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2.
Hinyokika Kiyo ; 70(5): 129-131, 2024 May.
Artigo em Japonês | MEDLINE | ID: mdl-38966923

RESUMO

The patient was a 71-year-old male whose chief complaint was a scrotum mass. The mass had gradually increased in size without any associated symptoms. The physical examination revealed a pedunculated, radish brown, and elastic soft tumor (4. 5×3. 5×3. 0 cm) in the right scrotum. Blood chemical analysis of HbA1c and squamous carcinoma antigen were 8. 3% and 38. 4 ng/ml (≦1. 5), respectively. This tumor was successfully treated with surgical resection. Histopathological examination showed condyloma acuminatum without malignant findings. Giant condyloma acuminatum commonly affects the genital and perianal areas. An immunocompromised state generally exists in the background of the patients.


Assuntos
Escroto , Humanos , Masculino , Idoso , Escroto/patologia , Escroto/cirurgia , Condiloma Acuminado/cirurgia , Condiloma Acuminado/patologia , Neoplasias dos Genitais Masculinos/patologia , Neoplasias dos Genitais Masculinos/cirurgia , Tumor de Buschke-Lowenstein/patologia , Tumor de Buschke-Lowenstein/cirurgia
3.
Hinyokika Kiyo ; 70(6): 185-188, 2024 Jun.
Artigo em Japonês | MEDLINE | ID: mdl-38967032

RESUMO

A 70-year-old male came to our clinic with a high fever and left scrotal swelling. Following a diagnosis of left-side epididymitis, antibiotic treatment was started, though the swelling did not improve. Since an additional examination revealed an abscess in the left scrotum, scrotal incision and drainage were performed. Although the symptoms subsided, urine outflow from the incision was observed. The patient then noted that he had inserted a glass ball into the urethral meatus when he was about 30 years old. It was considered that an abscess and fistula had formed due to inflammation caused by the foreign body. Thus a transurethral surgical procedure was used for crushing and removal. The fistula disappeared within three months after the operation and the patient has not been affected by dysuria since that time. Symptoms may appear several years following insertion of a foreign body into the urethra. To the best of our knowledge, the present case is the longest term of indwelling, approximately 40 years, following insertion of a foreign body reported in Japan.


Assuntos
Abscesso , Corpos Estranhos , Escroto , Uretra , Humanos , Masculino , Idoso , Abscesso/cirurgia , Abscesso/diagnóstico por imagem , Escroto/cirurgia , Corpos Estranhos/cirurgia , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/complicações , Uretra/cirurgia , Uretra/lesões , Fístula Urinária/cirurgia , Fístula Urinária/diagnóstico por imagem , Doenças Uretrais/cirurgia , Doenças dos Genitais Masculinos/cirurgia , Doenças dos Genitais Masculinos/diagnóstico por imagem , Fatores de Tempo , Fístula/cirurgia , Fístula/etiologia
4.
Diving Hyperb Med ; 54(2): 133-136, 2024 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-38870956

RESUMO

Hyperbaric oxygen treatment (HBOT) can be utilised for necrotising soft tissue infections, clostridial myonecrosis (gas gangrene), crush injuries, acute traumatic ischaemia, delayed wound healing, and compromised skin grafts. Our case was a 17-month-old male patient with Noonan syndrome, idiopathic thrombocytopenic purpura, and bilateral undescended testicles. Haematoma and oedema developed in the scrotum and penis the day after bilateral orchiopexy and circumcision. Ischaemic appearances were observed on the penile and scrotal skin on the second postoperative day. Enoxaparin sodium and fresh frozen plasma were started on the recommendation of haematology. Hyperbaric oxygen treatment was initiated considering the possibility of tissue necrosis. We observed rapid healing within five days. We present this case to emphasise that HBOT may be considered as an additional treatment option in patients with similar conditions. To our knowledge, no similar cases have been reported in the literature.


