deep perivascular groin infection after vascular surgery and management in daily life. Deep surgical site infection after vascular surgery with exposed vessels often requires long-term treatment with negative pressure wound therapy, and continued therapy at home has become routine. An explorative qualitative study. Nine men and six women with a deep surgical site infection in the groin after vascular surgery, treated in their home with negative pressure wound therapy, were interviewed. The interviews were analysed using manifest and latent content analysis. Undergoing negative pressure wound therapy at home meant a transition from being a dependent patient to a person who must have self-care competence and be involved in their own care. A need to feel prepared for this before discharge from hospital was expressed. Lack of information and feelings of uncertainty prolonged the time before feeling confident in managing the treatment. The informants gradually accepted the need to be tied up to a machine, became competent in its management and found solutions to perform everyday tasks. Overall, it was a relief to be treated at home. Several benefits of negative pressure wound therapy at home were expressed. However, unnecessary stress and anxiety were experienced due to a lack of information on the treatment and instruction concerning the equipment. Adequate information and education must therefore be provided to facilitate the transition from a patient to a person with self-care competence and ability to manage this treatment at home. The findings revealed a need for more support and knowledge in their transition from hospital care to home care with negative pressure wound therapy. Routines must be established that ensure patient safety and security in treatment at home. © 2016 John Wiley & Sons Ltd.

  6. Human papillomavirus and p53 protein immunoreactivity in condylomata acuminatum and squamous cell carcinoma of penis

    Institute of Scientific and Technical Information of China (English)

    Xin-Hua ZHANG; Gui-Qin SUN; Yu YANG; Tai-He ZHANG

    2001-01-01

    To determine the immunoreactive pattem of human papillomavirus (HPV) antigen and p53 protein in condylomata acuminatum (CA) and squamous cell carcinoma (SCC) of penis. Methods: Immunohistochemistry for HPV and p53 were performed in 40 specimens of formalin fixed, paraffin embedded tissues using a polyclonal (rabbit) antibody against HPV and a monoclonal (mouse) antibody against human p53 protein. Twenty one cases of CA and nineteen cases of SCC were examined. Results: HPV antigen was detected in all 21 CA and 2 penile SCC. p53 protein overexpression was observed in 12 of 19 (63%) SCC in which 6 cases were strong positive. Five of 21 CA (24%)showed low-grade p53 protein overexpression. Conclusion: CA is related to HPV infection and some cases show p53 protein low-grade overexpression. In contrast, p53 protein overexpression is common in penile SCC, which is seldom related to HPV infection.

  7. Dislocation of the penis: a rare complication after traumatic pelvic injury.

    Science.gov (United States)

    Lim, Mei Chin; Srinivasan, Sivasubramanian; Teh, Hui Seong; Teh, Chang Peng Colin

    2015-01-01

    Traumatic injury to the male external genitalia is frequently encountered, but acute traumatic dislocation of the penile structure is extremely rare, with only a few reports found in the literature. We herein report the case of a 21-year-old man who sustained blunt trauma to the pelvis following a motor vehicle accident, and had features suspicious of penile dislocation. With the use of computed tomography and bedside ultrasonography, a diagnosis of penile dislocation was made, which was subsequently confirmed intraoperatively. Immediate surgical intervention via gentle manipulation of the penile tissue back to its native position was performed in order to restore normal anatomy. The exact mechanism of penile dislocation is not known. However, circumferential laceration around the foreskin causing degloving injury of the penis is suggested in our patient.

  8. Stage Presentation, Care Patterns, and Treatment Outcomes for Squamous Cell Carcinoma of the Penis

    Energy Technology Data Exchange (ETDEWEB)

    Burt, Lindsay M.; Shrieve, Dennis C.; Tward, Jonathan D., E-mail: Jonathan.Tward@hci.utah.edu

    2014-01-01

    Purpose: Penile squamous cell carcinoma (SCC) is a rare entity, with few published series on outcomes. We evaluated the stage distributions and outcomes for surgery and radiation therapy in a U.S. population database. Methods and Materials: Subjects with SCC of the penis were identified using the National Cancer Institute Surveillance, Epidemiology and End Results (SEER) Program database between 1988 and 2006. Descriptive statistics were performed, and cause-specific survival (CSS) was estimated using Kaplan-Meier analysis. Comparisons of treatment modalities were analyzed using multivariate Cox regression. Subjects were staged using American Joint Committee on Cancer, sixth edition, criteria. Results: There were 2458 subjects identified. The median age was 66.8 years (range, 17-102 years). Grade 2 disease was present in 94.5% of cases. T1, T2, T3, T4, and Tx disease was present in 64.8%, 17.1%, 9.5%, 2.1%, and 6.5% of cases, respectively. N0, N1, N2, N3, and Nx disease was noted in 61.6%, 6.9%, 4.0%, 3.7%, and 23.8% of cases, respectively. M1 disease was noted in 2.5% of subjects. Individuals of white ethnicity accounted for 85.1% of cases. Lymphadenectomy was performed in 16.7% of cases. The CSS for all patients at 5 and 10 years was 80.8% and 78.6%. By multivariable analysis grades 2 and 3 disease, T3 stage, and positive lymph nodes were adverse prognostic factors for CSS. Conclusion: SCC of the penis often presents as early-stage T1, N0, M0, grade 1, or grade 2 disease. The majority of patients identified were treated with surgery, and only a small fraction of patients received radiation therapy alone or as adjuvant therapy.

  9. Preliminary study on androgen dependence of calcitonin gene-related peptide in rat penis

    Institute of Scientific and Technical Information of China (English)

    Zhou-Jun Shen; Shan-Wen Chen; Ying-Li Lu; Liao-Yuan Li; Xie-Lai Zhou; Ming-Guang Zhang; Zhao-Dian Chen

    2005-01-01

    Aim: To study the androgen dependence of the neurotransmitter, calcitonin gene-related peptide (CGRP) in rat penis.Methods: Forty-four Sprague-Dawley rats were randomly divided into Group A (intact controls), Group B (castrated)group were anaesthetized. Blood samples were taken for the measurement of serum testosterone and dihydrotestosterone (DHT) by means of radioimmunoassay. Penile samples were harvested for the investigation of calcitonin gene related peptide (CGRP)-immunoreactive nerve fibers with immunohistochemistry. The computer-assisted imaging analysis system was applied to calculate the area proportion of the CGRP-positive nerve fibers (CGRP-PNF) in each group.Results: 1) Both 4 and 10 weeks later, testosterone and DHT levels in Group B decreased significantly compared with those in Group A, (P<0.05, P<0.01, respectively); DHT level in Group C was also significantly decreased in comparison with that in Group A for both 4- and 10- week animals (P < 0.05); 2) There was no significant differences in area proportion of CGRP-PNF among Groups A, B and C 4 weeks after treatments (P > 0.05); However, 10weeks later, the proportion of CGRP-PNF in Groups B and C was significantly less than that in Group A (P < 0.01);3) The proportion of CGRP-PNF of 4-week animals in Groups B and C was significantly higher than that of 10-week animals (P<0.05). Conclusion: The expression of neurotransmitter, CGRP may depend on androgens, including testosterone and DHT in rat penis.

  10. Impact of delay in inguinal lymph node dissection in patients with carcinoma of penis

    Directory of Open Access Journals (Sweden)

    A K Gulia

    2009-01-01

    Full Text Available Aim: To study the impact of delay in inguinal lymph node dissection (LND in patients with squamous cell carcinoma of the penis, who have indications for LND at the time of presentation. Materials and Methods: In total, 28 patients (mean age 52.1 ± 12.8 years with squamous cell carcinoma of the penis, treated from January 2000 to June 2008, were retrospectively studied with regard to clinical presentation, time of LND, and the outcome. The patients were divided into two groups based on the time for LND. Group 1 patients had LND at mean of 1.7 months (range 0-6 months of treatment of the primary lesion, and group 2 had LND at a mean of 14 months (range 7-24 months after treatment of the primary lesion. Statistical Analysis: The statistical analysis of survival was done using the Kaplan-Meier method and the Log Rank test, with p < 0.05 considered to be statistically significant. The Mann-Whitney test and Fisher′s exact test were used for univariate comparison. Results: Twenty-three of the 28 patients had inguinal LND. In group 1, of 13 patients, 12 were alive, with no recurrence of disease at a mean follow-up of 37 months (8-84 months. In group 2, only two patients were alive and disease-free, at a mean follow-up of 58 months (33-84 months. The five-year cancer-specific survival rates for early and delayed LND were 91 and 13%, respectively, (p = 0.007. Conclusions: When compliance with follow-up is suspect, patients with high grade or T stage (greater than T1 tumor are better treated by inguinal LND during the same hospital admission or within two months of primary treatment.

  11. [Tension-free procedures in the surgical treatment of groin hernias].

    Science.gov (United States)

    Milić, Dragan J; Pejić, Miljko A

    2003-01-01

    Hernia repair is one of the most common surgical procedures performed in the United States, with 700,000 operations performed each year. Improvements in surgical technique, together with the development of new prosthetic materials and a better understanding of how to use them, have significantly improved outcomes for many patients. These improvements have occurred most notably in centers specializing in hernia surgery, with some institutions reporting failure rates of less than 1%. In contrast, failure rates for general surgeons, who perform most hernia repairs, remain significantly higher. This has important socioeconomic implications, adding an estimated $28 billion or more to the cost of treating the condition, based on calculations utilizing conservative estimates of failure rates and the average cost of a hernia repair. Success of groin hernia repair is measured primarily by the permanence of the operation, fewest complications, minimal costs, and earliest return to normal activities. This success depends largely on the surgeon's understanding of the anatomy and physiology of the surgical area as well as a knowledge of how to use most effectively the currently available techniques and materials. The most important advance in hernia surgery has been the development of tension-free repairs. In 1958, Usher described a hernia repair using Marlex mesh. The benefit of that repair he described as being "tension-eliminating" or what we now call "tension-free". Usher opened the posterior wall and sutured a swatch of Marlex mesh to the undersurface of the medial margin of the defect and to the shelving edge of the inguinal ligament. He created tails from the mesh that encircled the spermatic cord and secured them to the inguinal ligament. Every type of tension-free repair requires a mesh, whether it is done through an open anterior, open posterior, or laparoscopic route. The most common prosthetic open repairs done today are the Lichtenstein onlay patch repair, the Per

  12. Brachytherapy of penis cancer: experience of the Gustave-Roussy Institute; Curietherapie des cancers de verge: experience de l'Institut Gustave-Roussy

    Energy Technology Data Exchange (ETDEWEB)

    Crevoisier, R. de; Wibault, P.; M' barek, B.; Gerbaulet, A.; Haie-Meder, C. [Institut Gustave-Roussy, 94 - Villejuif (France)

    2006-11-15

    The interstitial brachytherapy is a conservative treatment of epidermoid carcinomas of the penis under 4 centimeters and does not invade the erectile tissue. the great majority of recurrences is under control by a surgery treatment. (N.C.)

  13. The identification, localization, and pharmacology of FMRFamide-related peptides and SCPB in the penis and crop of the terrestrial slug, Limax maximus.

    Science.gov (United States)

    Krajniak, K G; Greenberg, M J; Price, D A; Doble, K E; Lee, T D

    1989-01-01

    1. The molluscan neuropeptides FMRFamide, pQDPFLRFamide, and SCPB were tested on the isolated crop and penis of the terrestraial slug, Limax maximus. FMRFamide and pQDPFLRFamide stimulated the penis and inhibited contractions of the crop. In contrast, SCPB either stimulated or relaxed the penis and increased the tone of the crop. 2. Fibers and varicosities containing immunoreactive (ir-) FMRFamide and ir-SCPB were located in the penis and crop. 3. Extracts of penes, crops, ganglia, and whole animals all contained FMRFamide, FLRFamide, SDPFLRFamide, NDPFLRFamide, and pQDPFLRFamide. 4. These results suggest that the FMRFamide-related peptides and SCPB are involved in the regulation of the reproductive and digestive activities of Limax.

  14. Relative importance of prenatal and postnatal androgen action in determining growth of the penis and anogenital distance in the rat before, during and after puberty.

    Science.gov (United States)

    van den Driesche, S; Scott, H M; MacLeod, D J; Fisken, M; Walker, M; Sharpe, R M

    2011-12-01

    Experimental animal studies show that measurement of anogenital distance (AGD) and/or penis length may provide lifelong 'read-outs' of foetal androgen exposure during the masculinization programming window (MPW). However, variation in postnatal androgen exposure may complicate interpretation of such measurements. This is important to clarify if such measurements are to be applied to humans. The present aim was to evaluate effects of prenatal and/or postnatal manipulation of androgen production/action on growth of AGD and the penis in rats. Pregnant rats were treated daily before (e13.5-e21.5) and after birth (postnatal days 1-15) with either vehicle, 500 mg/kg di(n-butyl) phthalate (DBP) or 100 mg/kg flutamide (postnatal only) in prenatal + postnatal treatment combinations (N = 6 treatment combinations); DBP impairs androgen production whereas flutamide impairs androgen action. Male offspring were killed on postnatal day 8 (prepuberty), 25 (early puberty) or 90 (adulthood) when AGD was measured, the penis dissected out and its weight and length measured; plasma testosterone and ventral prostate weight were measured at day 90 to assess endogenous androgen exposure. In controls, penis length, girth and AGD increased 2.2-, 5.3-and 5.9-fold respectively from day 8 to day 90. Significant inhibition of penis growth and final length and girth was induced by treatments that inhibited postnatal androgen action. Conversely, growth and ultimate (adult) AGD was inhibited by prenatal inhibition of androgen production whereas postnatal androgen inhibition had negligible effect. Nevertheless, AGD and penis length were highly correlated at every age (R(2) > 0.33; p penis size reflects both prenatal + postnatal androgen exposure. At the group treatment level, prepubertal measurement of either AGD or penis size accurately predicts their size in adulthood.

  15. Devine improved surgical treatment conceals the penis 40 case analysis%改良Devine术治疗隐匿阴茎40例分析

    Institute of Scientific and Technical Information of China (English)

    黄建忠; 刘连地; 庄东阳; 黄唯庶

    2012-01-01

    目的:探讨简单有效的隐匿阴茎手术方式.方法:采用改良Devine术式,切除阴茎皮下异常的纤维条索状组织,将阴茎根部白膜和真皮固定于耻骨筋膜上.结果:所有手术均获成功,平均手术时间50min,随访6个月~6年,阴茎发育满意,外观效果好,未见阴茎回缩,无并发症.结论:改良Devine术式操作简单,术野好,手术效果满意,是治疗隐匿阴茎实用有效的手术方法.%Objective Explore simple effective conceals the penis operation method. Methods Modified Devine operation,with the exception of the penis subcutaneous article fiber cable shape organization,penis root white film and leather fixed in the pubis fascia. Results All are performed success.average operation time 50 min,were followed up for 6 months to 6 years,the penis development satisfied,exterior effect is good,did not see the penis retraction,and no complications. Conclusions Improved Devine operation simple operation.good operative field, surgery with satisfactory effect.is the treatment conceals a practical and effective operation method penis.

  16. 阴茎中线囊肿2例%Median raphe cyst of the penis:two cases report

    Institute of Scientific and Technical Information of China (English)

    秦明珠; 闵仲生; 谭城

    2015-01-01

    We present 2 patients ( age 18 and age 25) with median raphe cyst of the penis. Two patients presented with an asymptomatic mass on the ventral aspect of the foreskin of the penis, for one and two years respectively. Biopsy showed a normal epidermis, cyst in dermis, pseudostratified epithelium of cyst wall.%报道2例阴茎中线囊肿。2例患者(18岁,25岁)分别于1年前及2年前发现阴茎包皮系带旁囊样肿物,无特殊不适,渐增大。病理检查示:表皮正常,真皮内见囊肿,囊壁为假复层上皮。

  17. Enhancing sediment distribution at the vicinity of power plant intakes using double rows of vanes and groins (Case study: New tebbin power plant

    Directory of Open Access Journals (Sweden)

    Sayed Mahgoub

    2013-12-01

    The study results showed that, in case of vanes absence, sediments with rates 1–2 m3/week were stuck within the sediment trap under the winter conditions. Also, the results indicated that the submerged vanes play an important role in preventing the sediment intrusion. Also, it was clear that using groins might lead to enhancing the sediment distribution at the intake vicinity.

  18. Improved penis degloving fixed angioplasty treating childrens completely buried penis%改良阴茎脱套固定成形术治疗小儿完全型隐匿阴茎

    Institute of Scientific and Technical Information of China (English)

    李刚; 杨春雷; 郭祥; 李爽; 王军; 廖嫚; 李莎; 雷伟; 郭晖; 马慧; 程银涛

    2014-01-01

    目的:探讨改良阴茎脱套固定成形术治疗小儿完全型隐匿阴茎的临床效果。方法对50例小儿完全型隐匿阴茎患儿采用改良阴茎脱套固定成形术,患者平均年龄(6.5±1.0)岁(3岁~12岁)。结果术后48例阴茎体暴露充分,2例轻度回缩,包皮早期水肿轻微,外形美观,术后恢复快,疗效满意,随访6个月至1年无手术并发症,远期疗效肯定。结论改良阴茎脱套固定成形术治疗小儿完全型隐匿阴茎是一种操作简单、术后外观满意、并发症少的理想术式。%Objective To evaluate the effects of modified degloving penis plasty in the treatment of children with fixed complete concealed penis. Methods Fifity children with complete type of concealed penis were treated by modified penile degloving fixed angioplasty. Average age of patients was 6.5±1 years old (aged 3~12 years old). Results Forty-nine cases had fully exposed of postoperative penile body, 1 cases had mildretraction, wrapping early edema slightly, beautiful appearance, faster postoperative recovery. The curative effect was satisfied. No operation complication was found 6 months/1 years following up and long-term efficacy was satisfied. Conclusion Modified penis avulsion fixed plasty is a simple operation method with postoperative apperance satisfaction, less complication for treatment of complete type of concealed penis.

  19. The latissimus dorsi-groin-lymph node compound flap: A comprehensive technique with three features including skin coverage, restoration of motor function, and prevention of upper limb lymphedema.

