Testicular Hydrocele
Elephantiasis, Filarial
Wuchereria bancrofti
Spermatocele
Hernia, Inguinal
Genital Diseases, Male
Fiji
Filariasis
Spermatic Cord Torsion
Syria
Phimosis
Encyclopedias as Topic
Varicocele
Genitalia, Male
Migration of the abdominal catheter of a ventriculoperitoneal shunt into the scrotum--case report. (1/85)
A 3-day-old male neonate presented with migration of the ventriculoperitoneal (VP) shunt tip through the patent processus vaginalis resulting in scrotal hydrocele. The association of myelomeningocele with hydrocephalus may have been a predisposing factor in this rare complication. Development of scrotal swelling or hydrocele in a child with VP shunt should be recognized as a possible shunt complication. (+info)Comparison of results of treatment of hydrocele and epididymal cysts by surgery and injection. (2/85)
A comparison has been made between a series of hydroceles and cysts of epididymis treated by surgery with a complication rate of at least 17% haematoma and 10% sepsis, an average hospital stay of five days, and a much longer time off work, and a series treated by tapping and injection (described in detail) requiring one to three visits to outpatients, an almost negligible complication rate, and no failures in those completing treatment. (+info)Epididymal anomalies associated with patent processus vaginalis in hydrocele and cryptorchidism. (3/85)
The epididymal anomalies and patent processus vaginalis are frequently seen in patients with cryptorchidism or hydrocele. We performed a prospective study on the relationship between the epididymal anomalies and the patency of the processus vaginalis in boys with hydrocele (190 cases) or cryptorchidism (89 cases) who were treated from August 1997 to February 2000 (mean age, 51 months; range, 12 to 152 months). The epididymal anomalies were observed with an overall frequency of 48%. Closed, partially closed, and open processus vaginalis were associated with an epididymal anomaly in 14, 38, and 65% of cases, respectively. The epididymal anomalies were more common in association with undescended (61%) than with descended (43%) testes without statistical significance (p=0.415). Incomplete attachment of the caput epididymis was the most common anomaly (35%), followed by detachment of caput and cauda epididymis (31%), cauda epididymis (24%), and long looping epididymis (10%). These data showed that the epididymal anomalies were strongly associated with the patency of the processus vaginalis irrespective of testicular descent (p<0.001), and they provide further evidence for the hypothesis that a common stimulus, possibly androgens, may be required for the epididymal development and obliteration of the processus vaginalis. (+info)Mass treatment to eliminate filariasis in Papua New Guinea. (4/85)
BACKGROUND: The global initiative to eradicate bancroftian filariasis currently relies on mass treatment with four to six annual doses of antifilarial drugs. The goal is to reduce the reservoir of microfilariae in the blood to a level that is insufficient to maintain transmission by the mosquito vector. METHODS: In nearly 2500 residents of Papua New Guinea, we prospectively assessed the effects of four annual treatments with a single dose of diethylcarbamazine plus ivermectin or diethylcarbamazine alone on the incidence of microfilariae-positive infections, the severity of lymphatic disease, and the rate of transmission of Wuchereria bancrofti by mosquitoes. Random assignment to treatment regimens was carried out according to the village of residence, and villages were categorized as having moderate or high rates of transmission. RESULTS: The four annual treatments with either drug regimen were taken by 77 to 86 percent of the members of the population who were at least five years old; treatments were well tolerated. The proportion with microfilariae-positive infections decreased by 86 to 98 percent, with a greater reduction in areas with a moderate rate of transmission than in those with a high rate. The respective aggregate frequencies of hydrocele and leg lymphedema were 15 percent and 5 percent before the trial began, and 5 percent (P<0.001) and 4 percent (P=0.04) after five years. Hydrocele and leg lymphedema were eliminated in 87 percent and 69 percent, respectively, of those who had these conditions at the outset. The rate of transmission by mosquitoes decreased substantially, and new microfilariae-positive infections in children were almost completely prevented over the five-year study period. CONCLUSIONS: Annual mass treatment with drugs such as diethylcarbamazine can virtually eliminate the reservoir of microfilariae and greatly reduce the frequency of clinical lymphatic abnormalities due to bancroftian filariasis. Eradication may be possible in areas with moderate rates of transmission, but longer periods of treatment or additional control measures may be necessary in areas with high rates of transmission. (+info)Sensitivity and specificity of ultrasound detection and risk factors for filarial-associated hydroceles. (5/85)