Assuntos
Circuncisão Masculina , Hematoma , Oxigenoterapia Hiperbárica , Síndrome de Noonan , Orquidopexia , Humanos , Masculino , Oxigenoterapia Hiperbárica/métodos , Hematoma/etiologia , Hematoma/terapia , Circuncisão Masculina/efeitos adversos , Síndrome de Noonan/complicações , Síndrome de Noonan/terapia , Lactente , Orquidopexia/métodos , Criptorquidismo/complicações , Criptorquidismo/cirurgia , Criptorquidismo/terapia , Púrpura Trombocitopênica Idiopática/complicações , Púrpura Trombocitopênica Idiopática/terapia , Escroto/lesões , Doenças do Pênis/etiologia , Doenças do Pênis/terapia , Complicações Pós-Operatórias/terapia , Complicações Pós-Operatórias/etiologia , Enoxaparina/uso terapêutico , Enoxaparina/administração & dosagem , Plasma , Edema/etiologia , Edema/terapia
5.
BMJ Case Rep ; 17(6)2024 Jun 13.
Artigo em Inglês | MEDLINE | ID: mdl-38871642

RESUMO

Neonatal adrenal haemorrhage (NAH) is more frequently described in neonates due to their relatively larger size and increased vascularity. While most are asymptomatic, they can present with anaemia, jaundice, abdominal mass, scrotal haematoma or more severe complications such as shock and adrenal insufficiency. Scrotal haematoma seen with NAH may be mistaken for other more serious conditions causing acute scrotum. Prompt sonographic examination that includes the bilateral adrenal glands may help to detect NAH early and to avoid unnecessary interventions. Cases of NAH causing ipsilateral inguinal ecchymosis and scrotal haematoma have been reported, but contralateral haematomas are very rare. In this report, we present a unique case of a neonate with an antenatally acquired adrenal haematoma complicated with an acute peripartum rebleeding manifesting as a contralateral scrotal haematoma and inguinal ecchymosis. The NAH was treated conservatively and resolved on follow-up imaging.


Assuntos
Doenças das Glândulas Suprarrenais , Equimose , Hematoma , Hemorragia , Escroto , Humanos , Equimose/etiologia , Escroto/diagnóstico por imagem , Hematoma/complicações , Hematoma/diagnóstico por imagem , Hematoma/diagnóstico , Hematoma/etiologia , Masculino , Recém-Nascido , Doenças das Glândulas Suprarrenais/complicações , Doenças das Glândulas Suprarrenais/diagnóstico , Doenças das Glândulas Suprarrenais/diagnóstico por imagem , Hemorragia/etiologia , Hemorragia/diagnóstico , Hemorragia/diagnóstico por imagem , Feminino , Ultrassonografia , Doenças dos Genitais Masculinos/complicações , Doenças dos Genitais Masculinos/diagnóstico por imagem , Doenças dos Genitais Masculinos/etiologia , Doenças dos Genitais Masculinos/diagnóstico , Gravidez
6.
BMJ Case Rep ; 17(6)2024 Jun 13.
Artigo em Inglês | MEDLINE | ID: mdl-38871644

RESUMO

Spontaneous pampiniform plexus thrombosis is an extremely rare condition. Its aetiology and pathophysiology are unknown, and its diagnosis remains challenging. We present the first case of an adolescent patient with bilateral spontaneous pampiniform plexus thrombosis. He presented with a 2-day history of bilateral testicular pain. Biochemical investigations were unremarkable, and the patient did not have any risk factors. Ultrasound of the scrotum demonstrated bilateral pampiniform plexus thrombosis. He was managed conservatively and repeat scrotal ultrasound 3 months later revealed complete resolution. This case adds to the minimal literature on spontaneous pampiniform plexus thrombosis, supporting diagnosis via scrotal ultrasound while recommending conservative management without the use of anticoagulation for patients with no pre-existing coagulopathy.