    Science.gov (United States)

    Nicoli, Fabio; Orfaniotis, Georgios; Lazzeri, Davide; Lim, Seong Yoon; Kiranantawat, Kidakorn; Chen, Pei-Yu; Ciudad, Pedro; Chilgar, Ram M; Sapountzis, Stamatis; Sacak, Bulent; Chen, Hung-Chi

    2016-11-01

    Reconstruction of complex upper extremity defects requires a need for multiple tissue components. The supercharged latissimus dorsi (LD)-groin compound flap is an option that can provide a large skin paddle with simultaneous functional muscle transfer. It is necessary to supercharge the flap with the superficial circumflex iliac pedicle to ensure the viability of its groin extension. In this report, we present a case of a supercharged LD-groin flap in combination with vascularized inguinal lymph nodes, which was used for upper limb reconstruction in a young male patient, following excision of high-grade liposarcoma. Resection resulted in a 28 cm × 15 cm skin defect extending from the upper arm to the proximal forearm, also involving the triceps muscle, a segment of the ulnar nerve and the axillary lymph nodes. Restoration of triceps function was achieved with transfer of the innervated LD muscle. Part of the ulnar nerve was resected and repaired with sural nerve grafts. Post-operatively, the flap survived fully with no partial necrosis, and no complications at both the recipient and donor sites. At 1-year follow up, the patient had a well-healed wound with good elbow extension (against resistance), no tumor recurrence, and no signs of lymphedema. We believe this comprehensive approach may represent a valuable technique, for not only the oncological reconstruction of upper extremity, but also for the prevention of lymphedema. © 2015 Wiley Periodicals, Inc. Microsurgery 36:689-694, 2016.

  20. 格兰-付科棱镜光强透射比曲线波动成因的研究%Study of transmittance fluctuation of Glan-Foucault prisms

    Institute of Scientific and Technical Information of China (English)

    徐兆鹏; 朱化凤; 刘鑫; 王天阳; 刘佩; 李超

    2015-01-01

    With continuous change of the incidence angle , the transmittance of a Glan-Foucault prism fluctuates a lot . In order to suppress such fluctuation , experiments were carried out for measurement of the transmittance of the Glan-Foucault prism based on a polarized light experimental system .The transmittance was simulated under the assumption that there was multiple beam interference between the prism air gaps .Simulation results and experimental results matched very well.The relative quantitative reason of the transmittance fluctuating with the incidence angle was put forward for the first time.Two methods were proposed to inhibit the fluctuation .The results showed that the reason of fluctuation is the strengthened or weakened multiple beam interference induced by the change of path difference of interference beam between the air gap with the rotation of the stepping motor with the prism as depolarizer .The fluctuations are stronger just because the transmitted beam for the Glan-Foucault prisms is s component on the incident plane which has greater reflectance .The study is helpful for suppressing the transmittance fluctuation of a Glan-Foucault prism.%随空间入射角的连续变化,格兰-付科棱镜的光强透射比曲线会产生较大的波动。为了抑制这种波动,利用偏振光实验系统对格兰-付科棱镜的光强透射比进行了实验,并在假设棱镜空气隙间存在多光束干涉的条件下,对棱镜的光强透射比实验的过程进行了数值模拟。模拟结果和实验结果吻合的非常好。首次相对定量地给出了格兰-付科棱镜的光强透射比曲线随入射角变化而波动的根本原因。并提出了两种抑制格兰-付科棱镜光强透射比曲线波动的方法。结果表明,产生波动的原因是由于棱镜在充当检偏器的过程中,随着步进电机的转动,光束在空气隙上的入射角不断变化,引起空气隙间干涉光束光程差的变化,进而

  1. Hip adductor activations during run-to-cut manoeuvres in compression shorts: implications for return to sport after groin injury.

    Science.gov (United States)

    Chaudhari, Ajit M W; Jamison, Steven T; McNally, Michael P; Pan, Xueliang; Schmitt, Laura C

    2014-01-01

    Athletes at high risk of groin strains in sports such as hockey and soccer often choose to wear shorts with directional compression to aid in prevention of or recovery from hip adductor strains. Large, eccentric contractions are known to result in or exacerbate strain injuries, but it is unknown if these shorts have a beneficial effect on hip adductor muscle activity. In this study, surface electromyography (EMG) of the adductor longus and ground reaction force (GRF) data were obtained simultaneously on 29 healthy individuals without previous history of serious injury while performing unanticipated 45° run-to-cut manoeuvres in a laboratory setting wearing shorts with non-directional compression (control, HeatGear, Under Armour, USA) or shorts with directional compression (directional, CoreShort PRO, Under Armour, USA), in random order. Average adductor activity in the stance leg was significantly lower in the directional condition than in the control condition during all parts of stance phase (all P < 0.042). From this preliminary analysis, wearing directional compression shorts appears to be associated with reduced stance limb hip adductor activity. Athletes seeking to reduce demand on the hip adductors as they approach full return to activities may benefit from the use of directional compression shorts.

  2. Metastatic tumors to the penis: a report of 17 cases and review of the literature.

    Science.gov (United States)

    Chaux, Alcides; Amin, Mahul; Cubilla, Antonio L; Young, Robert H

    2011-10-01

    This study presents clinicopathologic and outcome features of 17 patients with metastatic tumor to the penis. Primary sites and histological types were as follows: 6 urothelial carcinomas of urinary bladder, 4 prostatic carcinomas (2 adenocarcinomas and 2 adenosquamous carcinomas), 2 colorectal adenocarcinomas, 2 pulmonary carcinomas (1 squamous cell carcinoma and 1 small cell carcinoma), 1 squamous cell carcinoma of base of the tongue, 1 cutaneous malignant melanoma, and 1 acute myeloid leukemia. Literature review revealed similar distribution of organ sites in 437 cases. Most of our tumors were metachronous. Interval between primary and penile metastasis ranged from 3 to 60 months (mean 16 months). Most of the patients presented with a penile mass. Priapism was observed in 4 patients. The shaft was the commonest anatomical site involved (12 cases). Tumor emboli were usually found in the erectile tissues (14 cases), mainly corpora cavernosa. A total of 14 patients died of disseminated disease. Time interval between primary tumor and penile metastasis ranged from 3 to 60 months (mean 19 months) and between diagnosis of penile metastasis and death ranged from 0.25 to 18 months (mean 6 months), significantly shorter (P = .0058). Patients presented a median survival of 18 months from primary treatment and 5 months after diagnosis of penile metastasis. None of the patients who died of disseminated cancer lived more than 18 months after pathological diagnosis. Clinical evidence of penile involvement in a patient with a known malignancy is an ominous sign and should alert the clinicians to the dismal prognosis.

  3. [Metachronous metastasis from rectal adenocarcinoma to the penis--case report].

    Science.gov (United States)

    Küronya, Zsófia; Bodrogi, István; Lövey, József; Plótár, Vanda; Manninger, Sándor; Pápai, Zsuzsanna

    2009-09-01

    Despite of its rich vascularization and extensive circulatory communication with neighboring organs, penile metastases are rare. Even more infrequent is a penile metastasis of rectum tumors. Since the first report of rectal carcinoma with metastasis to the penis (Ehbert 1870), approximately 50 cases have been reported, most of them from the USA, the remaining from Western Europe, the Middle East and Japan. The first Hungarian case is reported now of penile metastasis of a rectal carcinoma. The case of a 65-year-old man is presented: isolated penile metastasis discovered 4.5 years after the primary rectal cancer resection. IHC tissue diagnosis and detailed clinical investigations confirmed metastatic rectal adenocarcinoma. As our patient refused penectomy and KRAS mutation was proven, FOLFIRI chemotherapy was initiated without cetuximab. This was followed by chemoradiotherapy that resulted only in transient regression. Currently the patient receives the FOLFOX regimen. At present the patient is in good performance status,without pain. The size and the number of penile metastases have not shown significant changes. According to the literature the average survival of patients with penile metastases treated with radiochemotherapy is 8 months. New chemotherapeutic modalities may improve the survival.

  4. Consultation for Small-Sized Penis in the Egyptian Males: A Case Control Study.

    Science.gov (United States)

    Salama, Nader

    2016-05-01

    This study aimed to report penile dimensions in adult Egyptian males consulting for small-sized penis (SSP) and describe their demographics and andrological profile. A case control study was designed through retrospective data analysis of patients (n = 239) seeking advice for SSP and a control group (n = 59). This included sociodemographics, other andrological complaints, and penile dimensions (pendulous length [PL], penopubic or total length [TL], and circumference [CF]) at flaccid and erect states and the size of the prepubic fatty pad. The results reported that most patients were single, students, and smokers and had not completed a university education. Several patients reported falsely premature ejaculation (PE), penile curvature (PC), and small-sized testes. Most penile dimensions of the patients (mean, cm) were significantly lower than those of the controls, whether in flaccid (PL: 7.4 vs. 8.05, p = .008; CF: 8.7 vs. 8.98, p = .026) or erect state (PL: 11.8 vs. 13, p = .000; TL: 14.2 vs. 15, p = .000; CF: 11.3 vs. 11.8, p = .003). However, no patient presented with a pendulous penile length <4 cm in flaccid or <7 cm in erect state. In conclusion, Egyptian men consulting for SSP did not have true small organs, but their penile dimensions were slightly smaller than those of men without such complaint. The proper sexual education program is highly advisable in these situations to avoid the myths and misconceptions about sexuality.

  5. Abnormalities of the penis in utero--hypospadias on fetal MRI.

    Science.gov (United States)

    Nemec, Stefan F; Kasprian, Gregor; Brugger, Peter C; Bettelheim, Dieter; Nemec, Ursula; Krestan, Christian R; Rotmensch, Siegfried; Rimoin, David L; Graham, John M; Prayer, Daniela

    2011-07-01

    To demonstrate the visualization of penile abnormalities on fetal magnetic resonance imaging (MRI). This retrospective study included five fetuses (25+0 to 31+6 gestational weeks) with penile abnormalities, positively depicted on fetal MRI, using prenatal ultrasonography (US) as a standard of reference. On MRI, the penis, as well as the scrotum and testicles, were evaluated. All fetal organs were reviewed to define penile abnormalities as isolated or in association with other anomalies. Furthermore, US and MRI findings were compared. Posterior hypospadias were demonstrated in all five fetuses, and abnormal testicular descent in two. Associated anomalies were present in all five fetuses on MRI, including abdominal/urogenital pathologies in four; brain pathologies in three; and craniofacial, cardiac, musculoskeletal, pathologies each in one fetus, and intrauterine growth retardation in one fetus. Compared to US, additional MRI findings were shown in four of five fetuses. Our MRI results demonstrate the visualization of fetal penile abnormalities and associated pathologies, which may provide information for perinatal management. MRI may show additional findings compared to prenatal US in certain cases.

  6. Modifications of erectile tissue components in the penis during the fetal period.

    Directory of Open Access Journals (Sweden)

    Carla B M Gallo

    Full Text Available The penile erectile tissue has a complex microscopic anatomy with important functions in the mechanism of penile erection. The knowledge of such structures is necessary for understanding the normal physiology of the adult penis. Therefore, it is important to know the changes of these penile structures during fetal development. This study aims to analyze the development of the main components of the erectile tissue, such as collagen, smooth muscle fibers and elastic system fibers, in human fetuses.We studied the penises of 56 human fetuses aged 13 to 36 weeks post-conception (WPC. We used histochemical and immunohistochemical staining, as well as morphometric techniques to analyze the collagen, smooth muscle fibers and elastic system fibers in the corpus cavernosum and in the corpus spongiosum. These elements were identified and quantified as percentage by using the Image J software (NIH, Bethesda, USA. From 13 to 36 WPC, in the corpus cavernosum, the amount of collagen, smooth muscle fibers and elastic system fibers varied from 19.88% to 36.60%, from 4.39% to 29.76% and from 1.91% to 8.92%, respectively. In the corpus spongiosum, the amount of collagen, smooth muscle fibers and elastic system fibers varied from 34.65% to 45.89%, from 0.60% to 11.90% and from 3.22% to 11.93%, respectively.We found strong correlation between the elements analyzed with fetal age, both in corpus cavernosum and corpus spongiosum. The growth rate of these elements was more intense during the second trimester (13 to 24 WPC of gestation, both in corpus cavernosum and in corpus spongiosum. There is greater proportional amount of collagen in the corpus spongiosum than in corpus cavernosum during all fetal period. In the corpus spongiosum, there is about four times more collagen than smooth muscle fibers and elastic system fibers, during all fetal period studied.

  7. Self-reported penis size and experiences with condoms among gay and bisexual men.

    Science.gov (United States)

    Grov, Christian; Wells, Brooke E; Parsons, Jeffrey T

    2013-02-01

    As researchers and community-based providers continue to encourage latex condom use as a chief strategy to prevent HIV transmission among men who have sex with men, research is needed to better explore the intersecting associations among penis size (length and circumference), condom feel, ease of finding condoms, recent experience of condom failure (breakage and slippage), and unprotected anal sex. Data were taken from a 2010 community-based survey of self-identified gay and bisexual men in New York City (n = 463). More than half (51.4 %) reported penile length as 6-8 in. long (15-20 cm) and 31.5 % reported penile circumference as 4-6 in. around (10-15 cm). Variation in self-reported penile dimensions was significantly associated with men's attitudes toward the typical/average condom, difficulty finding condoms that fit, and the experience of condom breakage. Men who had engaged in recent unprotected insertive anal intercourse reported significantly higher values for both penile length and circumference, and these men were significantly more likely to report that the average/typical condom was "too tight." Most men had measured their length (86.2 %) and/or circumference (68.9 %), suggesting that penile measurement might be a common and acceptable practice among gay and bisexual men. As HIV and STI prevention providers continue to serve as leading distributers of free condoms, these findings further highlight the need for condom availability to be in a variety of sizes. Improving condom fit and attitudes toward condoms may also improve condom use and minimize condom slippage and breakage.

  8. One-year follow-up of penis and testis sizes of healthy Turkish male newborns.

    Science.gov (United States)

    Semiz, Serap; Küçüktaşçi, Kazim; Zencir, Mehmet; Sevinç, Ozgür

    2011-01-01

    Penile length, penile diameter and testicular volume at birth reflect the activity and normality of the hypothalamus-pituitary-testicular axis. In this prospective longitudinal study, we aimed to measure penis and testicular size in healthy newborns at birth and 6 and 12 months of age. Seven hundred forty-six term healthy male newborns were enrolled in the study. According to measurements taken within 48 hours after birth, mean penile length (MPL) was 2.81 +/- 0.32 cm, mean penile diameter (MPD) 1.04 +/- 0.09 cm, right testicular volume (TV) 1.73 +/- 0.45 ml, and left TV 1.64 +/- 0.48 ml. At 6 months of age, MPL was 3.67 +/- 0.35 cm, MPD 1.23 +/- 0.08 cm, right TV 2.07 +/- 0.31 ml, and left TV 2.00 +/- 0.27 ml. At 12 months of age, MPL was 4.47 +/- 0.43 cm, MPD 1.25 +/- 0.09 cm, right TV 2.01 +/- 0.12 ml, and left TV 2.01 +/- 0.13 ml. There was a weak albeit statistically significant correlation between weight, length and PL at birth. In conclusion, the MPL of newborns was shorter than that reported in the published data from other populations. This situation may be related to ethnicity in addition to the lower birth weight and length of our subjects when compared to the newborns in other populations. We observed a significant increase, more marked during the first six months, in MPL, MPD and TV, which can be explained by the hormonal mechanism during minipuberty.

  9. Study of neuropeptide Y-containing nerve fibers in the human penis.

    Science.gov (United States)

    Wespes, E; Schiffmann, S; Gilloteaux, J; Schulman, C; Vierendeels, G; Menu, R; Pelletier, G; Vaudry, H; Vanderhaeghen, J J

    1988-10-01

    Neuropeptide Y 1-36 (IR-NPY) immunoreactive nerve-fiber processes have been observed in tunicae of veins and arteries and in smooth muscles of the human penis taken at autopsy or during surgery by use of light- and electron-microscopic immunohistochemical techniques. Numerous IR-NPY nerve fibers were mostly concentrated in the inner part of the adventitia close to the media of the arterial and venous vessels and among the intracavernous smooth muscle cells. IR-NPY nerve fibers were less abundant in veins than in arteries. Positive somata were not observed in the penises. At the ultrastructural level, IR-NPY were localized exclusively in large, dense granules of nerve terminals by means of the postembedding immunogold technique. In the deep dorsal vein, IR-NPY nerve fibers were also located in the media formed by an outer circular and an inner longitudinal layer. In the intracavernous and dorsal arteries, they showed the highest density in the inner part of the adventitia. In the corpora cavernosa and in the corpus spongiosum, IR-NPY nerve processes were intermingled between the smooth-muscle fibers around the sinusoid spaces. IR-NPY nerve fibers were present in the cavernous nerves close to the central arteries. The urethra did not show any IR-NPY-positive nerve fibers. This peculiar distribution of IR-NPY nerve fibers suggested that they could participate in regulating arterial and venous blood flow and intracavernous smooth-muscle tone. NPY may therefore be of importance in some of the mechanisms of penile erection especially during detumescence.

  10. Warty carcinoma of the penis: A clinicopathological study from South India

    Directory of Open Access Journals (Sweden)

    Marie Therese Manipadam

    2013-01-01

    Full Text Available Aims: There are few studies on the pathology of warty carcinoma (WC of the penis and these have been from South America. Penile cancers are not uncommon in India. We reviewed the frequency of subtypes of penile squamous carcinoma (SC and the pathological features and outcome of WC when compared to squamous carcinoma-not otherwise specified (SC-NOS. We also compared the clinicopathological features of WC in our series with those published earlier. Materials and Methods: We studied 103 cases of penile cancers over 6 years. Cases were classified into different subtypes according to established histologic criteria. Clinicopathologic features were studied in detail and compared among the different subtypes, especially between WC and SC-NOS. The patients were followed-up and disease free survival in months was noted. Results: SC-NOS constituted 75.7% of all penile cancer cases in our series. The frequency of other subtypes was WC: 9.7%, verrucous: 3.9%, basaloid type and papillary type: 0.97% each, and mixed types 8.7%. The average tumor size and depth of invasion did not differ significantly between the two subtypes. Frequency of lymphovascular emboli and percentage of lymph node metastasis in WC (30 and 10% were lesser than in SC-NOS (49.37 and 26.58%, respectively. There were no recurrences after partial penectomy in the WC subtype. In the SC-NOS type, three cases had recurrence after partial/total penectomy. Conclusion: Warty carcinoma constitutes nearly 10% of all penile squamous cell cancers. These patients seem to have a less aggressive behavior than SC-NOS.