To better understand risk factors for hydrocele as a consequence of Wuchereria bancrofti infection, 342 men more than 15 years of age in an endemic area in Papua New Guinea were evaluated. Thirty-four subjects (9.9%) had hydrocele by physical examination. Ultrasound examination detected hydroceles in 57 men (16.7%). Compared with ultrasonography, the sensitivity of physical examination was 44.3%, the specificity was 98.2%, and the positive predictive value was 73.5%. Hydrocele was independently associated with age (odds ratio [OR] = 3.3, P < 0.01) and intensity of infection as determined by filarial antigenemia (OR = 2.3, P = 0.07). Dilation of spermatic cord lymphatics detectable by ultrasound did not correlate with hydrocele, but was associated with the presence of infection. These observations suggest that filarial pathology of the male genitalia is under-reported when evaluated by physical examination alone and that duration and intensity of infection are risk factors for hydrocele. (+info)Rapid assessment for lymphatic filariasis in central Nigeria: a comparison of the immunochromatographic card test and hydrocele rates in an area of high endemicity. (6/85)
The rapid immunochromatographic card test (ICT) for Wuchereria bancrofti circulating filarial antigen is being used to map areas endemic for lymphatic filariasis. However, the ICT is expensive; thus, surveys based on this test must be relatively limited. Our study was conducted to determine if village-based hydrocele surveys could be used to supplement the ICT surveys in the mapping activities. We compared in 144 Nigerian villages the two assessment methods, ICT and examination for clinical hydrocele, in random samples of 30 adults selected using a procedure that obtained 15 younger males (reported age = 16-39 years old) and 15 older males (> or = 40 years), based on the assumption that hydrocele rates may be more prevalent in older age groups. The men were asked if they had scrotal swelling, then examined and tested by the ICT. We found a weakly positive correlation between village prevalence determined by the ICT and hydrocele (r = 0.041, P < 0.001). Only villages with hydrocele rates of 20% or greater were also consistently classified as having endemic filariasis by the ICT. There was no correlation between an individual's ICT positivity and clinical presence of hydrocele, and questioning about scrotal swelling was not predictive for presence of hydrocele. More research is needed to determine if community level hydrocele prevalence surveys can offer an economical and broadly applicable supplement to the ICT for determining the endemicity of filariasis. (+info)Characterization of antibody responses to Wolbachia surface protein in humans with lymphatic filariasis. (7/85)
Symbiotic Wolbachia organisms of filarial nematodes have received much attention as possible chemotherapy targets and disease-causing organisms. In order to further investigate the association between anti-Wolbachia immune responses and chronic filarial disease in humans, antibody responses to Wolbachia surface protein (WSP) were assayed in serum samples collected from 232 individuals living in Leogane, Haiti, an area where Wuchereria bancrofti infection is endemic, and from 67 North Americans with no history of lymphatic filariasis. As opposed to antifilarial antibody responses, which were largely influenced by the patient's infection status, the prevalence and levels of anti-WSP immunoglobulin G (IgG) antibodies among individuals with lymphedema or hydrocele were significantly greater than those in gender- and infection-matched individuals without disease. In at least one case, the anti-WSP IgG response was coincident with the onset of lymphedema development, and among anti-WSP-positive women with lymphedema, anti-WSP IgG levels were negatively correlated with the duration of lymphedema. The presence of anti-WSP IgG was also associated with the severity of inguinal adenopathy among men with hydrocele. In addition to the presence of anti-WSP antibodies among Haitians, 15 of 67 (22%) serum samples collected from individuals from North America, where filariasis is not endemic, were also positive for anti-WSP antibodies. In comparison to those from Haitians, anti-WSP antibodies from North Americans primarily recognized a distinct region of WSP located within the highly conserved second transmembrane domain. The results of this study demonstrate that anti-WSP antibody responses are associated with the presence of chronic filarial morbidity and not filarial infection status in humans and suggest that WSP should be further studied as a potential trigger for the development of filarial disease. (+info)Peritoneal bypass in the treatment of hydrocephalus: historical review and abdominal complications. (8/85)
The development of intraperitoneal shunting systems is presented chronologically and a review is made of the wide variety of intraperitoneal complications which have occured to date. (+info)A testicular hydrocele is a type of fluid-filled sac that forms around the testicle (testis), typically in the scrotum. This sac, known as the tunica vaginalis, normally contains a small amount of fluid that helps to lubricate and protect the testicle. However, when an excessive amount of fluid accumulates in this sac, it results in the formation of a hydrocele.
