sodium-ethylxanthate and Hypospadias

To report a rare case of true hermaphroditism presenting in adolescence as bilateral gynecomastia in a phenotypic male.. Case report.. Academic medical center.. A 19-year-old phenotypic male who presented with pronounced bilateral gynecomastia and was ultimately diagnosed with true hermaphroditism.. Endoscopic removal of the internal female genital tract (hemiuterus and ovary), reduction mammoplasty, repair of penile chordee, and left testicular prosthesis placement.. Diagnosis and treatment of true hermaphroditism.. Bilateral mammoplasties, repair of a penile chordee, placement of a left testicular prosthesis, and excision of the left hemiuterus and ovary resulted in return to testicular function in this true hermaphrodite.. Although rare, true hermaphroditism should be suspected in male patients presenting with bilateral breast enlargement in adolescence.

Topics: Adult; Disorders of Sex Development; Female; Gynecomastia; Humans; Hypospadias; Hysterectomy; Karyotyping; Male; Mammaplasty; Ovariectomy; Penis; Phenotype; Prostheses and Implants; Sex; Testis; Uterus

A long term review of hypospadias patients repaired over 10 years ago by the split preputial flap technique of Harris was evaluated in 35 patients aged 13 and over. The urinary and sexual function was assessed as well as the psychological status and aesthetic appearance. The long term complications are discussed.

Topics: Child; Child, Preschool; Follow-Up Studies; Humans; Hypospadias; Male; Penis; Postoperative Complications; Postoperative Period; Self Concept; Sex; Surgical Flaps; Treatment Outcome; Urethra; Urination

A retrospective study of patients who had undergone multi-staged hypospadias repair at the Mayo Clinic was undertaken to identify long-term problems associated with this surgery. Patients were queried concerning their satisfaction with quality of urinary stream; penile erection and ejaculation; sexual function and fertility; and cosmetic appearance.

Topics: Adult; Aged; Fertility; Follow-Up Studies; Humans; Hypospadias; Male; Middle Aged; Sex; Surveys and Questionnaires; Urethra; Urination

The sexual function of 82 patients treated for hypospadias was assessed. It was concluded that the sexual function in these patients was unsatisfactory only following incomplete or incorrect surgery. The aim of surgery should be to achieve a straight penis with an adequate urethral lumen and a urethral orifice situated at the tip of the glans. Proper assessment of chordee and meticulous care in surgical technique are the prerequisites for success. They are the only preventive measures of the physical, psychic, sexual and social handicaps to which hypospadiacs are subjected.

Topics: Adolescent; Adult; Coitus; Ejaculation; Follow-Up Studies; Humans; Hypospadias; Male; Marriage; Penis; Sex; Surveys and Questionnaires; Urination