  11. 经阴茎腹侧松解固定成形术治疗小儿先天性隐匿阴茎的疗效观察%Curative effect of children with congenital buried penis corrected through the ventral of penis root

    Institute of Scientific and Technical Information of China (English)

    刘加胜; 刘晓林; 冯勇军; 张艳

    2012-01-01

    Objective To evaluate the short-term outcome of congenital buried penis corrected through the ventral of penis root. Methods A retrospective review were carried out in 50 patients with buried penis corrected through the ventral of penis root, 50 patients with buried penis corrected through Devine procedure and 50 patients with buried penis corrected through Brisson procedure. The short-term outcome of different procedures was evaluated and compared. Results 9 d after operation, 96. 00% patients had satisfactory outcome corrected through the ventral of penis root, 76. 00% patients had satisfactory outcome corrected through Devine procedure and 88. 00% patients had satisfactory outcome corrected through Brisson procedure respectively. The satisfaction rate of patients with buried penis corrected through the ventral of penis root was better than other groups(P<0. 05). 3 months af-ter operation,95. 83% patients had satisfactory outcome corrected through the ventral of penis root,75. 61% patients had satisfac-tory outcome corrected through Devine procedure and 83. 72% patients had satisfactory outcome corrected through Brisson procedure respectively. The satisfaction rate of patients with buried penis corrected through the ventral of penis root was better than other groups(P<0. 05). Procedure through the ventral of penis root also showed less complications and more safety. Conclusion Comparing with Devine procedure or Brisson procedure, the procedure of correcting the buried penis through the ventral of penis root is a simple and effective method with good cosmetic and few complications.%目的 探讨经阴茎腹侧松解固定成形术治疗小儿先天性隐匿阴茎的近期临床疗效.方法 回顾分析经阴茎腹侧松解固定成形术、Devine术与Brisson术治疗小儿先天性隐匿阴茎各50例,按统一手术疗效评定标准评价分析手术疗效,并对照不同手术间的疗效差异.结果 术后9 d经阴茎腹侧松解固定成形术组、Devine

  12. Borselino术矫治隐匿性阴茎的临床疗效研究%Clinical Study of Borselino Procedure in the Treatment of Concealed Penis

    Institute of Scientific and Technical Information of China (English)

    李永林

    2013-01-01

    Objective To evaluate the effect of Borselino procedure in the treatment of concealed penis. Methods 27 patients with concealed penis admitted to our hospital from May 2011 to January 2012 were selected. The clinical manifestations of these patients were small penis, penis concealed under skin, abdominal skin only reaching prepuce, prepuce wrapping penis like bird beak but not attached to penis. When the base of penis was squeezed, the penis was exposed. All the 27 patients were treated by Borselino procedures. Results All the 27 patients had satisfactory effect. When the penis was limp, the penis, penis scrotum groove and penis pubis groove were exposed obviously. The scar after surgery was like one after circumcisions, which was relatively aesthetic. The complication after surgery was mild edema of prepuce, and disappeared two or three months after surgery. All the patients were followed up for three to six months and no patients relapsed. Conclusion Borselino procedure is a very good method, which not only relieves the pathologic abnormalities, but also keeps the integrity of penile ventral skin.%目的 探讨采用Borselino术矫治隐匿性阴茎的治疗效果.方法 选取2011年5月-2012年1月我院收治的27例隐匿性阴茎患儿,临床表现为阴茎外观短小,阴茎体均完全隐匿于皮下,腹壁皮肤平面仅及包皮,包皮呈鸟嘴样包住阴茎,与阴茎体不附着,挤压阴茎根部阴茎体显露正常.27例患儿均采用Borselino术进行矫治.结果 27例患儿均获得满意的效果.疲软时阴茎显露明显,阴茎阴囊沟和阴茎耻骨沟正常显露.术后阴茎瘢痕类似包茎环切术后,比较美观.术后并发症仅为包皮轻度水肿,术后2~3个月内完全消退.术后随访3~6个月,无术后复发病例.结论 Borselino术是治疗隐匿性阴茎的一个很好的方法,较好地解除了其病理异常,保留了阴茎腹侧皮肤的完整性,术后瘢痕少,阴茎外观佳.

  13. Aging-related expression of inducible nitric oxide synthase and markers of tissue damage in the rat penis.

    Science.gov (United States)

    Ferrini, M; Magee, T R; Vernet, D; Rajfer, J; González-Cadavid, N F

    2001-03-01

    Erectile dysfunction in the aging male results in part from the loss of compliance of the corpora cavernosal smooth muscle due to the progressive replacement of smooth muscle cells by collagen fibers. We have examined the hypothesis that a spontaneous local induction of inducible nitric oxide synthase (iNOS) expression and the subsequent peroxynitrite formation occurs in the penis during aging and that this process is accompanied by a stimulation of smooth muscle apoptosis and collagen deposition. The penile shaft and crura were excised from young (3-5 mo old) and old (24-30 mo old) rats, with or without perfusion with 4% formalin. Fresh tissue was used for iNOS and proteasome 2C mRNA determinations by reverse transcription polymerase chain reaction assay, ubiquitin mRNA by Northern blot, and iNOS protein by Western blot. Penile sections from perfused animals were embedded in paraffin and immunostained with antibodies against iNOS and nitrotyrosine, submitted to the TUNEL assay for apoptosis, or stained for collagen, followed by image analysis quantitation. A 4.1-fold increase in iNOS mRNA was observed in the old versus young tissues, paralleled by a 4.9-fold increase in iNOS protein. The proteolysis marker, ubiquitin, was increased 1.9-fold, whereas a related gene, proteasome 2c, was not significantly affected. iNOS immunostaining was increased 3.6-fold in the penile smooth muscle of the old rats as compared with the young rats. The peroxynitrite indicator nitrotyrosine was increased by 1.6-fold, accompanied by a 3.6-fold increase in apoptotic cells and a 2.0-fold increase in collagen fibers in the old penis. In conclusion, aging in the penis is accompanied by an induction of iNOS and peroxynitrite formation that may lead to the observed increase in apoptosis and proteolysis and may counteract a higher rate of collagen deposition in the old penis.

  14. Cellular effects of tributyltin (TBT) on the penis epithelium cells of prosobranchs ( Hinia reticulata and Ocinebrina aciculata)

    Science.gov (United States)

    Brick, M.; Deutsch, U.; Fioroni, P.

    1996-09-01

    Cytopathological effects on organelles of penis epithelium cells were investigated in prosobranchs that had been exposed for two weeks to three months to high TBT-concentrations in artificial seawater. TBT exposure damaged cell organelles, such as mitochondria, Golgi dictyosomes, endoplasmatic reticulum, and injured the cell membranes. In addition, atypical intercellular spaces were observed between the cells of the epithelial layer. Further cell alterations included the increase of residual bodies within the cells as well as structural changes of the basal lamina. The ultrastructural changes were compared with cell alterations of specimens which had been collected in a polluted environment on the coast of Brittany (France).

  15. Results of prosthetic mesh repair in the emergency management of the acutely incarcerated and/or strangulated groin hernias: a 10-year study.

    Science.gov (United States)

    Bessa, S S; Abdel-fattah, M R; Al-Sayes, I A; Korayem, I T

    2015-12-01

    The aim of this prospective study was to present a 10-year experience with the use of prosthetic mesh repair in the management of the acutely incarcerated and/or strangulated groin hernias. Patients with acutely incarcerated and/or strangulated groin hernias were treated by emergency repair of the hernia using a Prolene mesh. The presence of non-viable intestine necessitating resection-anastomosis of the bowel was not considered a contraindication to the use of mesh. The present study included 234 patients. Their age ranged from 16 to 85 years with a mean of 55.9 ± 17.7 years. The hernia was indirect inguinal in 201 patients (85.9%), direct inguinal in 5 patients 5 (2.1%), hernia of canal of nuck in 13 patients (5.6%) and femoral in 15 patients (6.4%). Thirty patients (12.8%) had recurrent hernias. Resection-anastomosis of non-viable small intestine was performed in 32 patients (13.7%). There were 5 perioperative mortalities (2.1%). Complications were encountered in 41 patients (17.5%) and included wound infection in 14 patients (6%), scrotal hematoma in 9 patients (3.8%), chest infection in 8 patients (3.4%), deep vein thrombosis in 2 patients (0.9%), transient deterioration of liver function in 11 patients (4.7%) and mesh infection in 1 patient (0.5%). Follow-up duration ranged from 6 to 120 months with a mean of 62.5 ± 35.3 months. Two recurrences (0.9%) were encountered throughout the study period. The use of prosthetic mesh repair in the emergency management of the acutely incarcerated and/or strangulated groin hernias is safe. The presence of non-viable intestine cannot be regarded as a contraindication for prosthetic repair.

  16. Injecting drug use via femoral vein puncture: preliminary findings of a point-of-care ultrasound service for opioid-dependent groin injectors in treatment

    Directory of Open Access Journals (Sweden)

    Senbanjo Richard

    2012-01-01

    Full Text Available Abstract Background Within the UK, injecting in the femoral vein (FV, often called 'groin injecting', is a serious cause of risk and harm. This study aimed to use ultrasound scanning as a means to engage groin injectors (GIs, examine their femoral injecting sites and assess their venous health, with the intention of developing improved responses. Methods Between September 2006 and March 2009, GIs attending a network of community drug treatment centres in South East England were invited to attend an ultrasound 'health-check' clinic. This paper provides a narrative account of the scanning procedure and operation of the service, with descriptive statistical analysis of GIs who attended. The analysis uses a structured, specially-developed clinical data set that incorporates a categorisation for the severity of FV damage. Case studies using ultrasound images and a link to a video are provided to illustrate the range of presentations encountered and the categorisations used for severity. Results A total of 160 groin scans (76 bilateral and 8 unilateral were performed in 84 GIs. The majority were men (69.0% and the mean age of the sample was 36.8 years. The mean duration of drug use and injecting drug use was 19.7 years and 13.8 years, respectively. FV damage at the injecting site in the right groin was graded as minimal in 20 patients (25%, moderate in 27 (33.8%, severe in 16 (20.0% and very-severe in 17 (21.3%. Corresponding figures for left FV were 24 (30.0%, 22 (27.5%, 18 (22.5% and 16 (20.0%. Wide variation was observed in the time to the development of these grades of FV damage. Conclusions Modern, portable ultrasound scanners make it possible to examine the venous health of GIs in community treatment settings. Ultrasound scanning identified extensive FV damage, much hitherto-unrecognised in this population. These findings should further alert clinicians, policy-makers and patients to the urgent need for effective harm reduction responses to GI

  17. Effect of aging on expression of nitric oxide synthase I and activity of nitric oxide synthase in rat penis

    Institute of Scientific and Technical Information of China (English)

    Jun-PingSHI; Yong-MeiZHAO; Yu-TongSONG

    2003-01-01

    Aim: To investigate the effect of aging on the expression of nitric oxide synthase I (NOS I) and the activity of NOS in rat penis. Methods: Sixty male rats from 3 age groups (adult, old and senescent) were investigated.The expression of NOS I protein and mRNA in rat penis were detected by Western blot and RT-PCR respectively and the NOS activity, with ultraviolet spectrophotometry. Results: In the old and senescent group, NOS I protein expression was significantly decreased as compared with the adult. NOS I mRNA expression was well correlated with the protein expression. NOS activity was not statistically different between the adult and old groups, but it was significantly reduced in the senescent compared with the adult group (P<0.01). Conclusion: The aging-induced decreases in NOS I expression and NOS activity may be one of the main mechanisms leading to erectile dysfunctionin the senescent rats. ( Asian J Androl 2003 Jun; 5: 117-120)

  18. Surgical treatment of lymphedema of the penis and scrotum Tratamento cirúrgico do linfedema peno-escrotal

    Directory of Open Access Journals (Sweden)

    Miguel Modolin

    2006-08-01

    Full Text Available PURPOSE: Lymphedema of the penis and scrotum, regardless of its etiology, is determined by reduced lymphatic flow with subsequent enlargement of the penis and scrotum. The clinical course of this condition is characterized by extreme discomfort for patients, with limitation of local hygiene, ambulation, sexual intercourse, and voiding in the standing position. The purpose of the present study is to present the experience and results of the treatment of lymphedema of the penis and scrotum by removing affected tissues and correcting the penoscrotal region. MATERIALS AND METHODS: Seventeen patients with lymphedema of the penis and scrotum were treated with a modified Charles procedure, which consists of the excision of the affected skin followed by scrotoplasty and midline suture simulating the scrotal raphe. The penis is covered with a split-thickness skin graft by means of a zigzag suture on its ventral surface. RESULTS: Regression of symptoms and improvement of previous clinical conditions were verified in the follow-up which ranged from 6 months to 6 years. One patient who had undergone lymphadenectomy with radiation therapy due to penile cancer had recurrent scrotum lymphedema. CONCLUSIONS: The modified Charles procedure for the treatment of penoscrotal lymphedema is easily reproducible and allows better local hygiene, easier ambulation, voiding in the standing position, resuming sexual intercourse, and finally, better cosmetic results in the affected area with remarkable improvement in quality of life.INTRODUÇÃO: O linfedema peno-escrotal, independentemente da etiologia, é determinado pela redução do fluxo linfático com conseqüente aumento do volume do escroto e pênis. A evolução clínica da doença é caracterizada com extremo desconforto ao paciente, limitando a higiene local, a deambulação, o intercurso sexual e a micção em posição ortostática. OBJETIVO: Apresentar a experiência e resultados no tratamento da patologia com

  19. Five years' experience of transverse groin incision for femoral artery access in arterial reconstructive surgery: parallel observational longitudinal group comparison study.

    LENUS (Irish Health Repository)

    Beirne, Christopher

    2008-07-01

    Vertical groin incisions (VGIs) have been used to access femoral vessels, but reports allude to wound complications. Our aim was to compare VGI with transverse groin incision (TGI) for femoral artery exposure. Over a 5-year interval, 196 patients with 284 femoral artery exposures for supra- and infrainguinal procedures were studied. Primary endpoints were surgical skin site wound infection, seroma, haematoma formation, and major lower limb amputation. Secondary endpoints were graft patency, wound paresthesias, and length of hospital stay. There were 160 TGIs and 124 VGIs. The demographics and risk factor profile were not statistically different between groups. Seroma developed in 4.4% of TGIs and 13.7% of VGIs (p= .005). The complicated skin and soft tissue infection rate was five times greater with VGI (p= .001). The VGI group had a significantly higher rate of major amputation (p= .0005). Significantly higher graft failure rates were observed in the VGI group (p= .011). No paresthesia was reported in any TGI wound. The mean hospital stay was also significantly shorter in the TGI group (p= .006). The study data support and expound on the theory that an alternative incision to VGI offers lower short- and long-term morbidity. Our findings sustain the selection of the TGI in femoral artery surgery for both supra- and infrainguinal procedures without compromise of vessel exposure.

  20. ‘When there's no underbrush the tree looks taller’:a discourse analysis of men’s online groin shaving talk

    OpenAIRE

    Hall, Matthew

    2015-01-01

    It seems many men continue to be obsessed with their penis and especially its size and look. Two thirds of men in a recent UK study (Veale et al., 2013) reported some dissatisfaction with their genitals. Arguably much of this anxiety is perpetuated by the media and marketers, but may also follow more general trends in male body image consciousness (Grogan, 2007; 2010; Flowers et al., 2013). Marketers have been quick to offer both surgical and non-surgical remedies to help change the size, sha...

  1. Groin and hip quandaries

    African Journals Online (AJOL)

    specialist opinions and four different surgical procedures. One needs sound ... of pain. The two joints in the pelvis should be emphasised – the hip joint and the pubic .... intervention aimed at improving hip kinematics would be effective in.

  2. Effects of chronic treatment with the eNOS stimulator Impaza on penis length and sexual behaviors in rats with a high baseline of sexual activity.

    Science.gov (United States)

    Chu, X; Zhavbert, E S; Dugina, J L; Kheyfets, I A; Sergeeva, S A; Epstein, O I; Agmo, A

    2014-01-01

    Endothelial nitric oxide synthase (eNOS) has an important role in erection, and it also affects aspects of sexual behavior. In this experiment, we determined whether a compound enhancing the activity of eNOS, Impaza, could stimulate any aspect of sexual behavior and increase penis length in rats with a high baseline of sexual activity. For comparison, the PDE5 inhibitor sildenafil was included. Male rats were orally treated with Impaza or sildenafil for 28 days. Impaza (3 ml kg(-1)) was given daily while sildenafil (3 mg kg(-1)) was given twice weekly. Tests for sexual incentive motivation and copulatory behavior were performed just before drug treatment and at days 7, 14 and 28 of treatment. In addition, the length of the protruding penis at mount, intromission and ejaculation was measured. Impaza but not sildenafil increased penis length at mount after 14 and 28 days of treatment. The compounds failed to modify sexual incentive motivation or copulatory behavior. It is suggested that Impaza enhanced intracavernous pressure, as such a pressure increase is the most likely explanation for enhanced penis length at mount. This effect, together with an absence of motivational actions, suggests that Impaza may be the most valuable treatment for erectile dysfunction.

  3. 80例隐匿性阴茎Devine改良术式临床分析%Clinical Analysis of 80 Cases of Occult Penis Devine Improved

    Institute of Scientific and Technical Information of China (English)

    李瑜; 李启忠; 李永强; 魏广金

    2013-01-01

    Objective:To investigate the diagnostic and therapeutic method of modified conceal penis Devine operation.Method:80 cases of concealed penis in children underwent modified conceal penis Devine operation and were followed up for 5-24months,erectile function and penile length measurement were observed.Result:Operations were successful,the wound healed well,the appearance of penis was good,normal erectile function,length increased significantly. Conclusion:The modified Devine operation was simple operation,less bleeding,shorter operation time,rapid recovery and good effect.%目的:探讨隐匿性阴茎Devine改良术式临床疗效。方法:对80例隐匿性阴茎患儿均用Devine改良术式治疗,并随访5~24个月,观察勃起功能及阴茎长度测量。结果:手术均获得成功,伤口愈合良好,阴茎外观好,勃起功能正常,长度增加明显。结论:Devine术式改良后,操作简单,术中出血少,手术时间缩短,恢复快、效果好。

  4. Long-Term Outcome of En Bloc Extensive Resection of the Penis and Prepuce Associated with a Permanent Perineal Urethrostomy in a Gelding Affected by Squamous Cell Carcinoma

    Directory of Open Access Journals (Sweden)

    Paola Straticò

    2016-01-01

    Full Text Available A 15-year-old gelding was referred for a florid, cauliflower-like ulcerated mass, enclosing penis and prepuce together with penile urethra showing a malodorous purulent and blood-stained discharge and larvae infestation. En bloc extensive resection of the penis and prepuce, without penile retroversion or pexy to ventral abdomen associated with a permanent perineal urethrostomy, was performed. Histology of the mass revealed a squamous cell carcinoma of penis and prepuce. The surgical technique that was adopted is a modified version of that already described that allows a more proximal resection of the penile body and is a valid option for treating advanced SCC lesions involving the penis. Early postsurgical complications (mild strangury, haemorrhage from the urethrostomy site and its partial dehiscence, and infection of the abdominal wound were managed with a medical treatment and resolved within 5 to 12 days. Three years after surgery the horse is in good body condition and does not show any sign of recurrence or disorders related to the surgery.