Assuntos
Escroto , Humanos , Masculino , Adolescente , Escroto/diagnóstico por imagem , Ultrassonografia , Tratamento Conservador , Trombose/diagnóstico por imagem , Trombose/diagnóstico , Trombose/tratamento farmacológico , Trombose Venosa/diagnóstico por imagem , Trombose Venosa/tratamento farmacológico
8.
Arch Ital Urol Androl ; 96(2): 12363, 2024 Jun 27.
Artigo em Inglês | MEDLINE | ID: mdl-38934526

RESUMO

BACKGROUND: The retention of foreign bodies inside the body during ludic/sexual procedures or for traumatism represents one of the causes of visits to accident and emergency departments that often requires surgical removal of the foreign body. However, there are cases where the discovery of such foreign bodies takes place after many years, as in patients that are slightly compromised from a neuro-sociological point of view. CASE PRESENTATION: A 76-year-old male presented to an outpatient urological examination due to an increase in scrotal volume. At the ultrasound check, an acoustic interference from a solid object was detected, for which computed tomography was requested. The computed tomography scan revealed the presence of an elongated metal body in the perineum. The removal of the foreign body in the operating theatre was then scheduled. A 10 cm long stainless-steel nail located within an abscessed foreign body granuloma was identified and removed via a scrotal access. Four days later, a new surgical toilet was performed due to minimal necrosis of the skin flaps. The patient then performed three more dressings in the operating theatre during the following week. Healing took place by secondary intention until a perfect healing of the surgical wound was obtained. CONCLUSIONS: Removal of foreign bodies from the perineum in case of infection can be challenging. Careful attention and postoperative dressings are crucial for the success of the case.


Assuntos
Corpos Estranhos , Escroto , Humanos , Masculino , Idoso , Corpos Estranhos/cirurgia , Aço Inoxidável , Unhas , Tomografia Computadorizada por Raios X
9.
Ann Chir Plast Esthet ; 69(4): 320-325, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38866679

RESUMO

INTRODUCTION: Fournier's gangrene, a rare infectious condition affecting the external genitalia, often requires aggressive medical-surgical interventions, resulting in variable scrotal tissue loss. Despite numerous proposed reconstruction techniques, achieving a consensus on the most effective approach that balances aesthetics and function remains elusive. This case report presents a one-year follow-up on scrotal reconstruction using a pedicled Superficial Circumflex Iliac Artery Perforator (SCIP) propeller flap. CASE REPORT: A 56-year-old patient with significant scrotal tissue loss due to Fournier's gangrene underwent scrotal reconstruction using a pedicled SCIP propeller flap. Optimal placement was ensured through a subcutaneous tunnel, with a thin thigh skin graft applied to cover the penile skin defect. DISCUSSION: The SCIP flap is distinguished by its thin and pliable characteristics, rapid harvesting and featuring a discreet donor site. It stands as a compelling alternative to skin grafts, providing advantages in sensory restoration, color congruence, and resilience against tension. Considering the thickness of the reconstruction helps both in recovering testicular function and improving the appearance by restoring the natural contour. CONCLUSION: The utilization of the pedicled SCIP propeller flap for scrotal tissue loss resulting from Fournier's gangrene has demonstrated both aesthetic and functional success, underscoring its potential as an effective reconstructive option.


Assuntos
Gangrena de Fournier , Artéria Ilíaca , Retalho Perfurante , Escroto , Humanos , Masculino , Gangrena de Fournier/cirurgia , Escroto/cirurgia , Pessoa de Meia-Idade , Retalho Perfurante/irrigação sanguínea , Artéria Ilíaca/cirurgia , Procedimentos de Cirurgia Plástica/métodos
10.
Reprod Domest Anim ; 59(6): e14641, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38888049

