Prevalencia de patología urogenital en la consulta ambulatoria de varones adolescentes. Estudio descriptivo transversal / Prevalence of urogenital disease in male adolescent outpatient visits. A descriptive, cross-sectional study

Introducción. El examen genital en varones es una evaluación clínica simple y rápida para detectar patología urogenital. Los datos sobre prevalencia de patología urogenital en varones adolescentes son limitados. Nuestro objetivo fue describir la prevalencia de patología urogenital en varones adolescentes. Población y métodos. Estudio descriptivo transversal en el Servicio de Adolescencia de un hospital público de la Ciudad de Buenos Aires. Se evaluaron retrospectivamente las historias clínicas (HC) de varones de 9 a 20 años atendidos entre 2008 y 2018; se incluyeron las que tenían examen genital. Se recabaron datos de edad, estadio puberal, orquidometría, patología urogenital antes de la adolescencia y al momento de la consulta. La prevalencia se expresó en porcentaje e intervalo de confianza del 95 % (IC95%). Se estimó necesario incluir 1167 HC como muestra poblacional. Resultados. Se evaluaron 2129 HC; se incluyeron 1429. En 686 casos no se hizo el examen genital. La población tuvo una mediana de edad de 12 años (rango intercuartílico 11-14 años). En 72 varones (5,7 %; IC95% 4,5-7,2), se halló una enfermedad genitourinaria antes de la adolescencia. Se detectó al menos una patología urogenital en 272 adolescentes (14,8 %; IC95% 13,1-16,7); las más frecuentes fueron adherencia balanoprepucial 5,3 % (IC95% 4,2-6,6), varicocele 2,7 % (IC95% 2-3,7) y fimosis 1,8 % (IC95% 1,2-2,6). Conclusiones. El examen genital permitió detectar que el 14,8 % de los varones adolescentes atendidos presentó alguna patología urogenital. Las entidades más frecuentes fueron adherencia balanoprepucial, varicocele y fimosis.

Introduction. The male genital exam is a simple and quick assessment to look for urogenital disease. Data on the prevalence of urogenital disease in male adolescents are limited. Our objective was to describe the prevalence of urogenital disease in male adolescents. Population and methods. Descriptive, cross-sectional study conducted at the Department of Adolescenceof a public hospital in the City of Buenos Aires. The medical records of male patients aged 9 to 20 years seen between 2008 and 2018 were retrospectively reviewed; all those with a genital exam were included. Data on age, pubertal stage, orchidometry, and urogenital disease before adolescence and at the time of consultation were recorded. The prevalence was described as percentage and 95% confidence interval (CI).As per estimations, 1167 medical records had to be included to establish the population sample. Results. A total of 2129 medical records were assessed and 1429 were included. No genital exam had been conducted in 686 cases. The median age of the population was 12 years (interquartile range: 11­14 years). Urogenital disease before adolescence was detected in 72 boys (5.7%; 95% CI: 4.5­7.2). Urogenital disease was found in 272 adolescents (14.8%; 95% CI: 13.1­16.7); the most common conditions were balanopreputial adhesions in 5.3% (95% CI: 4.2­6.6), varicocele in 2.7% (95% CI: 2­3.7), and phimosis in 1.8% (95% CI: 1.2­2.6). Conclusions. A genital exam allowed to detect that 14.8% of adolescent boys had a urogenital diseaseThe most common conditions were balanopreputial adhesions, varicocele, and phimosis.

The association between body mass index and varicocele: A meta-analysis

ABSTRACT Objective: Recently, several studies have found that obesity had a protective effect against varicocele, but no meta-analysis has confirmed this finding. Therefore, we conducted this meta-analysis to investigate the association between body mass index (BMI) and varicocele. Material and Methods: We searched for studies in PubMed, Science Direct and the Cochrane Library from inception until February 2018. The association between BMI and varicocele was assessed by pooling the odds ratios (ORs). Results: Eleven eligible studies with a total study population of 1.376.658 participants were included in our analysis. According to BMI, the subjects were defined as belonging to the obese, overweight and underweight groups. Our results showed that the obese group had a lower risk of varicocele when compared with the normal weight group (odds ratio [OR] 0.46, 95% confidence intervals [CIs] 0.37-0.58). Additionally, an overweight BMI had a protective effect against varicocele (OR 0.70, 95% CIs, 0.56-0.86). However, underweight patients had a more than 30% higher risk of varicocele (OR 1.31, 95% CI, 1.04-1.64). Furthermore, there was no publication bias in any of the analyses. Conclusions: Our study demonstrates that BMI is negatively associated with the presence of varicocele.