  5. 改良隐匿性阴茎手术17例报告%Analysis of a surgical method for concealed penis repair

    Institute of Scientific and Technical Information of China (English)

    冯宁翰; 许斌; 杨杰; 吴宏飞; 眭元庚; 顾民; 张炜; 华立新; 王增军

    2011-01-01

    目的 探讨治疗幼儿隐匿性阴茎的简单有效术式.方法 回顾性分析2005年7月至2008年12月17例应用阴茎脱套加固定术治疗的隐匿性阴茎患者临床资料和随访资料.17例患者合并包茎5例,手术运用阴茎脱套加固定术,在行包皮整形的同时延长阴茎.结果 所有手术均获成功,手术时间平均1.25h,所有患者均得到12月以上的随访,本组所有患者术后阴茎头均能在自然状况下显露,阴茎发育满意,外观效果好,无并发症.结论 阴茎脱套加根部固定术是治疗隐匿性阴茎的一种切实有效术式,手术风险小,成功率高.%Objective To explore a simple surgical technique for congenital concealed penis repair.Methods Clinical data of 17 cases with concealed penis whose penis were all treated by anchoring the penoscrotal and penopubic junctions and skin coverage by a local flap, from 2005 to 2008 in our hospital, were retrospectively analyzed.Results 17 consecutive patients were treated in 2005~2008.They underwent penoplasty and circumcision, at the same time extending the penis.All operations were successful and the average operative time was 75 min.All patients received more than 12 months following up after operations.They were satisfied with the development of the penis, appearance effects, and no complications.Conclusion Revealing the concealed penis is a complicated procedure.This surgical approach used in the study is a promising method with good effect and little complication for concealed penis repair.

  6. Treatment of Penis Hypogenesis Before Puberty%青春期前阴茎发育不良治疗探讨

    Institute of Scientific and Technical Information of China (English)

    刘小青; 赵夭望; 彭潜龙

    2011-01-01

    [目的]探讨儿童阴茎发育不良的治疗方法.[方法]398例性激素水平正常,阴茎睾丸低于当地儿童青少年阴茎、睾丸正常标准1~2.5标准差的青春期阴茎发育不良患者,采用绒毛膜促性腺激素(HCG)治疗.测量其治疗前、后和治疗后1个月的阴茎长度、阴茎直径、睾丸纵径和睾丸横径进行比较.[结果]384例患儿经1疗程治疗达到正常值,20例患儿经2个疗程达到正常值,13例末达正常值但较前有改善,2例效果不明显.治疗后以及治疗后1个月患儿的阴茎长度、直径,睾丸纵径和横径较治疗前显著增加(P<0.001).[结论]短疗程绒毛膜促性腺激素治疗儿童青少年阴茎发育不良是一种有效的方法.%[Objective]To explore the treatment of children with penis hypogenesis. [Methods] A total of 398 children with penis hypogenesis who had the normal level of sex hormone and the penis was lower than 1~2. 5 standard deviation of normal penis and testis of children in this area were reviewed. All the 398 cases were treated with human chorionic gonadotrophin(HCG). The length and diameter of penis and both vertical and horizontal diameter of testis were measured and compared among before and after treatment, and a month after treatment. [Results]The 384 cases reached the normal value after a course of treatment. The 20 cases reached the normal value after two courses of treatment. And 13 cases were still abnormal but improved. The efficacy of 2 cases was not obvious. Compared with before treatment, the length and diameter of penis and both verti cal and horizontal diameter of testis one month after treatment increased( P <0. 001). [Conclusion] Short term HCG treatment is an effective therapy for penis hypogenesis of children and teenagers.

  7. 市售鹿鞭的DNA指纹鉴定研究%The identification of mitochondrial DNA finger print on the testis et penis cervi on sale

    Institute of Scientific and Technical Information of China (English)

    刘洋; 张丽华

    2014-01-01

    Objective To explore the identification and characterization of cytochrome b gene from the Testis et Penis Cervi and to develop a method of DNA molecular marker for identification of traditional Chinese medicine,the Testis et Penis Cervi. Methods Based on the analysis of DNA sequence of mitochondrial cytochrome b gene from fresh animals of the Testis et Penis Cervi and the bullwhip. A pair of allele-specific primers was designed for distinguishing the genuine drugs from their adulterants with primer design software Primer Premier 5.0. The fresh Testis et Penis Cervi and the bullwhip were extracted and polymerase chain reaction(PCR) amplification was carried out. The DNA bands of Testis et Penis Cervi were recovered,purified and sequenced.Commercially available six samples were identificated. Results The results of diagnostic PCR for original animals showed that a 306bp fragment was only amplified from DNA templates of the Testis et Penis Cervi. Only 3 samples were genuine drug. Conclusion DNA is specific finger print feature which can be used for identification and analysis between the Testis et Penis Cervi and the bullwhip. The method is simple and the result is reliable. It can be used for the crude drugs in the current market.%目的:探讨鹿鞭及牛鞭线粒体细胞色素b基因(Cytb)部分序列片段特征,建立中药材鹿鞭敏感、特异的DNA分子标记学鉴定方法。方法对市售鹿鞭进行样本处理,模板制备,采用鹿鞭特异性引物进行PCR反应,对市售鹿鞭样本采取DNA指纹鉴定。结果对市售鹿鞭中药材进行mtDNA鉴定,有三个样本为正品。结论此方法对市售鹿鞭鉴定,可准确辨别正品与伪品。重现性、稳定性好,简便准确而可行,说明鹿鞭mtDNA具有特异性指纹特征,所得鹿鞭DNA指纹特征图谱可用于市售鹿鞭的鉴定。

  8. De una fimosis a la amputación total del pene From phymosis to total amputation of the penis

    Directory of Open Access Journals (Sweden)

    Lourdes Santana Sarrhy

    2007-09-01

    Full Text Available El caso que presentamos es el de un paciente de 53 años que, al no tratarse adecuadamente una fimosis, presentó un carcinoma epidermoide de pene y fue necesario realizar una amputación total de este órgano. Es sabido que en la actualidad ese tipo de enfermedad es prevenible y que su aparición se debe a una higiene genital inadecuada relacionada con la presencia de fimosis o prepucio redundanteThe case of a 53 years-old patient, who did not look for adequate treatment for phymosis and developed epidermoid carcinoma of the penis leading to the total amputation of this organ, was presented in this paper. It is known that this type of disease is preventable at present and that it occurs due to phymosis or redundant foreskin-related poor genital hygiene

  9. Sarcoma de Kaposi primário do pênis Primary Kaposi's sarcoma of the penis

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    Maira Mitsue Mukai

    2009-10-01

    Full Text Available Sarcoma de Kaposi é um tumor vascular que afeta a parede dos vasos linfáticos. Possui quatro formas: clássica, endêmica, iatrogênica e associada ao HIV. É uma doença sistêmica, maligna, multifatorial e de curso variável. A apresentação inicial no pênis é rara, e mais observada em pacientes HIV positivos. Em pacientes HIV negativos, os casos que ocorrem nesta região, apresentam-se com pápulas, nódulos, placas e lesões verruciformes, assintomáticas. Para o tratamento da forma clássica, dispõem-se de excisão cirúrgica, crioterapia, eletrocirurgia, laser e radioterapia. Neste trabalho, é relatado um caso raro de um paciente com a forma clássica, em região peniana tratado com sucesso com radioterapia.Kaposi's sarcoma is a vascular tumor involving the wall of lymphatic vessels. There are four types: classic, endemic, iatrogenic and HIV-associated. It is a systemic, malignant and multifactorial disease and has a variable course. The primary presentation on the penis is uncommon and is mainly observed in HIV-positive patients. In HIV-negative individuals, asymptomatic papules, nodules, plaques and verrucous lesions are found. The treatment for the classic form involves surgery, cryotherapy, electrosurgery, laser and radiation therapy. The authors present a rare case of a patient with the classic form on the penis, who was successfully treated by radiation therapy.

  10. Pelvic magnetic resonance imaging angioanatomy of the arterial blood supply to the penis in suspected prostate cancer patients

    Energy Technology Data Exchange (ETDEWEB)

    Thai, Cao Tan, E-mail: bstanhatinh@gmail.com [Department of Urology, Brabois Hospital, University Hospital of Nancy, Rue du Morvan, 54500 Vandoeuvre Lès Nancy Cedex (France); IADI Laboratory, INSERM-U947, Brabois Hospital, University Hospital of Nancy, Tour Drouet, rue du Morvan, 54511 Vandoeuvre Lès Nancy Cedex (France); Karam, Ibrahim Michel [Clinical Epidemiology and Evaluation Department, University Hospital of Nancy (France); Department of Anatomy, Faculty of Medicine Nancy, 9 Avenue de la Foret de haye BP, 54505 Vandoeuvre Lès Nancy Cedex (France); Nguyen-Thi, Phi Linh [Clinical Epidemiology and Evaluation Department, University Hospital of Nancy (France); INSERM, CIC-EC CIE6, 92 Avenue du Maréchal de Lattre de Tassigny, 54000 Nancy (France); Lefèvre, Frédéric [Department of Radiology, Brabois Hospital, University Hospital of Nancy, Rue du Morvan, 54500 Vandoeuvre Lès Nancy Cedex (France); Hubert, Jacques [Department of Urology, Brabois Hospital, University Hospital of Nancy, Rue du Morvan, 54500 Vandoeuvre Lès Nancy Cedex (France); IADI Laboratory, INSERM-U947, Brabois Hospital, University Hospital of Nancy, Tour Drouet, rue du Morvan, 54511 Vandoeuvre Lès Nancy Cedex (France); Felblinger, Jacques [IADI Laboratory, INSERM-U947, Brabois Hospital, University Hospital of Nancy, Tour Drouet, rue du Morvan, 54511 Vandoeuvre Lès Nancy Cedex (France); Eschwège, Pascal [Department of Urology, Brabois Hospital, University Hospital of Nancy, Rue du Morvan, 54500 Vandoeuvre Lès Nancy Cedex (France)

    2015-05-15

    Highlights: • Three patterns of penile arterial supply (according to the classification of Stéphane Droupy). • Our classification about accessory pudendal artery. • Origin of accessory pudendal artery. - Abstract: Purpose: To describe the internal pudendal artery (IPA) and accessory pudendal artery (APA) detected by magnetic resonance (MR) angiography to help surgeons to find and preserve them during radical prostatectomy (RP). Materials and methods: Constrast-enhanced MR 3.0 T angiography of the pelvis were performed in 111 male patients suspected diagnosis of prostate cancer (PCa), and describe the penile arterial blood supply. Results: There are three patterns of the arterial blood supply to the penis (IPA and/or APA) accounting for 51.4%, 46.8% and 1.8% of cases, respectively. About the accessory pudendal artery (APA): 54/111 (48.6%) patients had APA with five different branching patterns, they were type I (APA bilateral symmetry): 17 (31.5%); type II (APA bilateral asymmetry): 1 (1.9%); type III (APA unilateral lateral): 13 (24%); type IV (APA unilateral apical): 21 (38.9%); type V (APA unilateral mix): 2 (3.7%). APA origin were from inferior epigastric artery (IEA): 7 (9.5%); from inferior vesical artery (IVA): 32 (43.2%); from obturator artery (OA): 35 (47.3%). Conclusion: A precise angioanatomic evalutation of arteries destined to the penis by MR angiography pre-operation for male pelvic organs will help surgeons to preserve them and contributes to reduce the erectile dysfunction after these procedures.

  11. 82例隐匿性阴茎分型与治疗%The Type and Treatment of 82 Cases of Concealed Penis

    Institute of Scientific and Technical Information of China (English)

    杨正荣

    2015-01-01

    Objective:To analyse the type and treatment of concealed penis.Method:From April 2011 to July 2012 in our hospital the experience of 84 concealed penis patients was summarized.They were divided into bands type,phimosis type,obesity,small holster according to the pathological changes of concealed penis,the control group received drug treatment,the observation group were given targeted operation treatment,“penis dorsal Y.V”operation was used for phimosis type,bands type was used cable fiber cable release,resection.The small holster was inverted“Y.V”operation.Severe obesity type would be on both sides of the tunica albuginea penis body fixed on the root of the penis,penis skin.Result:The patients in the observation group were more significantly improve the situation,the total effective rate was 95.24%,the total effective rate of the control group was only 47.62%. Conclusion:The classified and treatment according to different condition for concealed penis,is advantageous to the correction in patients with concealed penis,can improve their quality of life.%目的:分析探讨隐匿性阴茎的类型及治疗方式。方法:总结2011年4月-2012年7月笔者所在医院诊治的84例隐匿阴茎患者的经验。根据隐匿阴茎的病变情况可分为索带型、包茎型、肥胖型、小皮套型,对照组进行药物治疗,观察组给予针对性手术治疗,包茎型进行阴茎背侧“Y.V”手术,索带型进行纤维索带松解、切除。小皮套型进行倒“Y.V”手术。严重单纯肥胖型者,将阴茎皮肤固定于阴茎根部的阴茎体两侧白膜上。结果:观察组患者改善情况较为显著,其总有效率达到了95.24%,对照组总有效率仅为47.62%。结论:对隐匿阴茎进行分型,并按照不同病情进行治疗,有利于纠正患者隐匿阴茎,提高其生活质量。

  12. Athletic groin pain (part 2): a prospective cohort study on the biomechanical evaluation of change of direction identifies three clusters of movement patterns.

    Science.gov (United States)

    Franklyn-Miller, A; Richter, C; King, E; Gore, S; Moran, K; Strike, S; Falvey, E C

    2017-03-01

    Athletic groin pain (AGP) is prevalent in sports involving repeated accelerations, decelerations, kicking and change-of-direction movements. Clinical and radiological examinations lack the ability to assess pathomechanics of AGP, but three-dimensional biomechanical movement analysis may be an important innovation. The primary aim was to describe and analyse movements used by patients with AGP during a maximum effort change-of-direction task. The secondary aim was to determine if specific anatomical diagnoses were related to a distinct movement strategy. 322 athletes with a current symptom of chronic AGP participated. Structured and standardised clinical assessments and radiological examinations were performed on all participants. Additionally, each participant performed multiple repetitions of a planned maximum effort change-of-direction task during which whole body kinematics were recorded. Kinematic and kinetic data were examined using continuous waveform analysis techniques in combination with a subgroup design that used gap statistic and hierarchical clustering. Three subgroups (clusters) were identified. Kinematic and kinetic measures of the clusters differed strongly in patterns observed in thorax, pelvis, hip, knee and ankle. Cluster 1 (40%) was characterised by increased ankle eversion, external rotation and knee internal rotation and greater knee work. Cluster 2 (15%) was characterised by increased hip flexion, pelvis contralateral drop, thorax tilt and increased hip work. Cluster 3 (45%) was characterised by high ankle dorsiflexion, thorax contralateral drop, ankle work and prolonged ground contact time. No correlation was observed between movement clusters and clinically palpated location of the participant's pain. We identified three distinct movement strategies among athletes with long-standing groin pain during a maximum effort change-of-direction task These movement strategies were not related to clinical assessment findings but highlighted targets

  13. Correction for concealed penis after misdiagnosis and mistherapy%隐匿性阴茎误诊误治后的矫治

    Institute of Scientific and Technical Information of China (English)

    周如意; 陈军; 阳晓林; 潘泽意; 黄明义; 李中华

    2012-01-01

    目的:探讨隐匿性阴茎被误诊为包皮过长并行包皮环切术后的有效补救手术方法.方法:对21例隐匿性阴茎被误诊为包皮过长并行包皮环切术后的患者,采用改良的Devine术式矫治隐匿性阴茎和阴囊中隔带蒂皮瓣修复阴茎的皮肤缺损,观察其疗效.结果:21例患者阴茎外观均获恢复或接近正常,无一例出现皮瓣坏死,其中2例出现阴茎水肿,3月后恢复正常.随访1~2年无一例阴茎回缩,排尿勃起功能正常.结论:隐匿性阴茎误诊为包皮过长行包皮环切后,用改良的Devine术式治疗隐匿性阴茎和阴囊中隔带蒂皮瓣修复阴茎皮肤缺损是一种较好的手术补救方法.%Objective To study the effective correction for concealed penis after being misdiagnosed redundant prepuce and operated by circumcision. Methods 21 concealed penis patients misdiagnosed redundant prepuce and operated by circumcision were corrected by improved Devine's operation through midline scrotal flap with vessel pedicle for defectofskin. Results Shapes of 21 patients' penis were all recovered or nearly normal, and none appeared skin flap necrosis. Two cases appeared edeama of the penis, but recoverd after 3 month. The penises were all developed normal without problem of uresis and erectile function. Conclusion Improved Devine's operation for concealed penis associated with midline scrotal flap with vessel pedicle for defectofskin is a effective remediation for concealed penis after misdiagnosis and mistherapy.

  14. 耻骨上及会阴部入路手术治疗隐匿性阴茎%Treatment of concealed penis by operating through suprapubic and perineal approach

    Institute of Scientific and Technical Information of China (English)

    杨金存; 王海涛; 胡南; 张诚; 李霞

    2010-01-01

    目的 探索耻骨上及会阴部入路手术治疗隐匿性阴茎的矫形效果.方法 耻骨上切口,切断阴茎浅、深悬韧带,将阴茎海绵体剥离至耻骨弓,使阴茎延长2~3 cm.阴茎根部两侧小切口,将对应的阴茎与腹壁交界处的皮下筋膜缝合固定,防止阴茎回缩至阴囊内.结果 2007年至2009年,应用此方法治疗隐匿性阴茎16例,均取得了成功.随访半年,静息状态阴茎长度增长,整形效果良好,无并发症,患者满意.结论 耻骨上及会阴部联合入路手术治疗隐匿性阴茎疗效确切.%Objective To search a new option for the correction of concealed penis by operating through suprapubic and perineal approach. Methods The operation consisted of there incisions including a suprapubic approach to transect suspensory ligament of penis in order to separate and prolong cavernous body of penis for 2-3 em and two perineal approaches to sew up the superficial fascia between penis and abdominal wall in order to prevent penis from recovering to scrotum. Results From 2007 to 2009 sixteen patients of concealed penis were surgically corrected by this method. The good function and certain result were achieved. After followed up half a year, the operative results were satisfactory with no complications. Conclusion Treatment of concealed penis by operating through suprapubic and perineal approach is an ideal and effective method for the correction of concealed penis.