RESUMO

Dimensions of linear type traits facilitate selection of livestock for breeding and rearing. To date, use of linear type traits for selection of breeding bulls is highly concentric to scrotal circumference (SC), with probable overlook to other important traits. Present study reported the importance of various gonadal linear type traits on spermatozoa production, age-related changes in gonadal linear type traits of bulls and predictive ability of these traits on bulls' reproductive potentials. Among all gonadal traits, testicular density (TD), scrotal volume (SV), paired testicular weight (PWT) and SC were found most important predictor variables in order, which can discriminate between good/poor breeding bulls, that is, produced frozen semen doses (FSD) or not. Dimensions of gonadal traits increased significantly up to 36 months age and thereafter, development became slow and negligible. In contrast, TD decreased by 30%, 51%, 64%, 68% and 71% at 12, 24, 36, 48 and >49 months age, respectively, from its base value at 6 months. Bulls of lower TD (≤0.88 g/cm3) had significantly higher ejaculate volume (+9%), sperm motility, sperm concentration (+100 million/mL) and sperm output (+26%)/ejaculate as compared to bulls of higher TD (>0.88 g/cm3). Discriminant function was developed using TD, SV, PWT and SC to identify bulls of superior reproductive potentials. It was concluded that among the investigated traits, TD was the strongest to discriminate between FSD and Non-FSD bulls. Therefore, our findings suggested that TD could be more potential trait than SC for dairy bulls' breeding soundness evaluation and assessment of reproductive ability.


Assuntos
Cruzamento , Escroto , Testículo , Animais , Masculino , Bovinos/fisiologia , Testículo/fisiologia , Testículo/anatomia & histologia , Escroto/anatomia & histologia , Escroto/fisiologia , Reprodução/fisiologia , Motilidade dos Espermatozoides , Análise do Sêmen/veterinária , Tamanho do Órgão , Espermatozoides/fisiologia , Contagem de Espermatozoides/veterinária , Preservação do Sêmen/veterinária , Indústria de Laticínios
11.
Arch Dermatol Res ; 316(6): 255, 2024 May 25.
Artigo em Inglês | MEDLINE | ID: mdl-38795216

RESUMO

Since the scrotum is rarely exposed to sunlight, basal cell carcinoma (BCC) development in this area is an uncommon occurrence. As result, there is a scarcity of research covering this particular presentation, which poses a diagnostic and therapeutic challenge for clinicians. The objective of this systematic review is to provide a thorough overview of scrotal BCC, including a summary of its clinical characteristics, and microscopic subtypes. It also seeks to discuss the many techniques used in the management of this uncommon clinical presentation. Utilizing data from 1957 to October 2023, a systematic review of PubMed and Wiley Online Library was conducted to identify all cases of scrotal BCC with various presentations and managements. A total of 73 patients were included. The median patient age was 65.9 years (range 42 to 87). All studies were either case reports or case series. Our review shows that treatment with Mohs micrographic surgery (MMS), leads to a superior patient outcome based on anecdotal evidence in select cases. To deepen our understanding of Mohs surgery's efficacy in treating scrotal BCC, it is imperative to conduct more robust research in the form of randomized clinical trials.


Assuntos
Carcinoma Basocelular , Cirurgia de Mohs , Escroto , Neoplasias Cutâneas , Humanos , Escroto/patologia , Escroto/cirurgia , Masculino , Carcinoma Basocelular/diagnóstico , Carcinoma Basocelular/terapia , Carcinoma Basocelular/patologia , Carcinoma Basocelular/cirurgia , Neoplasias Cutâneas/diagnóstico , Neoplasias Cutâneas/terapia , Neoplasias Cutâneas/patologia , Neoplasias Cutâneas/cirurgia , Idoso , Pessoa de Meia-Idade , Idoso de 80 Anos ou mais , Adulto , Resultado do Tratamento
12.
Int J Colorectal Dis ; 39(1): 75, 2024 May 23.
Artigo em Inglês | MEDLINE | ID: mdl-38780794