Testicular hydroceles can be congenital (present at birth) or acquired later in life due to various reasons such as injury, inflammation, or infection in the scrotal area. They are usually painless but may cause discomfort or a feeling of heaviness in the scrotum, especially when they become large. In some cases, hydroceles may resolve on their own without treatment, while others may require surgical intervention to drain the fluid and repair the underlying issue.
It is essential to differentiate between hydroceles and other conditions with similar symptoms, such as hernias or tumors, which may require more urgent medical attention. A healthcare professional can perform a physical examination and possibly recommend further testing, like an ultrasound, to confirm the diagnosis of a testicular hydrocele.
Elephantiasis, filarial is a medical condition characterized by the severe swelling of limbs or other parts of the body due to the blockage of lymphatic vessels by parasitic worms. It is caused by infection with threadlike nematode filarial worms, such as Wuchereria bancrofti and Brugia timori. These worms are transmitted to humans through mosquito bites.
The blockage of lymphatic vessels leads to the accumulation of lymph fluid in the affected area, causing progressive swelling, thickening, and hardening of the skin and underlying tissues. In advanced cases, the skin may become rough, nodular, and fissured, resembling the hide of an elephant, hence the name "elephantiasis."
The condition is usually chronic and can cause significant disability and social stigma. While there is no cure for filarial elephantiasis, various treatments are available to alleviate symptoms, prevent transmission, and halt the progression of the disease. These include antibiotics to kill the worms, surgery to remove the lymphatic obstruction, and various supportive measures to manage the swelling and prevent secondary infections.
The scrotum is a part of the external male genitalia. It's a sac-like structure made up of several layers of skin and smooth muscle, which hangs down behind and beneath the penis. The primary function of the scrotum is to maintain the testicles at a temperature slightly lower than the core body temperature, which is optimal for sperm production.
The scrotum contains two compartments, each one housing a testicle. It's located in the pubic region and is usually visible externally. The skin of the scrotum is thin and wrinkled, which allows it to expand and contract depending on the temperature, accommodating the shrinking or swelling of the testicles.
Please note that while I strive to provide accurate information, this definition is intended to be a general overview and should not replace professional medical advice.
Wuchereria bancrofti is a parasitic roundworm that causes lymphatic filariasis, also known as elephantiasis. It is transmitted to humans through the bite of infected mosquitoes. The worms infect the lymphatic system and can lead to chronic swelling of body parts such as the limbs, breasts, and genitals, as well as other symptoms including fever, chills, and skin rashes. Wuchereria bancrofti is a significant public health problem in many tropical and subtropical regions around the world.
A spermatocele is a type of cyst that develops in the epididymis, which is a small, coiled tube located on the back surface of the testicle. This cyst typically contains sperm and fluid from the epididymis, and it is usually benign and harmless.
Spermatoceles are often asymptomatic and may be discovered during a routine physical examination or self-examination. In some cases, however, they may cause discomfort or pain, particularly if they become large enough to press on the testicle or surrounding structures.
While spermatoceles do not typically require treatment unless they are causing symptoms, it is important to have them evaluated by a healthcare provider to rule out other potential causes of any symptoms and to ensure that appropriate treatment is provided if necessary.