  15. Naevus comedonicus

    Directory of Open Access Journals (Sweden)

    Kamath K

    1992-01-01

    Full Text Available Naevus comednicus is a rare form of epidermal naevus commonly seen on face and neck. Much rare is the occurrence of lesions over the glans. Reported cases of this developmental abnormality of pilosebaceous apparatus are few. Here we report a case with lesions over cheek and glans penis.

  16. Amputation of the penis and bilateral orchiectomy due to extensive debridement for Fournier's gangrene: case report and review of the literature.

    Science.gov (United States)

    Ciftci, Halil; Verit, Ayhan; Oncel, Halil; Altunkol, Adem; Savas, Murat; Yeni, Ercan; Bitiren, Muharrem; Guldur, M Emin

    2012-03-01

    Fournier's gangrene is a rare disease with rapidly progressive necrotising fasciitis of the genital, perineal and perianal regions and is known to have an impact in the morbidity and the mortality. Despite antibiotics and aggressive debridement, mortality rate is still high. We present a 79-year-old man who was admitted to School of Medicine, Harran University, Sanliurfa, Turkey, with painful swelling of penoscrotal region. Perineal examination revealed the entire perineal skin to be gangrenous, necrotic and foul smelling. Despite the aggressive drainage and broad-spectrum antibiotic therapy, the gangrene progressed rapidly in hours and the patient's general condition worsened. Secondary extensive debridement including bilateral orchiectomy and amputation of the penis was performed. This disease may result in loss of organ such as testes and penis even with sufficient therapy.

  17. Cytology of the outer penis epithelium of Buccinum undatum (L.) from the arctic region — an observation of the imposex phenomenon

    Science.gov (United States)

    Brick, M.; Bolte, M.

    1994-03-01

    TBT (tributyltin)-induced imposex is observed in female Buccinum undatum from the arctic region. The fine structure of the male penis epithelium was investigated and the results were compared between specimens from non-polluted (Spitsbergen, Norway) and highly-polluted (Brittany, France) areas. Differences in the arrangement and structure of the apical microvilli-border, the intercellular spaces, RER and SER content, as well as a high rate of parasitism in the tissue of individuals from Brittany can be detected between the species of both areas. The results indicate a higher degree of pathological changes in the penis epithelial cells of individuals from TBT-polluted areas than in those from Spitsbergen.

  18. 阴囊转移皮瓣阴茎根部白膜固定术治疗隐匿性阴茎临床观察%Treatment of Occult Penis Via Scrotum Flap Fixation of Albuginea Penis:Observation of 20 Cases

    Institute of Scientific and Technical Information of China (English)

    蔡文波; 郭景阳; 王锦涛; 杨文增

    2012-01-01

    Objective To evaluate the efficacy of scrotal flap fixation albuginea penis in the treatment of concealed penis in children. Methods A retrospective analysis was carried out in 20 cases of concealed penis patients underwent scrotal flap fixation albuginea penis during hospitalization between November 2008 and February 2011. Results All the 20 patients healed after 6 ~ 8 days of hospitalization ( averaged 7 days ) with no foreskin inflammation, edema, significant formation of narrow rings, painless erection, nor voiding dysfunction noted during the follow - up of 3 ~ 5 months. Conclusion Albuginea penis scrotum flap fixation is a simple method with rapid postoperative recovery and fewer complications. It is suitable to be used under the condition of well - developed penis and relatively short foreskin, which fails to cover the penis completely after fully extended.%目的 探讨阴囊转移皮瓣阴茎根部白膜固定术治疗小儿隐匿性阴茎的临床疗效.方法 回顾性分析2008年11月-2011年2月住院采用阴囊转移皮瓣阴茎根部白膜固定术治疗的20例小儿隐匿性阴茎的临床资料.结果 20例患儿均一期愈合,术后住院时间6~8 d,平均7 d,随访3~5个月,无包皮炎症水肿,无明显狭窄环形成,无痛性勃起,无排尿异常.结论 阴囊转移皮瓣阴茎根部白膜固定术操作简单、术后恢复快、并发症少,适用于阴茎发育较好、包皮相对较短、阴茎充分延长后不能完全覆盖阴茎体患者.

  19. Spatial segregation within the sacral parasympathetic nucleus of neurons innervating the bladder or the penis of the rat as revealed by three-dimensional reconstruction.

    Science.gov (United States)

    Banrezes, B; Andrey, P; Maschino, E; Schirar, A; Peytevin, J; Rampin, O; Maurin, Y

    2002-01-01

    The purpose of the present investigations was (1) to examine the spatial organization of preganglionic neurons of the sacral parasympathetic nucleus in the lumbosacral spinal cord of male adult rats and (2) to search, in this nucleus, for a possible segregation of sub-populations of neurons innervating the penis or the bladder, respectively. To estimate their spatial organization, neurons of the sacral parasympathetic nucleus were retrogradely labeled by wheat germ agglutinin coupled to horseradish peroxidase applied to the central end of the sectioned pelvic nerve. The sub-populations of lumbosacral neurons innervating the corpus cavernosum of the penis or the dome of the bladder were identified using transsynaptic retrograde labeling by pseudorabies virus injected into these organs in different rats. In both wheat germ agglutinin-labeled and pseudorabies virus-labeled rats, serial coronal sections were cut through the spinal L5-S1 segments. Labeled neurons were revealed by histochemistry (peroxidase experiments) or immunohistochemistry (pseudorabies virus experiments). By means of a three-dimensional reconstruction software developed in our laboratory, three-dimensional models were calculated from each spinal section image series. They revealed the spatial organization of (i) preganglionic neurons and (ii) neurons innervating the bladder or the penis. The different three-dimensional models were subsequently merged into a single one which revealed the segregation, within the sacral parasympathetic nucleus, of the sub-populations of neurons. Neurons labeled by virus injected into the penis extended predominantly from the rostral part of the L6 segment to the rostral part of the S1 segment while those labeled by bladder injections were distributed predominantly from the caudal part of the L6 segment to the caudal part of the S1 segment. These results support the hypothesis of a viscerotopic organization of sacral neurons providing the spinal control of pelvic organs.

  20. Hypercholesterolemia-induced erectile dysfunction: endothelial nitric oxide synthase (eNOS) uncoupling in the mouse penis by NAD(P)H oxidase

    Science.gov (United States)

    Musicki, Biljana; Liu, Tongyun; Lagoda, Gwen A.; Strong, Travis D.; Sezen, Sena F.; Johnson, Justin M.; Burnett, Arthur L.

    2010-01-01

    INTRODUCTION Hypercholesterolemia induces erectile dysfunction (ED) mostly by increasing oxidative stress and impairing endothelial function in the penis, but the mechanisms regulating reactive oxygen species (ROS) production in the penis are not understood. AIMS We evaluated whether hypercholesterolemia activates nicotinamide adenine dinucleotide phosphate (NAD[P]H) oxidase in the penis, providing an initial source of ROS to induce endothelial nitric oxide synthase (eNOS) uncoupling and endothelial dysfunction resulting in ED. METHODS Low-density-lipoprotein receptor (LDLR)–null mice were fed Western diet for 4 weeks to induce early-stage hyperlipidemia. Wild type (WT) mice fed regular chow served as controls. Mice received NAD(P)H oxidase inhibitor apocynin (10 mM in drinking water) or vehicle. Erectile function was assessed in response to cavernous nerve electrical stimulation. Markers of endothelial function (phospho [P]-vasodilator-stimulated-protein [VASP]-Ser-239), oxidative stress (4-hydroxy-2-nonenal [HNE]), sources of ROS (eNOS uncoupling and NAD[P]H oxidase subunits p67phox, p47phox, and gp91phox), P-eNOS-Ser-1177, and eNOS were measured by Western blot in penes. MAIN OUTCOME MEASURES Molecular mechanisms of ROS generation and endothelial dysfunction in hypercholesterolemia-induced ED. RESULTS Erectile response was significantly (Phypercholesterolemia increased (Phypercholesterolemia. CONCLUSION Activated NAD(P)H oxidase in the penis is an initial source of oxidative stress resulting in eNOS uncoupling, thus providing a mechanism of eNOS uncoupling and endothelial dysfunction in hypercholesterolemia-induced ED. PMID:20626609

  1. Primary Ewing's sarcoma/primitive neuroectodermal tumor (ES/PNET) of the penis: a report of an extraordinarily unusual site and a literature review of extraskeletal Ewing's sarcoma.

    Science.gov (United States)

    Ma, Zheng; Brimo, Fadi; Zeizafoun, Nebras

    2013-02-01

    Ewing's sarcomas/primitive neuroectodermal tumors (ES/PNETs) arise from a multipotent progenitor cell and are considered to be of neuroectodermal derivation. Most tumors commonly arise in the skeletal system, which are the classic ES/PNET and occasionally occur in the soft tissue of extraskeletal sites, which are named extraskeletal Ewing's sarcomas (EES/PNET). This study reports a case of a 28-year-old man with primary EES/PNET of the penis.

  2. Evaluating the Efficiency of the Device in Shielding Scattered Radiation during Treatment of Carcinoma of the Penis

    Energy Technology Data Exchange (ETDEWEB)

    Gim, Yang Soo; Lee, Sun Young; Lim, Suk Gun; Gwak, Geun Tak; Park, Ju Gyeong; Lee, Seung Hoon; Hwang, Ho In; Cha, Sook Yong [Dept. of Radiation Oncology, Chonbuk National University Hoispital, Jeonju (Korea, Republic of)

    2009-03-15

    We evaluated the device that was created for maintaining the patient's setup and protecting the testicles from scattered radiation during treatment of carcinoma of the penis. The phantom testicles were made of vaseline cotton gauze and the device consisted of 5 mm of acryl box and 4 mm of lead shielding. 3 x 3 cm{sup 2}, 4 x 4 cm{sup 2}, 5 x 5 cm{sup 2}, 6 x 6 cm{sup 2}, 7 x 7 cm{sup 2} field sizes were used for this study and measurement was made at 4, 5, 6, 7, 8, 10 cm from the lower edge of the field for 10 times with lead shielding and without the shielding respectively. 200 cGy was delivered using 6 MV photons. The scatted radiation without lead shielding at 4, 5, 6, 7, 8, 10 cm from the lower edge of the field were 14.8-4.7 cGy with 3 x 3 cm{sup 2}, 15.7-5.2 cGy with 4 x 4 cm{sup 2}, 17.6-5.5 cGy with 5 x 5 cm{sup 2}, 19.9-6.6 cGy with 6 x 6 cm{sup 2}, 22.2-7.6 cGy with 7 x 7 cm{sup 2} and the measured dose without lead shielding were 7.1-2.6 cGy with 3 x 3 cm{sup 2}, 8.9-3.6 cGy with 4 x 4 cm{sup 2}, 12.3-4.8 cGy with 5 x 5 cm{sup 2}, 14.6-5.0 cGy with 6 x 6 cm{sup 2} and 21.1-6.4 cGy with 7 x 7 cm{sup 2}. As shown above, the scatted radiation decreased after using lead shielding. Depending of the range of field sizes, the resulting difference between without shielding values and with shielding values were: 7.8-1.1 cGy at 4 cm, 5.1-1.2 cGy at 5 cm, 3.8-1.1 cGy at 6 cm, 3.4-1.7 cGy at 7 cm, 2.8-1.7 cGy at 8 cm, 2.4-2.5 cGy at 9 cm and 2.1-1.8 cGy at 10 cm. In the situation as described above, the range in values depending on the distance was 7.8-1.1 cGy with 3 x 3 cm{sup 2}, 6.9-1.6 cGy with 4 x 4 cm{sup 2}, 5.3-0.8 cGy with 5 x 5 cm{sup 2}, 5.3-1.5 cGy with 6 x 6 cm{sup 2} and 1.1-1.8 cGy with 7 x 7 cm{sup 2}. Using the device we created to shield the testicles from scattered radiation during treatment of carcinoma of the penis, we have found that scattered radiation to the testicles is decreased by the phantom testicles, and by increasing the distance

  3. Sildenafil citrate-restored eNOS and PDE5 regulation in sickle cell mouse penis prevents priapism via control of oxidative/nitrosative stress.

    Science.gov (United States)

    Bivalacqua, Trinity J; Musicki, Biljana; Hsu, Lewis L; Berkowitz, Dan E; Champion, Hunter C; Burnett, Arthur L

    2013-01-01

    Sildenafil citrate revolutionized the practice of sexual medicine upon its federal regulatory agency approval approximately 15 years ago as the prototypical phosphodiesterase type 5 inhibitor indicated for the treatment of male erectile dysfunction. We now provide scientific support for its alternative use in the management of priapism, a clinical disorder of prolonged and uncontrolled penile erection. Sildenafil administered continuously to sickle cell mice, which show a priapism phenotype, reverses oxidative/nitrosative stress effects in the penis, mainly via reversion of uncoupled endothelial nitric oxide synthase to the functional coupled state of the enzyme, which in turn corrects aberrant signaling and function of the nitric oxide/cyclic GMP/protein kinase G/phosphodiesterase type 5 cascade. Priapism tendencies in these mice are reverted partially toward normal neurostimulated erection frequencies and durations after sildenafil treatment in association with normalized cyclic GMP concentration, protein kinase G activity and phosphodiesterase type 5 activity in the penis. Thus, sildenafil exerts pleiotropic effects in the penis that extend to diverse erection disorders.

  4. 肺鳞癌阴茎转移一例%Lung Squamous Cell Carcinoma of the Penis Transfer:One Case Report

    Institute of Scientific and Technical Information of China (English)

    刘升学; 孙文国; 蒋雷鸣

    2013-01-01

    Lung squamous cell carcinoma of the penis transfer is rare and highly malignant, but is usually neglected clinically. This paper reports a case of lung squamous cell carcinoma of the penis transfer. The chief complaints of the patient are that penis bump is found over six months. The patient has a history of lung squamous cell carcinoma. Although the pathological diagnosis is clear, but it is already late clinical stage. The prognosis is poor, and regular chemotherapy is needed after surgery.%肺鳞癌阴茎转移临床罕见,恶性度高,临床上经常被忽视.本文报道1例肺鳞癌阴茎转移患者,主诉为"发现阴茎肿块6个月余",既往有肺鳞癌病史,虽病理学检查确诊明确,但已是临床晚期,预后差,外科手术后行定期化疗.

  5. Free groin flap for coverage of soft tissue defect of the hand%游离腹股沟皮瓣修复手部皮肤缺损

    Institute of Scientific and Technical Information of China (English)

    戚建武; 柴益铜; 王科杰; 蔡利兵; 李学渊; 王欣

    2013-01-01

    目的 探讨游离腹股沟皮瓣修复手部皮肤缺损的临床疗效.方法 对9例手部皮肤软组织缺损采用游离腹股沟皮瓣移植修复,切取面积为12.0 cm× 8.0 cm~ 7.5 cm× 6.0 cm.术中修剪皮瓣边缘部分脂肪组织;旋髂浅动脉与桡动脉终末支吻合6例,与指总动脉吻合3例;8例同时修复一根伴行静脉和一根皮下静脉,l例仅修复一根伴行静脉.结果 1例吻合一根伴行静脉的皮瓣,于术后第2天出现静脉危象,经对症处理保守治疗后,皮瓣表皮坏死,皮下软组织成活,二期予植皮术.余8例皮瓣全部顺利存活.随访3个月至1.5年,皮瓣质地软,稍臃肿,感觉恢复至S2~S3,腹部供区瘢痕小.结论 利用游离腹股沟皮瓣移植修复手部皮肤软组织缺损,供区能直接缝合,且部位隐蔽,瘢痕小.较常规带蒂皮瓣减少了手术次数,缩短了治疗时间,是修复手部皮肤软组织缺损较好的方法.%Objective To discuss the clinical results of the free groin flap in treating skin and soft tissue defect of the hand.Methods The free groin flap was used to treat 9 cases of skin and soft tissues defects of the hand.The size of the flaps ranged from 12.0 cm × 8.0 cm to 7.5 cm × 6.0 cm.The fatty tissue at the edge of the flaps was trimmed before flap transfer.Reperfusion of the flap was established by anastomosing the superficial iliac circumflex artery to the terminal branch of the radial artery in 6 cases and to the common digital artery in 3 cases.Flap drainage was through one concomitant vein and one subcutaneous vein in 8 cases and through only one concomitant vein in 1 case.Results Venous crisis occurred in the case with only one concomitant vein anastomosed 2 days postoperatively.Conservative treatment preserved the subcutaneous tissue of the flap with skin necrosis that needed secondary skin graft.All other 8 flaps survived uneventfully.The patients were follow-up for 3 to 18 months.The flaps were soft with good texture

  6. 阴茎疣状黄瘤1例%A case of Verrucous Xanthoma of Penis

    Institute of Scientific and Technical Information of China (English)

    胡新红; 张衍国; 王欢; 屈慧明

    2012-01-01

    A 50-year-old male's penile foreskin appeared a small ulcer after trauma 1 year ago and scabbed, healed.The local area appeared a small pink papule, growing up to a verrucous isolated goitre which was 1. 0cm X0.5cm, transparent and granular, state clearly, with no discharge. Hislopathological examination showed;epidermis papilloma-like proliferation, parakeratosis, hyperkeratosis, acanthosis, dermal papilla filled with alot of foam cells. Diagnosis; verrucous xanthoma of penis.%患者男,50岁.1年前,阴茎包皮外伤后出现一小溃疡,愈合后局部出现淡红色米粒大丘疹,逐渐增至1.0cm×0 5cm大的淡红色疣状孤立性肿物,呈透明颗粒状,界清,无分泌物.皮损组织病理示:表皮乳头瘤样增生,角化不全,角化过度,棘层肥厚,真皮乳头内见大量泡沫细胞.诊断:疣状黄瘤.

