What are the male genital mutilation congenital malformation
Urology in the male infertility clinic or outpatient work, doctors often see a small number of patients with various forms of male infertility can cause congenital malformations. Although these congenital malformations, some are difficult to correct, but there are also some of the patients, such as the timely discovery, in early childhood surgical correction. However, often due to people’s lack of knowledge in this field and also because of the special nature of the reproductive system, so that people are often ashamed or afraid to go to the hospital instituted checks. Some patients with the treatment which missed opportunities, can only be a lifelong regret. At present, domestic premarital check is not yet widespread, if not for serious examination, but also to the stability of marriage and family impact. Therefore, the advice for parents of the boys must not ignore the growth and development for careful observation. Once a problem to children to the hospital for an examination as soon as possible. Generally speaking, and some congenital malformations only affect fertility, such as the simple absence of vas deferens, and in some cases also may affect sexual function. Some deformity does not appear serious, such as phimosis, but improper handling can also have serious consequences. Overall, the genital mutilation of various congenital malformation of treatment is not fine to coarse, Yizaobuyichi we must not take it lightly.
A testicular malformation
Abnormal number:
(1) None of the testis. Rare, probably because the embryonic development of certain causes incomplete testicular differentiation, testicular atrophy was degeneration. However, the remaining part of mesenchymal cells, so patients can have male genitalia and appearance. Attention should be paid to identifying and bilateral cryptorchidism. The characteristics of blood in luteinizing hormone (LH) increased to human chorionic gonadotropin plasma testosterone level is not increased. After puberty should be laws to androgen. Otherwise there will be categories eunuch syndrome, testicular transplants can be carried out by fratricide or testicular allogeneic transplantation. The merger of the multi-vas deferens, epididymis missing.
(2) Single testis. Most need special treatment, surgical examination is designed to identify areas that may exist in the abdominal cryptorchid to prevent cancer.
(3) multi-testis. Refers to three or more in the testis. Abnormal size:
(1) due to testicular dysgenesis and less than normal, the number of non-isolated symptoms.
(2) of testicular hyperplasia due to the change, such as testicular teratoma.
(3) innate atrophy. Abnormal position:
(1) of testicular integration. That bilateral or intra-abdominal testes in the scrotum, which combines easily be mistaken for that of cryptorchidism or single testis. More merger kidney deformities.
(2) cryptorchidism
(3) Ectopic testes.
(4) testis and epididymis abnormal attachment can produce sperm through obstacles, resulting in infertility. Not linking the two, it is prone to testicular torsion, and even blood insufficiency caused by tissue necrosis.
Second, the vas deferens deformity
Can be divided into congenital deficiency, and ureter duplication of traffic and vas deferens, and other circumstances.
If not with other malformations, but simple absence of vas deferens, the patient sexuality and sexual function are normal, the only symptom is infertility. Clinical manifestations of azoospermia, but the average normal serum hormone water can be confirmed by the testicular biopsy. Where possible and feasible treatment will be carried out vasectomies stump and epididymis anastomosis.
Third, abnormal penis
Can be divided into abnormal size and location of abnormalities. More with other defects at the same time.
4, scrotal abnormalities
(1) penis completely missing. More merger urethral abnormalities, treatment is very difficult in the past for the purposes of forming the penis bad effect. Testicular best resection for urethral Vaginoplasty, after puberty to maintain the female sex hormone estrogen levy.
(2) hidden penis. Due were stunted, and the perineum, scrotum, pubic and other places covered by the fat, with the development of the fat reduction, the penis was exposed. Also available on the penis surgery to “liberate” out, we can resume normal.
(3) congenital penile reverse. Reverse the penis, urethra direction. Erectile a small number of people have the symptoms, such as pain. The merger of abnormal erection also vulnerable.
(4) Double penis. Can be arranged before or parallel.
(5) the penis too big or too small. Rare. Too big for plastic surgery can be truncated. The cause of the small complex and need to be targeted etiology treated properly.
(6) phimosis. Boys can be accounted for more than 25 per cent, but significantly less than young adults phimosis. Phimosis can be rational living, pseudo phimosis (long foreskin), the true phimosis and incarcerated phimosis.
If the foreskin and the glans adhesion, or foreskin of the Traveling horizontal vessels, or phimosis serious and never Fanqi cleansing, may limit the development of the glans, and even Baopigou and urinary sediment, bacteria such as a hard nut to crack.
(7), crack and urethral hypospadias. The latter Most of the former rare, can affect erectile function.
5, prostate, Jingnangxian congenital malformations
(1) of prostate and other genital hypoplasia more stunted existence of the merger. Prostate cyst can be complicated by difficulties in urination.
(2) Jingnangxian absence, the merger sterility, seminal plasma can be extremely low level of fructose and semen less made a preliminary judgement, and in accordance with vas deferens Jingnangxian angiography confirmed. (
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