Urologic surgical procedures in males refer to various surgical operations performed on the male urinary system and reproductive organs. These may include:
1. Transurethral Resection of the Prostate (TURP): A procedure used to treat an enlarged prostate, where excess tissue is removed through the urethra using a specialized instrument.
2. Radical Prostatectomy: The surgical removal of the entire prostate gland and some surrounding tissues, usually performed as a treatment for prostate cancer.
3. Cystectomy: Surgical removal of the bladder, often due to bladder cancer. In males, this procedure may also involve removing the prostate and seminal vesicles.
4. Nephrectomy: The surgical removal of a kidney, usually performed due to kidney disease or cancer.
5. Pyeloplasty: A procedure to correct a blockage in the renal pelvis, the part of the kidney where urine collects before flowing into the ureter.
6. Ureterostomy: A surgical procedure that creates an opening from the ureter to the outside of the body, often performed when a portion of the urinary system needs to be bypassed or drained.
7. Orchiectomy: The surgical removal of one or both testicles, often performed as a treatment for testicular cancer.
8. Vasectomy: A minor surgical procedure for male sterilization, where the vas deferens are cut and sealed to prevent sperm from reaching the semen.
9. Testicular Sperm Extraction (TESE): A surgical procedure used to extract sperm directly from the testicles, often performed as part of assisted reproductive techniques for infertile couples.
These procedures may be performed using open surgery, laparoscopy, or robotic-assisted surgery, depending on the specific circumstances and patient factors.
Lymphangiectasis is a medical condition characterized by the dilation and abnormal expansion of lymphatic vessels, which are responsible for transporting lymph fluid throughout the body. These dilated lymphatic vessels can be found in various tissues and organs, including the intestines, lungs, or other parts of the body.
In the case of intestinal lymphangiectasis (also known as Waldmann's disease), the lymphatic vessels in the small intestine become enlarged, leading to impaired absorption of nutrients and lymph fluid. This can result in protein-losing enteropathy, malnutrition, diarrhea, and edema (swelling) due to the loss of proteins and lymphatic fluids into the gastrointestinal tract.
Pulmonary lymphangiectasis is a rare congenital disorder where the lymphatic vessels in the lungs are abnormally developed and dilated, causing respiratory distress, recurrent lung infections, and chylous effusions (accumulation of milky lymph fluid in the pleural space surrounding the lungs).
Treatment for lymphangiectasis depends on the underlying cause and severity of the condition. It may involve dietary modifications, medications to manage symptoms, or surgical interventions in some cases.
Inguinal hernia, also known as an inguinal rupture or groin hernia, is a protrusion of abdominal-cavity contents through the inguinal canal. The inguinal canal is a passage in the lower abdominal wall that carries the spermatic cord in males and a round ligament in females. Inguinal hernias are more common in men than women.
There are two types of inguinal hernias: direct and indirect. Direct inguinal hernias occur when the abdominal lining and/or fat push through a weakened area in the lower abdominal wall, while indirect inguinal hernias result from a congenital condition where the abdominal lining and/or fat protrude through the internal inguinal ring, a normal opening in the abdominal wall.
Inguinal hernias can cause discomfort or pain, especially during physical activities, coughing, sneezing, or straining. In some cases, incarceration or strangulation of the hernia may occur, leading to serious complications such as bowel obstruction or tissue necrosis, which require immediate medical attention.
Surgical repair is the standard treatment for inguinal hernias, and it can be performed through open or laparoscopic techniques. The goal of surgery is to return the protruding tissues to their proper position and strengthen the weakened abdominal wall with sutures or mesh reinforcement.
Genital diseases in males refer to various medical conditions that affect the male reproductive and urinary systems, including the penis, testicles, epididymis, vas deferens, seminal vesicles, prostate, and urethra. These conditions can be infectious, inflammatory, degenerative, or neoplastic (cancerous) in nature. Some common examples of male genital diseases include:
1. Balanitis: Inflammation of the foreskin and glans penis, often caused by infection, irritants, or poor hygiene.
2. Prostatitis: Inflammation of the prostate gland, which can be acute or chronic, bacterial or non-bacterial in origin.
3. Epididymitis: Inflammation of the epididymis, a coiled tube at the back of the testicle that stores and carries sperm. It is often caused by infection.