  7. 先天性阴茎显露不良诊治特点分析%Discussing the diagnosis and treatment of inconspicuous penis

    Institute of Scientific and Technical Information of China (English)

    李超; 杨恩明; 黄一亮; 安黎明; 章振保

    2010-01-01

    目的 探讨先天性阴茎显露不良的诊断与治疗特点.方法 阴茎显露不良患者89例,平均年龄10.6(5~45)岁.其中隐匿型32例(36%)、埋藏型42例(47%)、混合型15例(17%),轻度38例(43%),中度27例(30%)、重度24例(27%).36例中、重度者住院行手术矫正.53例轻、中度患者采取非手术治疗观察,其中38例获随访平均30(12~48)个月.结果 36例手术患者.手术前后阴茎长度分别为(1.37±0.58)、(4.05±0.52)cm,手术前后比较差异有统计学意义(t=17.68,P<0.01),阴茎外观满意.38例轻、中度非手术患儿随访至青春期14~16岁,阴茎显露长度由(2.60±0.40)cm增至(4.90±0.50)cm.结论 根据阴茎显露不良的分型、分度采用相应的手术指征、适当的治疗方案治疗效果满意;轻中度患者随访观察显露不良症状多可自然改善.%Objective To discuss the diagnosis and treatment of inconspicuous penis.Methods To retrospective analyze 89 cases with inconspicuous penis,aged from 5 to 45 years with a mean age of 10.6 years.Among these cases,32 cases of them were concealed penis,42 cases of them were buried penis and 15 caese of them were compound type.All the cases can be divided into 3 groups:lowgrade with 38 cases,medium-grade with 27 cases and server-grade with 24 cases.Thirty-six patients of medium-grade and server-grade were corrected by operation and the rest of 63 patients accepted nonsurgical treatment.Thirty-eight cases who did not accept operation were followed-up for average 30 mouths.Results Thirty-six cases who accepted operation extended their penis from(1.37±0.58)cm to(4.05±0.52)cm and had satisfactory appearance of it.Thirty-eight cases who were follow-up to adolescent 14-16 years old all improved exposure of the penis naturally.Conclusions Proper treatment and operation should be selected by the type and degree of inconspicuous penis may achieve fine effect.Surgical treatment should follow the appropriate surgical indications.

  8. 手术治疗儿童隐匿性阴茎62例临床分析%Clinical Analysis of Operation on 62 children with concealed penis

    Institute of Scientific and Technical Information of China (English)

    李振; 刘建民

    2012-01-01

    目的 探讨隐匿性阴茎的诊断、鉴别诊断要点,分析隐匿性阴茎不同外科治疗方法的适应证及优缺点.方法 62例隐匿性阴茎患儿,根据不同类型采用不同手术方法进行手术矫正治疗,对手术治疗效果进行分析.结果 62例患者手术均获成功,术后住院5~10 d,均痊愈出院.随访3个月至2年,术后阴茎均显露良好,无严重并发症发生.结论 儿童隐匿性阴茎的治疗应该采用个性化方案,选择最佳的方法进行治疗,延长阴茎的长度,改善阴茎外观.%Objective To sum up the diagnosis and differential diagnosis of concealed penis,analyze the indications and advantages of different operative methods for concealed penis.Methods 62 children with concealed penis were treated by different surgical operations according to the different types,and the effect of surgical treatment was arelyzed.Results Opertaions were successed in all 62 cases,children were discharged after 5 ~ 10 operation days.After follow-up for 3 months to 2 years,62 children had received good recovered with an effective exposure of penis and no severe edema and other complications.Conclusion Children with concealed penis should be given personalized scheme,choose the best method to extend the length of the penis and improve the penis appearance.

  9. Computed tomography evidence of fluid in the hernia sac predicts surgical site infection following mesh repair of acutely incarcerated ventral and groin hernias.

    Science.gov (United States)

    Loftus, Tyler J; Go, Kristina L; Jordan, Janeen R; Croft, Chasen A; Smith, R Stephen; Moore, Frederick A; Efron, Philip A; Mohr, Alicia M; Brakenridge, Scott C

    2017-07-01

    Mesh placement during repair of acutely incarcerated ventral and groin hernias is associated with high rates of surgical site infection (SSI). The utility of preoperative computed tomography (CT) in this setting is unclear. We hypothesized that CT evidence of bowel wall compromise would predict SSI while accounting for physiologic parameters. We performed a 4-year retrospective cohort analysis of 50 consecutive patients who underwent mesh repair of acutely incarcerated ventral or groin hernias. We analyzed chronic disease burden, acute illness severity, CT findings, operative management, and herniorrhaphy-specific outcomes within 180 days. The primary outcome was SSI by the Centers for Disease Control and Prevention criteria. Multiple logistic regression was performed to identify independent predictors of SSI. Eighty-four percent of all patients were American Society of Anesthesiologists class III or IV, 28% were active smokers, and mean body mass index (BMI) was 35 kg/m. Fifty-four percent had ventral hernias, 40% had inguinal hernias, and 6% had femoral or combined inguinal/ femoral hernias. Seventy percent of preoperative CT scans had features suggesting bowel compromise, abdominal free fluid, or fluid in the hernia sac. Surgical site infection occurred in 32% of all patients (8% superficial, 24% deep or organ/space). The strongest predictors of SSI were CT evidence of fluid in the hernia sac (odds ratio [OR], 8.3; 95% confidence interval [CI], 1.7-41), initial heart rate 90 beats/min or greater (OR, 6.3; 95% CI, 1.1-34), and BMI 35 kg/m or greater (OR, 5.8; 95% CI, 1.2-28). Surgical site infection rates were significantly higher among patients who had CT evidence of fluid in the hernia sac (56% vs. 19%, p = 0.012). More than half of all patients with CT scan evidence of fluid in the hernia sac developed an SSI. Computed tomography evidence of fluid in the hernia sac was the strongest predictor of SSI, followed by heart rate and BMI. Together, these parameters

  10. A 55-Year-Old Man with Stage IV Squamous Cell Carcinoma of the Right Groin after External Beam Radiation for Testicular Cancer

    Directory of Open Access Journals (Sweden)

    Christine Ibilibor

    2014-01-01

    Full Text Available Treating testicular cancer with adjuvant radiation has been associated with a number of second malignancies affecting the genitourinary tract and retroperitoneal structures; however, there have been few reported cases of cutaneous second malignancies. We report the case of a man who developed stage IV squamous cell carcinoma (SCC of a condyloma after orchiectomy and adjuvant radiation for testicular cancer. We also review relevant literature available to date. A 55-year-old Caucasian man presented to the hospital with a large growth at the right groin which had grown into his right thigh preventing ambulation. His past medical history was significant for right testicular cancer of unknown pathology treated with orchiectomy and adjuvant radiation twenty years ago. Punch biopsy of the lesion revealed superficially invasive squamous cell carcinoma. He underwent excision of the growth with subsequent Cisplatin, radiation boost, and Paclitaxel regimens. Despite an aggressive treatment regimen and an initial good response, the patient’s cancer progressed requiring palliative care. It is unclear whether or not therapeutic radiation in this case promoted the conversion of the patient’s condyloma to a malignant lesion. Further studies are required at this time to clarify the clinical implications of these findings.

  11. Is it possible to predict the need of inguinal lymphadenectomy in patients with squamous cell carcinoma of the penis? A clinical and a pathological study

    Directory of Open Access Journals (Sweden)

    Daniele Minardi

    2015-03-01

    Full Text Available Objective: to investigate the role of CD- 44 immunohistochemical expression within tumoural and non-tumoural tissue, aiming to understand if it can help us to predict the need of performing inguinal lymph nodes dissection to complete surgery of the penis. Materials and methods: CD44 immunohistochemical expression was investigated in tissue specimens from 39 patients with squamous cell carcinoma of the penis who underwent partial or total penectomy between 1987 and 2008. Patient age, tumour size, and grade; CD44 intensity score, cytological expression, topographic and distribution pattern were evaluated by immunohistochemistry on archived material and correlated with disease-specific survival. Results: mean patients age was 67.7 years; mean followup was 130.44 months. Bilateral inguinal lymphadenectomy was performed in 14 patients; there were 8 N+ patients (23.5%. pTis-pT1 vs. > pT1 and the EAU classification of risk group resulted to be predictive of lymph nodal metastases at univariate analysis (respectively p = 0.006 and p = 0.045, but not the grading. The intensity score, cytological expression, topographic and distribution pattern of CD44 staining did not correlate with stage, grade and lymph nodes metastases. All disease related deaths occurred only in patients showing an high CD44 intratumoral expression, but this correlation is not statistically significant. Multivariate analysis showed that only lymph node metastasis was an independent prognostic factor predictive of lymph nodes metastases. Conclusions: CD44 expression in patients with squamous cell carcinoma of the penis is not able to predict the need of performing inguinal lymphadenectomy; staging and the EAU classification of risk group resulted to be predictive of lymph nodal metastases.

  12. 海狗肾的本草考证及鉴别%IDENTIFICATION AND CONFIRMATION OF TESTIS AND PENIS OF CALLORHINI

    Institute of Scientific and Technical Information of China (English)

    杨晓云; 吴爱英; 李欣荣; 邹德录

    2000-01-01

    目的:研究海狗肾的本草考证.方法:通过对其基源,外形特征及习性进行比较和鉴定.结果:中药海狗肾(Testis et Penis Callorhini)为海狮科动物海狗(Callorhinus ursinus)及海狮科动物多种海狮的雄性生殖器.结论:传统使用海狗肾为海狮科动物海狗及海豹科动物多种海豹的雄性外生殖器.

  13. 阴茎延长术的解剖与临床应用%Anatomy and Clinical Application of Penis Lengthening Surgery

    Institute of Scientific and Technical Information of China (English)

    马全福; 吴学杰; 袁延年; 李宗来; 丁自海; 陈文军

    2011-01-01

    Objective To explore the feasibility and safety of penis lengthening surgery in adult. Methods Based on our measurements of prolonged penile length and anotomy of penile vein in 20 adult corpora, we performed penis lengthening surgery on 46 men with short penis [(2.8±1.2) cm, ranged 1.6-3.5 cm]. A N-shape incision with the left-to-right width 3. 0 - 4. 5 cm was made at the end of the penis. We preserved a thick enough skin flap with sufficient blood supply, and the thickness between the skin to the fundiform ligament 3.0 - 5.0 cm. Under direct vision, or by exploring with fingers, we cut the fundiform ligament and 1/3 of the suspensory ligament, and then left a drainage rubber at the incision. Results In the 20 adult corpora, the mean thickness of the fundiform ligament at the proximal end of the penis was (0.4 ±0. 1) cm (0.2 -0.7 cm) , and the width was (3. 1 ±0.9) cm (2.1 -5.0 cm) , while those of the suspensory ligament were (2. 5 ± 1.0) cm (2.0 -3. 1 cm) and (0.5 ±0. 1) cm (0. 4 - 0. 6 cm) , respectively. In the 46 patients, the length of the penis at resting was (4.6±1.5) cm (3.5-6. 0 cm) after the operation, which was significantly lengthened by (2. 5 ± 0. 7 ) cm (1.9-3.5 cm ) compared to pre-operation ( t = 4. 228, P = 0. 000). Three patients developed hydrophallus after the procedure, and then was cured by bathing with 1: 5000 furacilinum for three months. Follow-up was achieved in 42 patients (91.3% ) for 8 months to 15 years with a mean of 6 years and 2 months, 31 of then had been followed up for over 5 years; 36 (85. 7% ) of the patients were satisfied with sexual life and had their confidence improved, the other 6 patients (14.3%) were still not satisfied with the length of their penis. Conclusions Penis lengthening surgery is safe and effective by resecting the fundiform ligament and part of the suspensory ligament. Postoperative subcutaneous intractable edema of the penis is related to the injuries to the superficial dorsal vein and lymphatic

  14. Partial Resection of Penis Lengthening (A Report of 4 Cases)%阴茎部分切除同期延长术(附4例报告)

    Institute of Scientific and Technical Information of China (English)

    张中革; 刘有智

    2014-01-01

    Objective To observe the partial resection of penis lengthening in the treatment of young adult penile cancer requires to keep the therapeutic function of patients. Methods 4 patients with stage I (T1-2N0M0) in patients with carcinoma of penis penis lengthening of partial resection, observed the ef ect of treatment. Results The two patients fol owed up for two and a half years, patients with normal erectile function, erection of penis length up to 10cm and 11cm, can meet the requirements of life. The other two patients failed to fol ow-up. Conclusion Partial resection of penis lengthening for good clinical ef ects in patients with early carcinoma of penis desirable.%目的:观察阴茎部分切除同期延长术治疗青壮年阴茎癌要求保留性功能患者的疗效。方法对4例Ⅰ期(T1-2N0M0)阴茎癌患者行阴茎部分切除同期延长术,观察治疗效果。结果2例患者随访18个月,患者勃起功能正常,阴茎勃起长度达10 cm及11 cm,能够满足性生活要求。另外2例高龄患者未能随访。结论阴茎部分切除同期延长术对于早期阴茎癌患者可取的一定的临床效果,达到治疗目的。

  15. 阴茎脱套矫治术治疗隐匿阴茎的临床观察%Clinical observation of foreskin - deglove for correction of concealed penis

    Institute of Scientific and Technical Information of China (English)

    郭荣利; 疏仁义; 董平; 张启旺

    2011-01-01

    Objective To explore a simple and effective method in treatment of concealed penis. So the complications can be decreased. Methods 33 consecutive patients ( range 3 to23 years) with concealed penis were treated using foreskin - deglove, the thicken aponeurosis on the penile dorsi was separated and dissected. Fixing the skin of penis root at this level to bilateral tunica albuginea were done to the vast majority of the patients. Reposition of degloved prepuce was operated. Penis bandaged after surgery. Results After operation penis shaft retraction occurred in one patients( 3% ) who shaft- fix procedure was not performed and who was obese , and was corrected by later refixation. All patients were satisfied with the appearance of the penis after plastic surgery. Prepuce edema obvious occurred in 3 cases and recovered after 3 ~ 4 months. Conclusion Our method is easy to design and perform to correct concealed penis with satisfactory effect and less complications. It provides a good cosmetic appearance and seems to be applicable in all concealaled penis with de? cient penile shaft skin.%目的 探讨矫治隐匿阴茎简单有效并减少并发症的方法.方法 对隐匿阴茎患者33例(年龄为3~23岁),采用阴茎脱套,切除变性的肉膜组织,30例(占90%)行阴茎根部皮肤与海绵体白膜的固定.将原来脱套的阴茎皮肤矫型复位,术后加压包扎.结果 1例因肥胖儿未行固定引起术后阴茎回缩,再次手术治愈;其余所有病例疗效均满意.3例患儿术后发生较重的包皮水肿,3~4月内均恢复正常.结论 阴茎脱套矫治术对隐匿阴茎疗效满意,且操作简单、安全,并发症少;也适用于包皮不充足的隐匿阴茎.

  16. Adjuvant external beam radiotherapy after therapeutic groin lymphadenectomy for patients with melanoma: a dosimetric comparison of three-dimensional conformal and intensity-modulated radiotherapy techniques.

    Science.gov (United States)

    Adams, Gerard; Foote, Matthew; Brown, Simon; Burmeister, Bryan

    2017-02-01

    Radiotherapy after lymph node dissection is recommended in high-risk melanoma cases. The aim of this study is to assess whether intensity-modulated radiotherapy (IMRT) offers advantages over three-dimensional conformal radiotherapy (3DCRT) in the groin nodal basin. Fifteen consecutively treated patients (5 3DCRT and 10 IMRT) were selected. Optimized theoretical plans using the other modality were created - enabling direct comparisons of 3DCRT and IMRT. Target volume and organs at risk constraints were assessed as achieved or as having minor (≤5%) or major (>5%) deviations. The Wilcoxon signed-rank test was used to compare the dose received from each patient plan (3DCRT vs. IMRT), whereas the Mann-Whitney U-test was used to compare clinical plans with theoretical plans. Fisher's exact test was used to compare categorical data. Target coverage was achievable in most patients (major deviations - 1 IMRT and 3 3DCRT). Conformity index improved with IMRT - median 0.65, range 0.48-0.81, versus median 0.44, range 0.29-0.60 for 3DCRT; P value less than 0.001. All 3DCRT plans had major deviations for femoral head/neck constraints. Twelve and 13 IMRT plans achieved the high (V42numbers used nor dosimetric endpoints measured when clinical plans were compared with theoretical plans. IMRT appears to allow superior conformity of dose to the target volume while relatively sparing the adjacent the bowel and femoral head/neck. This may reduce toxicity while maintaining control rates.

  17. The Study of Etiologic Causes of Dermatophyte in the Location of Foot And Groin, and the Possibility of Association of Dermatophytoses of These Two Locations Together

    Directory of Open Access Journals (Sweden)

    M Farivar Sadri

    2001-06-01

    Full Text Available Superficial mycosis of the skin is one of the most prevalent human infections. Within these infections, tinea pedis and tinea cruris have been studied. Different aetiologic causes play role in these infections which the most important of them are Trichophyton rubrum, Trichophyton Mentagrophyte and Epidermophyton floccosum. Prevalence arrangement of these causes are defferent in societies. This study is a case series study which in the course of this period 42 affected patients 0 tinea pedis and 40 affected patients to tinea cruris have been studied. From patients with doubtfull clinical lesion, whom have reffered to Razi Hospital within the first six months of the year 77, smear and culture were provided and in the meanwhile for consideration of possible association of Dermatophytoses in these two location in cases of clinical doubt to tinea pedis among the affected patients to tinea cruris, smear and culture wase made and it wase observed that 40 of affected patients to tinea cruris, 4 patients simultaneously have tinea pedis (10%. In this study also, risk factors of tinea pedis and tinea cruris have been studied. Etiologic causes in tinea pedis in this study with respect to arrangment are: T.Ment, T.rubrum and then Epid.floccosum and the causes of thinea cruris with respect to arrangment are: Epid.floccosum, T.rubrum and then T.Ment. In this study foot and groin Etiologic factors have been considered, it was observed that the pattern of their etiologic causes in Iran with respect to other countries are different.

  18. Therapeutic results after ultrasound-guided intratissue percutaneous electrolysis (EPI®) in the treatment of rectus abdominis-related groin pain in professional footballers: a pilot study.

    Science.gov (United States)

    Moreno, Carlos; Mattiussi, Gabriele; Núñez, Francisco J

    2016-10-01

    Rectus abdominis-related groin pain (RAGP) is one of the possible clinical patterns that determine pubalgia. RAGP is one of the typical patterns in footballers and is due to the degeneration and tendinopathy of the distal tendon, at the level of the two pubic tubercles. Intratissue percutaneous electrolysis (EPI) is a novel technique used in the treatment of tendinopathies. The aim of this study was to examine the therapeutic benefits of EPI by contrasting the two basic components that characterize RAGP: painful symptoms and resultant functional deficits. Eight professional footballers at Udinese Calcio Spa Football Club underwent ultrasound-guided EPI intervention. No other type of treatment was combined with EPI. Pain was monitored with the Verbal Rating Scale, while functional deficit was monitored using the Patient Specific Functional Scale. The scales implementation took place before treatment, then 24 hours, 1 week, 1 month and 6 months after the end of treatment. Treatment with EPI produced a complete reduction of pain symptoms in one month and enabled excellent functional recovery for walking and jogging in one week; for getting out of bed, running, jumping and kicking within one month from the end of the treatment. Treatment with ultrasound-guided EPI has shown encouraging clinical results for RAGP. Data are preliminary: considering the limitations of this study more complex design studies are necessary to test the efficacy of the technique. This study introduces the EPI technique for the first time in the treatment of professional footballers suffering from RAGP. Its future use is proposed as a treatment solution, including complementary to conservative treatment.