RESUMO

BACKGROUND: Palmar-plantar erythrodysesthesia (PPE) is a slowly developing cutaneous reaction commonly experienced by patients treated with fluoropyrimidines. While erythrodysesthesia normally presents in a palmar-plantar distribution, it can also present with genital involvement, but this presentation is likely underreported and incorrectly attributed to an acute reaction from radiation therapy. This article aims to define erythrodysesthesia of the penis and scrotum as a rare but significant side effect of capecitabine. CASE PRESENTATION: We identified five cases of moderate to severe penis and scrotal erythrodysesthesia over a 2-year period at a large tertiary cancer center, representing an estimated incidence of 3.6% among male patients with rectal cancer who were treated with fluoropyrimidine-based chemoradiation within our institution. CONCLUSIONS: Improved understanding of erythrodysesthesia involving the penis and scrotum can facilitate early identification and treatment of symptoms, and possibly prevent the discontinuation or delay of cancer treatment in patients treated with capecitabine and similar drugs. These clinical advances would improve and prolong patient quality of life during cancer treatment and prevent complications that result in hospitalization.


Assuntos
Capecitabina , Quimiorradioterapia , Neoplasias Retais , Escroto , Humanos , Masculino , Neoplasias Retais/terapia , Neoplasias Retais/tratamento farmacológico , Pessoa de Meia-Idade , Escroto/patologia , Idoso , Quimiorradioterapia/efeitos adversos , Capecitabina/efeitos adversos , Pênis/patologia , Pênis/efeitos da radiação
13.
Medicina (Kaunas) ; 60(5)2024 May 16.
Artigo em Inglês | MEDLINE | ID: mdl-38793003

RESUMO

Background and Objectives: Scrotal swelling or hydrocele is a rare complication of acute pancreatitis described in the literature. We present a case of penoscrotal swelling caused by the first attack of acute interstitial edematous alcohol-induced pancreatitis in a young male patient. Case report: A 22-year-old man was admitted to the emergency unit due to diarrhea and vomiting since morning which was followed by severe abdominal pain. Urgent abdominal multislice CT scan showed steatosis, pancreatic swelling and acute peripancreatic fluid collection (interstitial edematous pancreatitis). Also, scan showed fluid between small bowel loops and along the anterior renal fascia, while there was minimal amount of fluid in the Douglas space. There was no sign of penoscrotal swelling. On the second day of admission, the patient developed left scrotal swelling and mild pain without erythema. On the fourth day, a control CT scan showed progression to moderately severe pancreatitis (CT severity index 4). Dilated scrotal veins of the pampiniform venous plexus with an increased caliber of the testicular veins were present on both sides, from the scrotum to the level of the inguinal canal. Penoscrotal swelling was significantly reduced on discharge. Conclusions: Penoscrotal swelling is a rare complication or manifestation of acute inflammation of the pancreas. It is important to identify scrotal swelling caused by pancreatitis because in severe cases it can be related to possible infertility in the future.


Assuntos
Edema , Pancreatite , Escroto , Humanos , Masculino , Escroto/diagnóstico por imagem , Adulto Jovem , Edema/etiologia , Pancreatite/complicações , Pancreatite/etiologia , Doença Aguda , Adulto , Tomografia Computadorizada por Raios X
14.
Pediatr Surg Int ; 40(1): 139, 2024 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-38806810

RESUMO

PURPOSE: This study aimed to investigate the rate of re-ascent requiring re-operation after primary orchidopexy and to investigate eventual differences between the inguinal and scrotal approach as well as other potential predictors for re-ascent. METHODS: A retrospective cohort study of children treated for undescended testis (UDT) with orchidopexy between 2018 and 2022 was conducted. The primary outcome was re-ascent requiring re-operation, and the secondary outcome was atrophy rate. Independent variables were age, underlying conditions, side, surgical approach, operation time, bilaterality, congenital/ascended UDT, presence of scrotal hypoplasia, presence of a patent processus vaginalis, division of external oblique, and suture of the testis. Univariate and logistic regression were used to evaluate differences between groups and risk for re-ascent. RESULTS: A total of 662 testes in 554 patients were included. Re-operation occurred in 6% (7% with inguinal approach, 3% with scrotal approach, p = 0.04). Re-operation was associated with younger age, congenital UDT, and inguinal approach, but neither of these variables remained significant in multivariate analyses. Atrophy occurred in one testis. CONCLUSION: The rate of re-ascent was 6% and the atrophy rate was 0.15%. A larger study may find predictors for re-ascent but with very low absolute risk. The lower rate of re-ascent with the scrotal approach is probably due to selection bias.