Varicocele among healthy young men in Turkey; prevalence and relationship with body mass index

AIM: Varicocele is characterized by abnormal tortuosity and dilatation of the veins of the pampiniform plexus within the spermatic cord and is one of the causes related to male infertility. This study aimed to investigate the correlation between varicocele and somatometric parameters. We also aimed to determine prevalence and treatment ratio of this disorder among healthy young Turkish men. MATERIALS AND METHODS: A total of 2061 young men aged from 19 to 34 years was enrolled and cross sectionally evaluated for status of varicocele. Body mass index was calculated. Patients were categorized as normal weight, overweight and obese using by National Institutes of Health criteria. Patients underwent physical examinations for the presence and grade of varicocele. If the varicocele was found and previously submitted to different treatment modalities, the age of treatment and outcomes were recorded. RESULTS: Varicocele was present in 498 men (24.2%). The mean age of the participants was 22.7 ± 1.8 years, and the median BMI was 22.8 ± 2.0 kg/m². There were no significant differences in age, height, weight and BMI among the patients with different grades of varicocele (p > 0.05). Although no significant difference was found in varicocele prevalence between normal weight and over-weight participants (p > 0.05), obese participants had significantly lower varicocele prevalence compared with normal or over weight participants (p = 0.006). A total of 49 men had scrotal pain and the treatment ratio was only 2.8%. CONCLUSION: Prevalence of varicocele was found in about 24% of healthy young Turkish population. Participants with varicocele had significantly lower BMI values compared with those without varicocele. Our findings supported the hypothesis that individuals with a greater BMI may have advantages in relieving the varicocele, but further studies are required to clarify this issue. Additionally treatment ratio was low among young men with varicocele.

Inguinal hernias and genital abnormalities in young Jordanian males

This study was carried out to document the prevalence of inguinal hernia, hypospadias, undescended testis and varicocele in 3057 male applicants to the military wing of Mu'ta University in the south of Jordan. Age range was 17-20 years. A total of 250 men had one of the 4 conditions: 93 [3.0%] had inguinal hernia; 15 [0.5%] had undescended testis [26.7% bilateral]; 59 [1.9%] had hypospadias; 83 [2.7%] had varicocele [98.79% on the left side]. Prevalence of inguinal hernia and undescended testis were comparable with international prevalence rates, while the rate for hypospadias was higher and that for varicocele lower. A birth defects registration system would help in planning preventive and treatment strategies

Fibrose de Symmers associada a varicocele em jovens portadores de esquistossomose na forma hepatoesplênica cirúrgica / Symmers' fibrosis associated with varicocele in jouth with surgical hepatosplenic schistosomiasis mansoni

Com o objetivo de avaliar a possível asscociação entre a prevalência de varicocele e os diferentes graus de fibrose de Symmers, avaliados por histomorfometria, 24 adolescentes e adultos jovens portadores de esquistossomose na forma hepatoesplênica associada a varizes sangrentas de esôfago, que tinham se submetido a esplenectomia , ligadura da veia gástrica esquerda e auto-implante de tecido esplênico em uma bolsa no omento maior, quando crianças, foram incluídos na presente investigação. O estudo também apresentou como objetivo avaliar a possível associação entre os graus de fibrose nesses pacientes e os respectivos volumes testiculares. A dopplerfluxometria foi utilizada para avaliação da presença de varicocele, assim como para determinação dos volumes testiculares. Os resultados evidenciaram uma tendeência à