  19. Perceptions about penis size among supposedly healthy 40 to 60-year-old Brazilian men: a cross-sectional pilot study

    Directory of Open Access Journals (Sweden)

    Margareth de Mello Ferreira dos Reis

    Full Text Available CONTEXT AND OBJECTIVE: Many men seek medical treatments complaining that their penises are too small (short when in fact they are not (they are not cases of micropenis. The objective of the present study was to evaluate men's satisfaction with their own bodies and sex life and the prevalence of erectile dysfunction, among men who were not seeking medical or psychological advice. DESIGN AND SETTING: Cross-sectional study in a private, philanthropic hospital in São Paulo, Brazil. METHODS: In this study, 300 male blood donors aged between 40 and 60 years old answered a questionnaire, in privacy, about their sex life and their satisfaction with their own bodies. They were also screened for erectile dysfunction by means of the International Index of Erectile Function questionnaire. RESULTS: Seven men (2.3% reported that they were dissatisfied with their penis size (they thought that it was small, and among these, one was found to have mild erectile dysfunction. However, none of them had sought medical attention. Among these seven, only two had normal body mass index; the other five were overweight (three or obese (two. CONCLUSION: The prevalence of dissatisfaction with penis size was low. Among the seven dissatisfied men, only one had erectile dysfunction, of mild type, and all of them felt potent.

  20. Exposure to tributyltin chloride induces penis and vas deferens development and increases RXR expression in females of the purple snail (Plicopurpura pansa

    Directory of Open Access Journals (Sweden)

    D Domínguez-Ojeda

    2014-07-01

    Full Text Available Tributyltin (TBT and its derivatives are widely used as antifouling paints for ships, resulting in their being released into the marine environment. Aquatic invertebrates, particularly marine gastropods, are extremely sensitive to TBT and undergo changes in the imposition of male secondary sex characteristics in response to exposure. This study aimed to evaluate the development of imposex and the expression of the retinoid X receptor (RXR in tissues of Plicopurpura pansa (males and females exposed to tributyltin chloride (TBTCl. The histological results showed a penis-like structure in imposexed female and an undeveloped vas deferens that lacked circular muscular layers. TBTCl treatment increased the messenger RNA (mRNA of RXR in females with imposex. The highest level of mRNA RXR was found in the digestive gland and penis-forming area in females under in vivo exposure compared with control females. These results indicate that TBTCl modulates mRNA levels of RXR in females. mRNA RXR in imposex females and females exposed to TBTCl only was similar to that of males, indicating that RXR might contribute to the development of imposex. To our knowledge, this study is the first to show that TBTCl induces imposex and biphallia in this snail species, and that this effect is accompanied by an increase in RXR expression.

  1. Protective effects of nutritional supplementation with arginine and glutamine on the penis of rats submitted to pelvic radiation.

    Science.gov (United States)

    Medeiros, J L; Costa, W S; Felix-Patricio, B; Sampaio, F J B; Cardoso, L E M

    2014-11-01

    Radiotherapy is widely used to treat pelvic malignancies, but normal tissues near the target tumour are often affected. Our aims were thus to determine whether the structural organization of the rat penis is altered by radiation, and whether supplementation with L-arginine (ARG) or L-glutamine (GLN) would have protective effects against these alterations. Groups of rats were treated with: no intervention (CONTR); pelvic radiation, followed by sacrifice 7 (RAD7) or 15 (RAD15) days later; and pelvic radiation, daily supplementation with ARG or GLN, followed by sacrifice 7 (RAD7+ARG, RAD7+GLN) or 15 (RAD15+ARG, RAD15+GLN) days after radiation. Structural components in the corpus cavernosum (CC), tunica albuginea of the corpus spongiosum (TACS) and urethral epithelium (UE) were analysed using stereological and immunohistochemical methods. The results showed that in the CC, connective tissue was increased by 18% in RAD15 (p < 0.04), but this change was partially prevented in RAD15+GLN (p < 0.05) and RAD15+ARG (p < 0.04). The fibrous matrix of the CC trabeculae stained evenly for collagen type I. In RAD15, the intensity of the labelling was increased, whereas in RAD15+GLN and RAD15+ARG the staining was similar to that of CONTR. No staining changes were seen in the groups that were sacrificed 7 days after radiation. Cavernosal elastic fibre content in RAD15 was increased by 61% (p < 0.004), and this was prevented in RAD15+ARG (p < 0.004) but not in RAD15+GLN. In TACS, the amino acids protected (p < 0.02) against the radiation-induced 92% increase in elastic fibre content, but only in RAD15. Cell density in the UE, as well as UE thickness, were reduced by 30% in RAD15 (p < 0.004), and there were protective effects of both amino acids. In conclusion, radiation-induced alterations in penile structures tend to be more pronounced 15 days after radiation session. Both ARG and GLN have protective effects against these changes, with the former being slightly more effective.

  2. Prevalence of concealed penis among school boys in Shanghai and its relationship with obesity%上海市中小学男生隐匿阴茎流行现状及其与肥胖的关系

    Institute of Scientific and Technical Information of China (English)

    王文; 史慧静; 李丹; 张越; 张博林; 王群; 江小小

    2012-01-01

    [目的]了解上海市6~19岁中小学男生隐匿阴茎的现患率,并分析其与多种肥胖相关身体形态指标的关联. [方法]采用分层整群抽样方法,选取上海市小学1年级~高中3年级共1 787男生,通过外生殖器检查和身体测量,获取不同年龄、不同性发育阶段中小学男生的隐匿阴茎现患率,在为所有每1个病例按照学校和年级相同并且年龄相近原则选取4个对照的基础上,通过条件Logistic回归分析隐匿阴茎与肥胖相关多种身体形态指标的关联. [结果]隐匿阴茎的总检出率为2.5%,尤以11.0~15.9岁年龄组和性发育早期组的检出率较高.BMI、体重、腰围、臀围、腰臀比、肩胛下部皮褶厚度、肱三头肌部皮褶厚度对于隐匿阴茎的相对危险度分别为1.730、1.158、1.252、1.297、13.734、1.248、1.229,差异均有统计学意义. [结论]围青春期肥胖男性的隐匿阴茎问题应引起儿童保健工作者的高度注意,特别是青春发育初期;隐匿阴茎与肥胖相关的多种指标有关,尤其是中心性肥胖.%[Objective] To describe the incidence rate of concealed penis among the primary and secondary school boys in Shanghai and preliminarily explore the correlation between concealed penis and Body Shape Index of school boys. [Methods] Stratification sampling method was applied and then a total of 1 787 students were selected from primary school and secondary schools. Strict physical and genitalia examination were conducted to obtain the data of the participant boys at different ages and different pubertal stages in order to describe the general situation of concealed penis and the correlation was explored between concealed penis and obesity-related indicators based on the method of 1 : 4 conditional Logistic regression analysis. [Results] The incidence rate of concealed penis of the sample school boys was 2. 5%. The higher incidence rate of concealed penis emerged at the age of 11 to 15

  3. Penoplasty with scrotal flap for the treatment of buried penis in children%应用阴囊皮瓣矫治小儿隐匿阴茎

    Institute of Scientific and Technical Information of China (English)

    黄盛松; 吴登龙; 袁涛; 姜启全; 陈方; 谢华

    2012-01-01

    目的 探讨利用阴囊皮瓣矫治小儿隐匿阴茎的疗效.方法 于阴茎腹侧纵行切开狭窄环,距冠状沟约0.5 cm环状切开包皮内板,将包皮脱套至阴茎根部.完全切除异常附着筋膜,裁剪包皮包绕冠状沟.于阴茎阴囊交界处向阴囊两侧切开,将两侧阴囊皮瓣上移覆盖阴茎根部.缝合包皮,重建阴茎阴囊角,阴囊成形.结果 2009年3月至2011年7月采用阴囊皮瓣矫治隐匿阴茎患儿24例,术后尿道外口粘连2例,经尿道扩张后排尿正常;包皮远端轻度坏死1例,经门诊换药2周后好转,余21例手术效果良好.随访6个月至2年,所有患儿均未发现阴茎回缩,阴茎外观塑形良好,勃起时无侧弯、旋转.结论 应用阴囊皮瓣矫治小儿隐匿阴茎可最大程度地显露阴茎,塑形效果良好,并发症较少,是一种较为理想的手术方法.%Objective To investigate the therapeutic effect of penoplasty with scrotal skin flap for the treatment of burid penis in children.Methods The narrow ring was cutted vertically at the ventral side of penis and the prepuce inner plate was circularly cutted 0.5 cm from the coronary sulcus.The prepuce was degloved to the base of penis.The abnormal aponeurosis was removed completely.The prepuce was designed to cover the coronary sulcus.The scrotal flaps at both sides were formed and advanced to cover the penile base.Then the prepuce was sutured to reconstruct penile-scrotal angle and scrotum plasty was completed.Results From March 2009 to July 2011,24 children with buried penis were treated with scrotal flaps.Adhesion at external orifice of urethra was happened in two cases which recovered after urethra expansion.There was one case of necrosis at the distal end of prepuce.All the cases were followed up for 6 months to 2 years with no penile shrinkage.The penile appearance was good without rotation or lateral curvature during erection.Conclusions The buried penis can be best corrected with scrotal flap.It is an

  4. 快通道麻醉在小儿腹股沟区手术中的临床应用价值探讨%Clinical application value discussion of fast-track anesthesia in pediatric groin area surgery

    Institute of Scientific and Technical Information of China (English)

    何林

    2016-01-01

    Objective To evaluate the clinical value of fast-track anesthesia in pediatric surgery in the groin area.Methods This study for my children hospital in February 2012 120 routine surgery groin area in February 2015 - admitted, and randomly divided into control group (60 cases) and observation group (60 cases). The control group received conventional anesthesia, the observation group to take fast-track anesthesia.Results The group of children and mean arterial pressure after 30min 60min after extubation, heart rate, plasma glucagon, cortisol were significantly better than the control group (P<0.05).Conclusion The fast-track anesthesia in pediatric surgery in the groin area and promoting surgery, with a high clinical value.%目的:探讨快通道麻醉在小儿腹股沟区手术中的临床应用价值。方法本次研究对象为我院2012年2月至2015年2月收治的120例行腹股沟区手术的患儿,并随机分成对照组(60例)和观察组(60例)。对照组采取常规麻醉方法,观察组采取快通道麻醉方法。结果观察组患儿术后30min和拔管后60min的平均动脉压、心率、血浆胰高血糖素、血浆皮质醇均显著优于对照组(P <0.05)。结论快通道麻醉在小儿腹股沟区手术中有利于促进手术疗效,具有很高的临床应用价值。

  5. Clinicopathological features and histogenesis of penile cysts.

    Science.gov (United States)

    Lezcano, Cecilia; Chaux, Alcides; Velazquez, Elsa F; Cubilla, Antonio L

    2015-05-01

    Cysts arising in the penis are uncommon and can be found anywhere from the urethral meatus to the root of the penis involving glans, foreskin, or shaft. Median raphe cysts account for the majority of penile cystic lesions reported in the literature. As their name suggests, they arise on the ventral midline of the penis that extends from the urethral meatus to the scrotum and perineum. Proposed hypotheses for their origin as well as their diverse morphology are discussed.

  6. Use of modified Brisson's operation(V-shaped incision) in treating buried penis%“V”形切口改良Brisson手术治疗小儿隐匿阴茎

    Institute of Scientific and Technical Information of China (English)

    周维; 徐延波; 黄国显; 陈海琛; 胡杨

    2011-01-01

    目的 介绍使用“V”形切口改良Brisson手术治疗隐匿性阴茎34例的方法和效果.方法 手术通过用阴茎腹侧“V”形切口改良Brisson术来完成,松解阴茎伸展外露后,修剪包皮系带伸直阴茎头,对合缝合包皮,从阴茎腹侧V形切口,去除发育不良的筋膜组织,在阴茎腹侧根部将皮下筋膜层与尿道前筋膜缝合固定.结果 手术时间约40~60 min,随访6~12个月,阴茎发育及外观效果满意,1例较肥胖的患儿术后显露效果不佳.3例水肿患儿术后2周内均基本消退.结论 本术式相对简单损伤小,外观良好,我们认为是治疗隐匿性阴茎比较理想的手术方式之一.%Objective To determine the effectiveness of modified Brisson method (V-shaped incision) as a new surgical treatment method for the buried penis.Methods From February 2009 to December 2010,34 patients with buried penis underwent the modified Brissors operation.At first,the penis was stretched by incising the stricture ring and degloved.And then,the frenulum was trimmed and sutured.Lastly,a V-shape incision was made at ventral side of penis,the dysplastic fibrotic tissue was excised and the fascia at the ventaral side of penis fixed.Results The operative time ranged from 40 min to 60 min.The follow-up period was for between 6~9 months.The appearance of penis was satisfactory in 30 patients.1 patient had sub-optimal result because of underlying obesity.Conclusions Modified Brisson's operation(V-shaped icision) has the advantages of less trauma and satisfactory appearance.It should be recommended as an ideal operation to treat buried penis in children.

  7. Classification and surgical correction of the concealed penis (77 cases report)%隐匿阴茎的分型与手术治疗(附77例报告)

    Institute of Scientific and Technical Information of China (English)

    张国强; 陈卫华; 孙旭

    2009-01-01

    Objective To better understand the pathological types of concealed penis and make the responding surgical procedures. Methods Total of 77 patients with concealed penis from Mar. 1998 to Mar. 2008 who underwent surgical treatment in our hospital were reviewed and analyzed. According to different pathological change of concealed penis, 77 patients were classified into four pathological types such as phimosis type, fascia bands type, micropenile skin sleeve type and obesity type. Different surgical procedures were used respectively targeted on their pathological classification. The phimosis type patients were mainly treated by relaxing the narrow prepuce ring, and penile dorsal Y-V plasty for inadequate penile skin, the fascia bands type patients by removing the dysgenic dartos fascia bands, the micropenile skin sleeve type patients by penile dorsal and ventral Y-V plasty and the serious obesity type patients by fixing the penile skin into the lateral Buck's fascia at the base of the penis. Results All patients with concealed penis were all improved in appearance and accessibility after responding surgical. Conclusion The pathological classification of the concealed penis patient would be helpful to clinical diagnosis, different surgical treatment selection and further facilitated the cure of concealed penis.%目的 提高对隐匿阴茎的认识,介绍一种手术治疗方法 .方法 总结1998年3月至2008年3月,诊治77例隐匿阴茎的经验.根据隐匿阴茎的不同病理改变,将其分为包茎型、索带型、小皮套型和肥胖型4种类型.包茎型通过阴茎背侧"Y-V"成形弥补阴茎体皮肤不足.索带型以纤维索带松解、切除为主.小皮套型需做背、腹侧"Y-V"成形.单纯肥胖型可观察、等待.严重者,将阴茎皮肤固定于阴茎根部的阴茎体两侧白膜上.结果 术后所有病例外观均得到改善.结论 对隐匿阴茎进行分型,按不同情况进行相应处理,有利于纠正隐匿阴茎.

  8. 阴茎及其毗邻组织三维虚拟模型的建立%3-Dimensional model reconstruction of penis and surrounding tissue

    Institute of Scientific and Technical Information of China (English)

    王睿恒; 曹川; 梅文铭; 王文献; 谭立文; 李世荣

    2012-01-01

    目的 探讨基于磁共振图像建立阴茎及其毗邻结构三维虚拟模型的可行性,为个性化阴茎整复手术仿真系统的开发提供建模方法.方法 采用适宜的参数获得磁共振图像,在Amira软件中运用面绘制方法对正常成人阴茎及其毗邻组织进行三维重建和立体显示.结果 3.0 mm层厚的快速自旋回波T2加权磁共振图像,可清晰显示阴茎及周围解剖结构且轮廓分明,以此建立的模型可清晰显示阴茎海绵体、阴茎悬韧带等结构的形态和相互位置关系,可见阴茎悬韧带呈纵行附着于耻骨联合与阴茎海绵体背侧之间,阴茎海绵体脚附着于耻骨下支.结论 基于磁共振图像建立阴茎及其毗邻组织三维模型是一种可行的方法,建立的模型可用于开发个性化阴茎整复手术仿真系统.%Objective To evaluate the feasibility of 3-Dimensional(3-D) model reconstruction of penis and surrounding structures based on magnetic resonance images,which may provide the model building method for modeling surgery of individual penoplasty.Methods Magnetic resonance (MR)images of penis with different imaging parameters were evaluated.With the surface rendering construction,the 3D virtual model was established by Amira software.Results The anatomical details imaging is better in T2-weighted fast spin-echo images with 3.0 mm slice thickness.The established model based on the MR images can show the soft-tissue,suspensory ligament of the penis.The suspensory ligament stretches between the pubic symphysis and the corpora cavernosa.The penile roots attach to inferior ramus of pubis.Conclusions MR imaging provides enough anatomical information for modeling.It can be used for the development of model surgery system of individual penoplasty.

  9. The clinicopathological and biological behavior study on verrucous carcinoma of penis%阴茎疣状癌临床病理与生物学行为的研究

    Institute of Scientific and Technical Information of China (English)

    王绪洲; 王涛

    2003-01-01

    目的通过对76例阴茎疣状癌的临床病理学研究,分析其生物学行为与预后的关系,对其治疗措施进行探讨.方法用组织化学HE,特殊组织化学网状纤维和免疫组化keratin、laminin染色观察.结果阴茎疣状癌呈疣状、乳头状向表面生长,深部"推进式"局部侵袭,生长缓慢、病程长,极少转移,预后好.结论阴茎疣状癌恶性程度低,在诊断与治疗方面应与鳞状细胞癌区别对待.手术治疗应以局部肿瘤切除或阴茎部分切除为宜,不需要阴茎全切或扩大根治手术.%Objective To analyse the relation between the biological behavior and the prognosis of the verrucous carcinoma of penis through the clinicopathological study on 76 cases of verrucous carcinoma of penis and discussed the treatment measures.Methods The study was carried out by using common and special histochemical stainings and immunohistochemical method.Results The tumors were the characteristics of verrucous or papillary appearance,propulsive local invasion,slow growth,long course,rare metastasis,favorable prognosis.Conclusion Our study demonstrates that the malignant degree of verrucous carcinoma of penis is low and it should be differentiated from squamous cell carcinoma in diagnosis and treatment.It is preferable that local tumor resection or partial amputation of penis should be carried out and not necessarily to have total amputation of penis or enlarging radical operation.