Assuntos
Criptorquidismo , Orquidopexia , Reoperação , Humanos , Masculino , Criptorquidismo/cirurgia , Orquidopexia/métodos , Estudos Retrospectivos , Reoperação/estatística & dados numéricos , Lactente , Pré-Escolar , Criança , Testículo/cirurgia , Testículo/anormalidades , Resultado do Tratamento , Escroto/cirurgia
16.
Reprod Domest Anim ; 59(4): e14556, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38566398

RESUMO

Scrotal surface thermography is a non-invasive method for assessing testicular thermoregulation in stallions; however, few studies have explored the application of this technique concerning the thermal physiology of equine reproductive systems. This study aimed to evaluate the consistency of testicular thermoregulation in stallions over a year using thermography to measure the scrotal surface temperature (SST). Moreover, we assessed the best region for measuring the surface body temperature compared with the SST. Ten light-breed stallions were used in the experiment. Thermographic images of the scrotal and body surfaces (neck and abdomen) were captured. Fresh, cooled and frozen-thawed semen samples were evaluated to verify the impact of thermoregulation on semen quality. Testicular thermoregulation was maintained throughout the year in stallions amidst changes in the external temperature, as evidenced by the weak correlation between the SST and ambient temperature. A lower correlation was observed between the environmental temperature and body surface temperature (BTS) obtained from the abdomen (BTS-A; R = .4772; p < .0001) than with that obtained from the neck (BTS-N; R = .7259; p < .0001). Moreover, both BTS-A and SST were simultaneously captured in a single image. The consistent quality of the fresh, cooled and frozen semen suggests efficient thermoregulation in stallions throughout the year.


Assuntos
Análise do Sêmen , Termografia , Animais , Cavalos , Masculino , Temperatura , Termografia/veterinária , Termografia/métodos , Análise do Sêmen/veterinária , Escroto/fisiologia , Testículo/fisiologia , Sêmen/fisiologia
17.
Urologie ; 63(6): 557-565, 2024 Jun.
Artigo em Alemão | MEDLINE | ID: mdl-38689028

RESUMO

Acute genital diseases can occur at any age and are characterized by complaints of various kinds of the external genitalia. Pain, swelling, and redness of the scrotum, adjacent groin region, and immediate surroundings are the leading symptoms, the severity of which may vary. In addition, peritonitic symptoms such as nausea, vomiting, and circulatory sensations may be present and are comparable to symptoms of an acute abdomen. The term "acute scrotum" encompasses various clinical entities, where scrotal symptoms are predominant and represent a urological emergency situation. Immediate and comprehensive diagnostics are necessary to ensure timely management in case of necessary surgical intervention.


Assuntos
Doenças dos Genitais Masculinos , Humanos , Masculino , Doença Aguda , Diagnóstico Diferencial , Doenças dos Genitais Masculinos/diagnóstico , Doenças dos Genitais Masculinos/terapia , Escroto/patologia , Escroto/cirurgia
18.
J Pediatr Urol ; 20(3): 537-538, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38677981