4. Orchitis: Inflammation of the testicle, usually resulting from infection or autoimmune disorders.
5. Testicular torsion: A surgical emergency characterized by twisting of the spermatic cord, leading to reduced blood flow and potential tissue damage in the testicle.
6. Varicocele: Dilated veins in the scrotum that can cause pain, discomfort, or fertility issues.
7. Peyronie's disease: A connective tissue disorder causing scarring and curvature of the penis during erections.
8. Penile cancer: Malignant growths on the penis, often squamous cell carcinomas, which can spread to other parts of the body if left untreated.
9. Benign prostatic hyperplasia (BPH): Non-cancerous enlargement of the prostate gland that can cause lower urinary tract symptoms such as difficulty initiating or maintaining a steady stream of urine.
10. Sexually transmitted infections (STIs): Infectious diseases, like chlamydia, gonorrhea, syphilis, and human papillomavirus (HPV), that can be transmitted through sexual contact and affect the male genital region.
I'm sorry for any confusion, but "Fiji" is not a medical term. It is a country in the South Pacific Ocean, officially known as the Republic of Fiji, consisting of more than 300 islands. If you have any questions about medical terms or concepts, I would be happy to help with those!
"Intralymphatic injection" is a medical procedure that involves the administration of a substance directly into the lymphatic vessels. The lymphatic system is a part of the immune system and plays a crucial role in fighting infections and diseases. It consists of a network of vessels, nodes, and organs that help to transport fluids, nutrients, and waste products throughout the body.
Intralymphatic injections are typically used for diagnostic or therapeutic purposes. For example, they may be used to administer vaccines, medications, or contrast agents for imaging studies. The procedure is usually performed under the guidance of ultrasound or other imaging techniques to ensure accurate placement of the injection.
It's important to note that intralymphatic injections are different from subcutaneous or intramuscular injections, which involve injecting a substance into the tissue just under the skin or into the muscle, respectively. Intralymphatic injections require specialized training and expertise to perform safely and effectively.
Filariasis is a parasitic disease caused by infection with roundworms of the Filarioidea type. The infection is spread through the bite of infected mosquitoes and can lead to various symptoms depending on the type of filarial worm, including lymphatic dysfunction (elephantiasis), eye damage (onchocerciasis or river blindness), and tropical pulmonary eosinophilia. The disease is prevalent in tropical areas with poor sanitation and lack of access to clean water. Preventive measures include wearing protective clothing, using insect repellents, and sleeping under mosquito nets. Treatment typically involves the use of antiparasitic drugs such as diethylcarbamazine or ivermectin.
Spermatic cord torsion is a urological emergency that refers to the twisting of the spermatic cord, which contains the vas deferens, blood vessels (testicular artery and pampiniform plexus), nerves, and lymphatics. This twisting results in the compromise of the blood supply to the testicle, leading to potential ischemia, necrosis, and loss of the testicle if not promptly diagnosed and treated.
The spermatic cord torsion mainly affects the pediatric population, particularly newborns and adolescents; however, it can also occur in adults, especially those with a history of an undescended testicle or previous episodes of torsion. The most common presenting symptom is sudden onset of severe scrotal pain, often associated with nausea, vomiting, and fever. A physical examination may reveal swelling, tenderness, and elevation of the affected testicle (known as a high-riding or "bell clapper" testicle). Diagnosis typically involves imaging studies such as ultrasound or Doppler ultrasonography, although in some cases, surgical exploration might be necessary for definitive diagnosis and treatment.
Treatment of spermatic cord torsion usually involves prompt surgical intervention to untwist the spermatic cord and secure the affected testicle to the scrotal wall (orchidopexy) to prevent recurrence. Delayed diagnosis and treatment can lead to severe complications, including loss of the testicle, infertility, and chronic pain.
I'm sorry for any confusion, but "Syria" is not a medical term. It is a country located in the Middle East. If you are looking for information about a medical condition, could you please provide more details? I'd be happy to help with that.