  10. A new technique for the correction of the congenital buried penis through the ventral of penis root in children%经阴茎根部腹侧阴茎阴囊整形术治疗先天性隐匿阴茎

    Institute of Scientific and Technical Information of China (English)

    李旭良; 林涛; 何大维; 刘俊宏; 刘星; 刘丰; 华燚

    2011-01-01

    Objective We report our results using a new technique for repair of buried penis through the ventral of the penis root.Methods Becauseof phimosis,the deficiency of skin and abnormal attachments of the dartos and Buck's fascia,our technique involves a wedge-shaped cut of the ventral penis skin,fixation of the subcutaneous penile skin at the base of the degloved penis to Buck's fascia,a circumferential penile incision made subcoronally,splitting of the ventral outer preputial skin longitudinally and the dorsal inner preputial ski obliquely.Results A retrospective review of 359 consecutive patients (age between 3 to 14 years,224 patients between 5 to 7 years (62.4% )) undergoing buried penis repair in the last 10 years was performed.265 patients (73.8% ) were followed for median of 6 months after repair.247 patients (93.2%) were determined to havegood outcome.Early postoperative hematoma of scrotum developed in 7 cases,trapped penis developed in 5 cases and 3 cases presented with sever scar in ventral penis skin,which required subsequent excision.Appearance of shortened penis seen in 10 patients (3.7% ),but this improved after treatment with testosterone propionate.Conclusions The ventral penis approach we have described is a simple and effective procedure with good cosmetic and few complications.%目的 探讨经阴茎根部腹侧入路的阴茎阴囊整形术治疗先天性隐匿阴茎的临床疗效.方法 针对本病的包茎、阴茎皮肤缺乏、阴茎周围肉膜肌的异常附着、特别是阴茎阴囊交界处皮肤的蹼状改变等,采用不但可使阴茎阴囊蹼状改变得到整形,也利于阴茎的充分松解和固定,还可达到延长阴茎皮肤目的的楔形皮肤切口.同时还采用包皮口横切后外板纵形剪开,背侧楔形切除多余内板的的方法,不但解除了包茎,也避免了过多的内板使用.结果 近10年间用此术式治疗先天性隐匿阴茎359例,年龄最小3岁,最大14岁,其中5~7岁224例(62

  11. Pain after groin hernia repair

    DEFF Research Database (Denmark)

    Callesen, T; Bech, K; Nielsen, R;

    1998-01-01

    -90 years, pain was scored (none, light, moderate or severe) at rest, while coughing and during mobilization, daily for the first postoperative week and after 4 weeks. Pain scores were added together over the first postoperative week. RESULTS: On days 1, 6 and 28, 66, 33 and 11 per cent respectively had...... moderate or severe pain while coughing or mobilizing. Total pain scores were higher while coughing or mobilizing than at rest (P coughing or mobilizing (P0

  12. Pain after groin hernia repair

    DEFF Research Database (Denmark)

    Callesen, T; Bech, K; Nielsen, R

    1998-01-01

    BACKGROUND: The purpose of the study was to provide a detailed description of postoperative pain after elective day-case open inguinal hernia repair under local anaesthesia. METHODS: This was a prospective consecutive case series study. After 500 hernia operations in 466 unselected patients aged 18...... between types of surgery or hernia. CONCLUSION: Pain remained a problem despite the pre-emptive use of opioids, non-steroidal anti-inflammatory drugs and local anaesthesia, irrespective of surgical technique....

  13. 隐匿阴茎不同术式的疗效比较%Comparison of different surgical techniques for treatment of concealed penis

    Institute of Scientific and Technical Information of China (English)

    李波涌; 张国富; 王欢; 唐秀英; 李斌; 范星球; 林海岳

    2010-01-01

    Objective To compare the effects of different surgical techniques for treatment of concealed penis. Methods A retrospective review of 219 patients underwent surgical correction of concealed penis between 1986 and 2007 was performed. The mean age was (10.3±2.4) years(3-15 years). The penile length was (1.9±0. 5)cm(0. 5-3. 0 cm)before operation. Ninty-three patients were the severe degree of concealed penis. The others were the moderate degree. All patients under-went operation with different techniques, including Johnston's technique in 34, Devine's technique in 42, modified Devinds technique in 125 and Brisson's technique in 18. The increased length of penile af-ter operation was compared among the 4 groups with different surgical techniques by statistical meth-od. Results The postoperative increased length of penile in Johnston's technique, Devine's tech-nique, modified Devine's technique and Brisson's technique was (1.8 ± 0. 4) cm, (2. 0 ± 0. 5) cm, (2.1±0.4)cm and (2.3±0.4)cm respectively. The difference was significant by ANOVA test (F=13.1,P<0. 001). Devines technique, modified DevineSs technique and Brisson's technique were better than Johnston's technique considering the increased length of penile. The complication of severe penile lymphedema of 4 groups developed in 8, 5, 6 and 2 patients respectively. Conclusion Modified De-vine's technique has the satisfactory increasing of penile length for treatment of concealed penis and less complication rate after operation.%目的 探讨隐匿阴茎不同术式的疗效.方法 回顾性分析1986-2007年手术治疗219例隐匿阴茎患儿临床资料.年龄3~15(10.3±2.4)岁.术前测量阴茎外露长度0.5~3.0(1.9±0.5)cm,其中重度93例,中度126例.采用Johnston术34例,Devine术42例,改良Devine术125例,Brisson术18例.比较4种术式患儿术后阴茎长度增加的差异. 结果 Johnston术、Devine术、改良Devine术和Brisson术患儿术后阴茎外露增加长度分别为(1.8±0.4)、(2

  14. Experiment of nurture: ablatio penis at 2 months, sex reassignment at 7 months, and a psychosexual follow-up in young adulthood.

    Science.gov (United States)

    Bradley, S J; Oliver, G D; Chernick, A B; Zucker, K J

    1998-07-01

    Guidelines of psychosexual management for infants born with physical intersex conditions are intended to assist physicians and parents in making decisions about sex of assignment and rearing including the following: 1) sex assignment should be to the gender that carries the best prognosis for good reproductive function, good sexual function, normal-looking external genitalia and physical appearance, and a stable gender identity; 2) the decision regarding sex assignment should be made as early as possible, preferably during the newborn period, with an upper age limit for reversal of an initial sex assignment no later than 18 to 24 months; and 3) there should be minimal uncertainty and ambiguity on the part of parents and professionals regarding the final decision about sex assignment and rearing. J. Money used these guidelines in a case of a biologically normal male infant (one of a pair of monozygotic twins) whose penis was accidentally ablated during a circumcision at the age of 7 months. The decision to reassign the infant boy to the female sex and to rear him as a girl was made at 17 months, with surgical castration and initial genital reconstruction occurring at 21 months. Money reported follow-up data on this child through the age of 9 years. Although the girl was described as having many "tomboyish" behavioral traits, a female gender identity had apparently differentiated. Thus, it was concluded that gender identity is sufficiently incompletely differentiated at birth as to permit successful assignment of a genetic male as a girl, in keeping with the experiences of rearing. Subsequent follow-up by other investigators reported that by early adolescence the patient had rejected the female identity and began to live as a male at the age of 14 years. In adulthood, the patient recalled that he had never felt comfortable as a girl, and his mother reported similar recollections. At age 25, the patient married a woman and adopted her children. The patient reported

  15. Exposing a β-Lactamase "Twist": the Mechanistic Basis for the High Level of Ceftazidime Resistance in the C69F Variant of the Burkholderia pseudomallei PenI β-Lactamase.

    Science.gov (United States)

    Papp-Wallace, Krisztina M; Becka, Scott A; Taracila, Magdalena A; Winkler, Marisa L; Gatta, Julian A; Rholl, Drew A; Schweizer, Herbert P; Bonomo, Robert A

    2016-02-01

    Around the world, Burkholderia spp. are emerging as pathogens highly resistant to β-lactam antibiotics, especially ceftazidime. Clinical variants of Burkholderia pseudomallei possessing the class A β-lactamase PenI with substitutions at positions C69 and P167 are known to demonstrate ceftazidime resistance. However, the biochemical basis for ceftazidime resistance in class A β-lactamases in B. pseudomallei is largely undefined. Here, we performed site saturation mutagenesis of the C69 position and investigated the kinetic properties of the C69F variant of PenI from B. pseudomallei that results in a high level of ceftazidime resistance (2 to 64 mg/liter) when expressed in Escherichia coli. Surprisingly, quantitative immunoblotting showed that the steady-state protein levels of the C69F variant β-lactamase were ∼4-fold lower than those of wild-type PenI (0.76 fg of protein/cell versus 4.1 fg of protein/cell, respectively). However, growth in the presence of ceftazidime increases the relative amount of the C69F variant to greater than wild-type PenI levels. The C69F variant exhibits a branched kinetic mechanism for ceftazidime hydrolysis, suggesting there are two different conformations of the enzyme. When incubated with an anti-PenI antibody, one conformation of the C69F variant rapidly hydrolyzes ceftazidime and most likely contributes to the higher levels of ceftazidime resistance observed in cell-based assays. Molecular dynamics simulations suggest that the electrostatic characteristics of the oxyanion hole are altered in the C69F variant. When ceftazidime was positioned in the active site, the C69F variant is predicted to form a greater number of hydrogen-bonding interactions than PenI with ceftazidime. In conclusion, we propose "a new twist" for enhanced ceftazidime resistance mediated by the C69F variant of the PenI β-lactamase based on conformational changes in the C69F variant. Our findings explain the biochemical basis of ceftazidime resistance in B

  16. Clinical evaluation of advancement flap surgical technique for congenital concealed penis%渐进性皮瓣转移技术治疗先天性隐匿阴茎

    Institute of Scientific and Technical Information of China (English)

    陈杰; 徐卯升; 耿红全; 徐国锋; 咸华

    2009-01-01

    目的 通过总结103例先天性隐匿阴茎的临床资料,探讨渐进性皮瓣转移技术应用于先天性隐匿阴茎的诊治经验.方法 2006年7月至2008年9月,采用渐进性皮瓣转移技术治疗先天性隐匿阴茎患儿103例,年龄为6个月至12.3岁,所有病例均符合先天性隐匿阴茎的诊断,其中3例伴有明显肥胖.结果平均随访1.5年(6个月至2.5年).所有患儿阴茎外观均较满意,阴茎显露好,无包皮臃肿现象.术后1例冈阴茎根部皮肤附着不佳仍有同缩,2例患儿在阴茎根部切口处轻度裂开.结论 渐进性皮瓣转移技术治疗先天性隐匿阴茎,术后阴茎外观接近包茎术后表现,术后再回缩等并发症少.渐进性皮瓣转移技术可以作为治疗先天性隐匿阴茎的常规术式.%Objective To summarize the clinical data of 103 children with congenital concealed penis treated with advancement flap surgical technique. Methods From July 2006 to September 2008, 103 children with congenital concealed penis underwent penial plasty using advancement flap surgical technique. The patients aged from 6 months to 12. 3 years. Three patients were extremely obese. Resuits The mean follow-up period was 1.5 years. All patients gained good postoperative cosmetic appearance with satisfactory exposure of penis and no malformation of prepuce. Only one patient underwent a reoperation for recurrent retraction caused by unstable attachment at the radix of penis. Two patients suffered slight disruption of wound at the radix of penis. Conclusions Flap surgical technique can provide immediate and excellent cosmetic results with a low incidence of complications. The advancement flap surgical technique can be adopted as a regular procedure for treating children with congenital concealed penis.

  17. A experience for the diagnosis of simple comcealed penis and therapeutic effect of improved Devine operation%单纯性隐匿阴茎诊断与改良Devine矫正术治疗体会

    Institute of Scientific and Technical Information of China (English)

    南玉奎; 王乾; 胡晓刚; 闵立贵; 齐飞波

    2014-01-01

    Objectives To investigate the diagnosis of concealed penis,to observe the therapeutic effect of improved Devine operation.Methods Diagnosed as simple concealed penis in 58 cases were done the operation of improved Devine correction.The method ofthisoperation is to coronary sulcus ring incision below the foreskin,from shallow to deep fascia of penis penis root free degloving and fully resected dartos tissue between the body and the skin of penis dysplasia and fibrous band.Full extension the penis,In the skin of the penis and perineal skin continuation place and cut 5mm incision form 2,10 points,through this incision fixed albuginea and penile skin dermis.Results The mean operative time 40 minutes and the mean postoperative hospital stay 4 ~ 4.5 days.All patients penis revealed significant improvement and penis shape extending 2.0 ~ 2.5cmcompared with the preoperative,there are different degrees of foreskin edema after bandaged 3 ~4 days,the edema within the board and it will subsided in 2 ~4 weeks after operations.1 cases of skin edge was necrosis and became healing after two weeks of debridement dressing.Conclusions To strictly grasp the standard diagnosis of concealed penis,andthe keysof operation treatment areadequate penile degloving release,removal of the abnormal tissue and tunica albuginea penis root fixed.The Devine correction,with two fixed penis root under direct vision,has the characteristics of simple operation,reliable fixation point dear,small trauma,satisfactory appearance,itis an effective procedure for the treatment of simple concealed penis.%目的 探讨单纯性隐匿阴茎诊断方法,观察改良Devine矫正术治疗效果.方法 明确诊断为单纯性隐匿阴茎58例进行改良Devine矫正术.手术方法为冠状沟下方环形切开包皮,于阴茎深筋膜浅层向阴茎根部游离脱套,充分切除阴茎体与皮肤之间发育不良的肉膜组织以及纤维索带.充分伸直阴茎,于阴茎皮肤与会阴皮肤延续处,2

  18. Groin sentinel node biopsy and (18)F-FDG PET/CT-supported preoperative lymph node assessment in cN0 patients with vulvar cancer currently unfit for minimally invasive inguinal surgery: The GroSNaPET study.

    Science.gov (United States)

    Garganese, G; Collarino, A; Fragomeni, S M; Rufini, V; Perotti, G; Gentileschi, S; Evangelista, M T; Ieria, F P; Zagaria, L; Bove, S; Giordano, A; Scambia, G

    2017-09-01

    The study aims were: 1) to verify the role of sentinel node biopsy (SNB) in a subset of patients with clinical N0 (cN0) invasive vulvar cancer (VC) who were still candidates for radical inguinal surgery according to the current guidelines; 2) to investigate whether a preoperative (18)F-FDG PET/CT (PET/CT) evaluation could improve the selection of node negative patients. From July 2013 to July 2016, all patients with VC admitted to our Division were evaluated by standard imaging and clinical exam. Among the patients assessed as cN0 we enrolled those unsuitable for SNB, due to: T > 4 cm, multifocal tumors, complete tumor diagnostic excision, contralateral nodal involvement and local recurrence. A preoperative PET/CT was performed. For each patient surgery included SNB, performed using a combined technique (radiotracer plus blue dye), followed by standard inguino-femoral lymphadenectomy. The reference standard was histopathology. Forty-seven patients entered the study for a total of 73 groins. Histopathology revealed 12 metastatic SNs in 9 groins. No false negative SNs were found (NPV 100%). PET/CT showed a negative predictive value of 93%. Our data suggest that SNB is accurate and safe even in cN0 patients currently excluded from this procedure, providing that a careful preoperative selection is performed. PET/CT allows a reliable assessment of LN status and may be an effective support for the selection of patients who are safe candidates for SNB. Copyright © 2017 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.

  19. Open Preperitoneal Groin Hernioplasty in Inguinal Hernias (A Report of 189 Cases)%腹膜前间隙修补术治疗腹股沟疝189例临床研究

    Institute of Scientific and Technical Information of China (English)

    王晖; 朱理玮

    2011-01-01

    Objective To evaluate the effect of open preperitoneal groin hernioplasty in inguinal hernia. Methods All 189 patients with inguinal hernias were treated with open preperitoneal groin henioplasty under local, general or epidural anesthesia. Results The average operation time was 50 min. The mean time of ambulation was 8 hours. The mean time of postoperative hospitalization was 5 days. There were none recurrence in the follow-up time from 3 to 16 months. Hydrocele was fond in 4 patients. No patients was found infection of incisional wound. Conclusion The preperitoneal tension-free hernioplasty is advantageous in low tension, short operation time, less postoperative pain, fast recovery and few complications. It is an ideal procedure for patients with inguinal hernia.%目的:探讨腹膜前间隙修补术修补成人腹股沟疝的治疗效果.方法:189例腹股沟疝患者采用局麻、硬膜外或全麻,行开放性前入路腹膜前间隙修补治疗.结果:本组手术时间30~100 min(平均50 min),术后6~24 h下床活动(平均8 h),术后3~7 d出院(平均5 d).随访3~16个月,4例出现阴囊水肿.结论:腹膜前间隙修补术创伤小,手术时间短,符合腹股沟解剖生理,无缝线张力,术后疼痛轻,恢复快,并发症少,复发率低.

  20. Foreskin-deglove and shaft-fix procedure in correcting the concealed penis%改良阴茎脱套固定术治疗小儿隐匿阴茎85例报道

    Institute of Scientific and Technical Information of China (English)

    王荣; 陈力; 王雪刚; 陈宣余; 韩伟伟; 侯丹; 曾甫清; 章小平

    2012-01-01

    Objective:To observe the effect of Foreskin-deglove and shaft-fix procedure in correcting the concealed penis. Methods; Totally 85 cases of concealed penis in children from October 2004 to February 2011 were treated with Foreskin-deglove and shaft-fix procedure. Results: All of the cases were treated successfully. Significant lymphedema occurred in 17 cases and completely return to normal in 2 to 3 months. All patients have been followed up 2-14 months after operation and there was no recurrence retraction of the penile. Conclusions; Concealed penis is due to congenital Dartoic fascia dysplasia of penile shaft. Foreskin-deglove and shaft-fix procedure is an effective, simple and ideal method in treating concealed penis.%目的:探讨改良阴茎脱套固定术治疗小儿隐匿阴茎的有效性.方法:2004年10月~2011年2月采用改良阴茎脱套固定术治疗小儿隐匿阴茎85例.结果:所有患儿均顺利完成手术,17例患儿术后出现明显包皮水肿,2~3个月恢复正常.术后随访2~14个月,所有患儿阴茎体显露充分,阴茎无明显退缩现象.结论:隐匿阴茎的形成与先天性阴茎皮肤浅筋膜层发育异常有关,改良阴茎脱套固定术式具有手术视野显露良好、操作简单、效果满意等优点,是小儿隐匿阴茎治疗的理想方法.