RESUMO

INTRODUCTION: After 5 years experience with the GUD (glandular urethral disassembly) technique for distal hypospadias, we present the GUDplay technique, incorporating Thiersch-Duplay tubularization of the plate till the coronal area, disassembling the glans aggressively and refurbishing the glans. METHODS: We defined the urethral plate and designed an inverted Y incision to open the glans in two wings. The glans was entirely detached from the corpora to gain a great mobility that allowed minor cranial mobilization of the urethra and caudal rotation of the wings. In sequence, there are well-known steps: Duplay urethroplasty, spongioblasts and a Dartos flap to cover the neourethra. The glans was connected to the urethra by 6.0 PDS sutures except in the ventral meatus and the glans wings are joined in the midline. RESULTS: The 5-year-old patient had midshaft hypospadias without previous surgery. The catheter was removed after a week and the healing appears to be good. DISCUSSION: We combined principles of total glans deconstruction in association to Duplay tubularization and then lifted it up to the tip of the glans divided in two wide and mobile wings. We have treated a small series of 6 cases without complications and mean follow-up of 6.2 months.


Assuntos
Hipospadia , Pênis , Procedimentos de Cirurgia Plástica , Uretra , Procedimentos Cirúrgicos Urológicos Masculinos , Hipospadia/cirurgia , Masculino , Humanos , Procedimentos Cirúrgicos Urológicos Masculinos/métodos , Pré-Escolar , Pênis/cirurgia , Pênis/anormalidades , Procedimentos de Cirurgia Plástica/métodos , Uretra/cirurgia , Uretra/anormalidades , Escroto/cirurgia , Retalhos Cirúrgicos
19.
Eur J Radiol ; 175: 111453, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38598965

RESUMO

Contrast-enhanced ultrasound (CEUS) has emerged as a promising imaging modality for the characterization of hepatic and renal lesions. However, there is a paucity of data describing the use of CEUS for the evaluation of intra-scrotal pathology. In the following review, we describe the clinical utility of CEUS for the characterization and differentiation of common and uncommon intra-scrotal conditions, including testicular torsion, infection, trauma, and benign and malignant intratesticular and extratesticular neoplasms. In addition, we outline key principles of CEUS and provide case examples from our institution.


Assuntos
Meios de Contraste , Escroto , Ultrassonografia , Humanos , Masculino , Escroto/diagnóstico por imagem , Ultrassonografia/métodos , Doenças dos Genitais Masculinos/diagnóstico por imagem , Doenças Testiculares/diagnóstico por imagem , Aumento da Imagem/métodos , Diagnóstico Diferencial
20.
Mycopathologia ; 189(3): 33, 2024 Apr 16.
Artigo em Inglês | MEDLINE | ID: mdl-38627263

RESUMO

The cutaneous fungal infections in male genitalia are relatively rare, and often present with various atypical clinical symptoms. It was mainly reported in a small number of case reports, while data with large number of patients were rarely reported. In this study, we reported 79 male patients with cutaneous fungal infections on scrotum or penis. The fungal infections were confirmed by microscopic examination directly and fungus culture. Clinical characteristics and predisposing factors were also collected. Of these 79 patients, 72 has lesions on scrotum, 5 on penis and 2 on both scrotum and penis. Trichophyton (T.) rubrum is the most common pathogen, found in 50 (67.6%) patients, which presented diverse clinical manifestation such as majorly erythematous, dry diffused scaly lesions without a clear border, slightly powdery and scutular scalings. Candida (C.) albicans is the secondly common pathogen, found in 21 (28.4%) patients, which also presented diverse lesions such as erythematous with dry whitish scaly lesions and erythematous erosion. The predisposing factors mainly included concomitant fungal infections on sites other than genitalia, especially inguinal region (tinea cruris), application of corticosteroid and high moisture. In conclusion, cutaneous fungal infections in male genitalia could be caused by different fungi, showed atypical or mild clinical appearances in most cases and might be a fungus reservoir, emphasizing the necessity to timely perform the fungi examinations and corresponding therapy.


Assuntos
Dermatomicoses , Humanos , Masculino , Dermatomicoses/patologia , Pele/patologia , Trichophyton , Microscopia , Escroto/microbiologia
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