Phimosis is a medical condition where the foreskin of the penis, which is the retractable sheath of skin that covers the head or glans of the penis, cannot be pulled back (retracted) over the glans. This condition is normal in uncircumcised infant boys and toddlers, but most boys can retract their foreskins by the time they reach puberty.
In some cases, phimosis may cause no symptoms or problems, while in others it may lead to issues such as discomfort, pain, especially during sexual activity, infection, inflammation, and difficulty urinating. Phimosis can be caused by various factors, including infections, skin conditions, scarring from previous injuries or surgeries, or forceful attempts to retract the foreskin.
Treatment for phimosis depends on the underlying cause and severity of the condition. In some cases, gentle manual stretching exercises may be recommended to gradually increase the foreskin's ability to retract. In other cases, topical creams or medications may be prescribed to reduce inflammation or fight infections. If these treatments are not effective, or if phimosis is causing significant discomfort or complications, circumcision (surgical removal of the foreskin) may be considered as a last resort.
An encyclopedia is a comprehensive reference work containing articles on various topics, usually arranged in alphabetical order. In the context of medicine, a medical encyclopedia is a collection of articles that provide information about a wide range of medical topics, including diseases and conditions, treatments, tests, procedures, and anatomy and physiology. Medical encyclopedias may be published in print or electronic formats and are often used as a starting point for researching medical topics. They can provide reliable and accurate information on medical subjects, making them useful resources for healthcare professionals, students, and patients alike. Some well-known examples of medical encyclopedias include the Merck Manual and the Stedman's Medical Dictionary.
A varicocele is defined as an abnormal dilation and tortuosity (twisting or coiling) of the pampiniform plexus, which is a network of veins that surrounds the spermatic cord in the scrotum. This condition is most commonly found on the left side, and it's more prevalent in men of reproductive age.
The dilation of these veins can cause a decrease in the temperature around the testicle, leading to impaired sperm production, reduced sperm quality, and, in some cases, pain or discomfort. Varicoceles are often asymptomatic but may present as a scrotal mass, discomfort, or infertility issues. In severe cases or when accompanied by symptoms, treatment options include surgical ligation (tying off) or embolization of the affected veins to improve testicular function and alleviate symptoms.
"Male genitalia" refers to the reproductive and sexual organs that are typically present in male individuals. These structures include:
1. Testes: A pair of oval-shaped glands located in the scrotum that produce sperm and testosterone.
2. Epididymis: A long, coiled tube that lies on the surface of each testicle where sperm matures and is stored.
3. Vas deferens: A pair of muscular tubes that transport sperm from the epididymis to the urethra.
4. Seminal vesicles: Glands that produce a fluid that mixes with sperm to create semen.
5. Prostate gland: A small gland that surrounds the urethra and produces a fluid that also mixes with sperm to create semen.
6. Bulbourethral glands (Cowper's glands): Two pea-sized glands that produce a lubricating fluid that is released into the urethra during sexual arousal.
7. Urethra: A tube that runs through the penis and carries urine from the bladder out of the body, as well as semen during ejaculation.
8. Penis: The external organ that serves as both a reproductive and excretory organ, expelling both semen and urine.
A physical examination is a methodical and systematic process of evaluating a patient's overall health status. It involves inspecting, palpating, percussing, and auscultating different parts of the body to detect any abnormalities or medical conditions. The primary purpose of a physical examination is to gather information about the patient's health, identify potential health risks, diagnose medical conditions, and develop an appropriate plan for prevention, treatment, or further evaluation.
During a physical examination, a healthcare provider may assess various aspects of a patient's health, including their vital signs (such as blood pressure, heart rate, temperature, and respiratory rate), height, weight, body mass index (BMI), and overall appearance. They may also examine different organ systems, such as the cardiovascular, respiratory, gastrointestinal, neurological, musculoskeletal, and genitourinary systems, to identify any signs of disease or abnormalities.
Physical examinations are an essential part of preventive healthcare and are typically performed during routine check-ups, annual physicals, and when patients present with symptoms or concerns about their health. The specific components of a physical examination may vary depending on the patient's age, sex, medical history, and presenting symptoms.