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Genitalia: Undescended Testis, Acute Scrotum, Buried Penis

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Practical Pediatric Urology

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Abstract

Cryptorchid testis is a frequent congenital anomaly of the genitourinary tract, occurring as a consequence of various phenomena, and may be palpable (inguinal region or scrotum) or non-palpable (abdomen). The condition is approximately 10–12 times more frequent in premature than term infants. Laparoscopy is both diagnostic and therapeutic, providing an opportunity for the gold standard orchiopexy. The acute scrotum is due to pain or swelling in the testicular region. It may be defined by the duration of symptoms, with either acute, subacute, or gradual insidious presentation. In addition to physical exam, color doppler ultrasound and urinalysis are common noninvasive laboratory tools. Buried penis is a condition in which the penis lies under a layer of integument, either from the thigh or abdomen. The condition can be congenital (megaprepuce) or acquired (obesity). The latter poses a fairly difficult management challenge.

Book Chapter for: Practical Pediatric Urology: An Evidence Based Approach.

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Acknowledgments

The authors would like to acknowledge Dr. Kate Feinstein, Professor of Radiology and Surgery, Section Chief, Pediatric Radiology at the University of Chicago for her contribution with image collection.

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Authors and Affiliations

  1. University of Washington, Department of Urology, Seattle, WA, USA

    Diboro Kanabolo

  2. Department of Surgery, Section of Urology, University of Chicago Medicine and Comer Children’s Hospital, Chicago, IL, USA

    Mohan S. Gundeti

Authors
  1. Diboro Kanabolo
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  2. Mohan S. Gundeti
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Correspondence to Mohan S. Gundeti .

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Editors and Affiliations

  1. Department of Paediatric Surgery, Sheffield Children’s Foundation Trust, Sheffield, UK

    Prasad Godbole

  2. Division of Urology, University of Colorado Division of Urology, Aurora, CO, USA

    Duncan T. Wilcox

  3. Department of Surgery and IHPME, University of Toronto Paediatric Urology, The Hospital for Sick Children, Toronto, ON, Canada

    Martin A. Koyle

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Kanabolo, D., Gundeti, M.S. (2021). Genitalia: Undescended Testis, Acute Scrotum, Buried Penis. In: Godbole, P., Wilcox, D.T., Koyle, M.A. (eds) Practical Pediatric Urology. Springer, Cham. https://doi.org/10.1007/978-3-030-54020-3_16

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  • DOI: https://doi.org/10.1007/978-3-030-54020-3_16

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-54019-7

  • Online ISBN: 978-3-030-54020-3

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