Sintomas urinários e genitais em mulheres climatéricas / Urinary and genital symptoms in climaterial women

O estudo objetiva investigar a prevalência de distúrbios urinários e genitais em mulheres climatéricas. Entrevistaram-se 229 mulheres que foram submetids ao exame ginecológico no Ambulatório de Climatério do Centro de Atençäo Integral à Mulher da Universidade Estadual de Campinas, através de questionário detalhado, observando-se variáveis como idade, raça, estado marital, antecedentes tocoginecológicos, uso de anticoncepçäo hormonal, estado mesntrual, uso de terapia de reposiçäo hormonal, cirurgia prévia de incontinência urinária de repetiçäo, diabetes, tabagismo, tosse crônica, quimioterapia eou radioterapia prévia, distopias genitais, trofismo vaginal, muco cervical e teste de Schiller. A freqüência dos distúrbios urinários foi de 42, 8 por cento, sendo o sintoma mais encontrado a incontinência urinária pouco mais da metade das mulheres (54,1 por cento) apresentavam queixas genitais, sendo a secura vaginal a mais freqüente, seguida pela dispaurenia e prurido. Os fatores que se associaram à prevalência de queixas urinárias foram o número de gestaçöes, números de partos e presença de distopias genitais. Já a presença de parceiro, antecedente de diabetes, cirurgia anterior para incontinência urinária, infecçäo urinária de repetiçäo, menor trofismo gential e menor índice de massa corpórea associaram-se à prevalência genitais. Conclui-se que os fatores associados à prevalência de queixas urinárias e genitais säo distintos e que merecem, portanto, uma abordagem diferente dos pontos de vista propedêutico e terapêutico

Magnitud y características de la consulta externa atendida por médico generalista en centros sanitarios periféricos / Magnitud and characteristics of external care by general physicians in peripheric health centers

Se aborda la problemática de la relación entre médicos generalistas y especialistas y su disociación con las frecuencias de las patologías susceptibles de ser resueltas en el primer nivel de atención (80 a 93,5 por ciento). El objetivo formulado para esta primera etapa del estudio consiste en establecer la magnitud y las características de la consulta atendida por médico generalista a nivel de centros de salud situados en la periferia de la ciudad de La Plata (Argentina). El volumen más importante de consultas se ubicó dentro de las causadas por morbilidad. La demanda predominante responde a patologías propias de las condiciones de vida, con amplio predominio de infecciones respiratorias, seguidas por las gastrointestinales. Por otro lado, los controles se hallan predominantemente referidos al binomio materno-infantil, observándose una reducida carga de exámenes de salud propios del adulto. La concentración de consultas resulta sumamente reducida como consecuencia del modelo prestacional vigente, el que carece de capacidad de retención. Los controles representan algo más del 20 por ciento de la demanda, con una concentración un poco más alta. El predominio de la demanda femenina es notorio, pero deben ser contempladas las causas obstétricas a fin de establecer el alcance genuino de esta preponderancia

Incidencia de infertilidad por varicocele / Infertility incidence by varicocele

De todos aquellos pacientes del HOspital Francisco E. Moscoso Puello que padecieron varicocele entre julio y diciembre de 1989, un total 8 pacientes, se les hizo un estudio prospectivo, transversal y analitico, colectandole muestras de semen pre-posquirurgico, con un periodo de abstinencia sexual de 3 a 7 dias. Fue de vital importancia el post-espermatograma realizado a los 74 dias. El proposito de la investigacion fue relacionar el varicocele y la infertilidad. El varicocele se presento mayormente entre las edades 26-30 años y 36-40 años, con igual frecuencia. Con respecto al tamaño, el de mayor porcentaje fue el de segundo grado. Se concluyo que la incidencia de infertilidad por varicocele en relacion con la aparicion de las patologias concomitantes (epididimitis, tumor, atrofia testiculas) fue de un 12.5 por ciento , reduciendose al 0 por ciento despues de la varicocelectomia. Por tatnto, dicha enfermedad no es un inconveniente para la procreacion