Two-Stage Urethroplasty with Buccal Mucosa for Penoscrotal Hypospadias Reconstruction in a Male with a 46,XX Karyotype

We present a case regarding a 32-year old African male with penoscrotal hypospadias, left cryptorchidism and a left inguinal hernia. There were moderate masculinization characteristics. He underwent a Lichtenstein hernia repair with perioperative biopsies of the left inguinal testis and epididymis....

Full description

Bibliographic Details
Main Authors: Pieter D'hulst, Jochen Darras, Steven Joniau, Pieter Mattelaer, Linsey Winne, Diederik Ponette
Format: Article
Language:English
Published: Elsevier 2017-09-01
Series:Urology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214442017301304
_version_ 1811259357760847872
author Pieter D'hulst
Jochen Darras
Steven Joniau
Pieter Mattelaer
Linsey Winne
Diederik Ponette
author_facet Pieter D'hulst
Jochen Darras
Steven Joniau
Pieter Mattelaer
Linsey Winne
Diederik Ponette
author_sort Pieter D'hulst
collection DOAJ
description We present a case regarding a 32-year old African male with penoscrotal hypospadias, left cryptorchidism and a left inguinal hernia. There were moderate masculinization characteristics. He underwent a Lichtenstein hernia repair with perioperative biopsies of the left inguinal testis and epididymis. Microscopic examination showed a Sertoli-only left testis with Leydig-cell hyperplasia and the left epididymis consisted of ovarian tissue with corpora albicantia and maturing follicles. Endocrinological evaluation showed a sex-determining region Y (SRY) negative 46,XX karyotype. We successfully performed a two-stage urethroplasty with buccal mucosa graft to reconstruct his penoscrotal hypospadias.
first_indexed 2024-04-12T18:30:18Z
format Article
id doaj.art-66710627e10f46bbbb45b194eb08af9c
institution Directory Open Access Journal
issn 2214-4420
language English
last_indexed 2024-04-12T18:30:18Z
publishDate 2017-09-01
publisher Elsevier
record_format Article
series Urology Case Reports
spelling doaj.art-66710627e10f46bbbb45b194eb08af9c2022-12-22T03:21:07ZengElsevierUrology Case Reports2214-44202017-09-0114C454710.1016/j.eucr.2017.06.016Two-Stage Urethroplasty with Buccal Mucosa for Penoscrotal Hypospadias Reconstruction in a Male with a 46,XX KaryotypePieter D'hulst0Jochen Darras1Steven Joniau2Pieter Mattelaer3Linsey Winne4Diederik Ponette5Dept. of Urology Az Damiaan Oostende, Gouwelozestraat 100, 8400 Oostende, BelgiumDept. of Urology Az Damiaan Oostende, Gouwelozestraat 100, 8400 Oostende, BelgiumDept. of Urology UZ Leuven, Herestraat 49, 3000 Leuven, BelgiumDept. of Urology Az Damiaan Oostende, Gouwelozestraat 100, 8400 Oostende, BelgiumDept. of Endocrinology Az Damiaan Oostende, Gouwelozestraat 100, 8400 Oostende, BelgiumDept. of Urology Az Damiaan Oostende, Gouwelozestraat 100, 8400 Oostende, BelgiumWe present a case regarding a 32-year old African male with penoscrotal hypospadias, left cryptorchidism and a left inguinal hernia. There were moderate masculinization characteristics. He underwent a Lichtenstein hernia repair with perioperative biopsies of the left inguinal testis and epididymis. Microscopic examination showed a Sertoli-only left testis with Leydig-cell hyperplasia and the left epididymis consisted of ovarian tissue with corpora albicantia and maturing follicles. Endocrinological evaluation showed a sex-determining region Y (SRY) negative 46,XX karyotype. We successfully performed a two-stage urethroplasty with buccal mucosa graft to reconstruct his penoscrotal hypospadias.http://www.sciencedirect.com/science/article/pii/S221444201730130446,XX testicular disorder of sex developmentHypospadiasCryptorchidismUrethroplasty
spellingShingle Pieter D'hulst
Jochen Darras
Steven Joniau
Pieter Mattelaer
Linsey Winne
Diederik Ponette
Two-Stage Urethroplasty with Buccal Mucosa for Penoscrotal Hypospadias Reconstruction in a Male with a 46,XX Karyotype
Urology Case Reports
46,XX testicular disorder of sex development
Hypospadias
Cryptorchidism
Urethroplasty
title Two-Stage Urethroplasty with Buccal Mucosa for Penoscrotal Hypospadias Reconstruction in a Male with a 46,XX Karyotype
title_full Two-Stage Urethroplasty with Buccal Mucosa for Penoscrotal Hypospadias Reconstruction in a Male with a 46,XX Karyotype
title_fullStr Two-Stage Urethroplasty with Buccal Mucosa for Penoscrotal Hypospadias Reconstruction in a Male with a 46,XX Karyotype
title_full_unstemmed Two-Stage Urethroplasty with Buccal Mucosa for Penoscrotal Hypospadias Reconstruction in a Male with a 46,XX Karyotype
title_short Two-Stage Urethroplasty with Buccal Mucosa for Penoscrotal Hypospadias Reconstruction in a Male with a 46,XX Karyotype
title_sort two stage urethroplasty with buccal mucosa for penoscrotal hypospadias reconstruction in a male with a 46 xx karyotype
topic 46,XX testicular disorder of sex development
Hypospadias
Cryptorchidism
Urethroplasty
url http://www.sciencedirect.com/science/article/pii/S2214442017301304
work_keys_str_mv AT pieterdhulst twostageurethroplastywithbuccalmucosaforpenoscrotalhypospadiasreconstructioninamalewitha46xxkaryotype
AT jochendarras twostageurethroplastywithbuccalmucosaforpenoscrotalhypospadiasreconstructioninamalewitha46xxkaryotype
AT stevenjoniau twostageurethroplastywithbuccalmucosaforpenoscrotalhypospadiasreconstructioninamalewitha46xxkaryotype
AT pietermattelaer twostageurethroplastywithbuccalmucosaforpenoscrotalhypospadiasreconstructioninamalewitha46xxkaryotype
AT linseywinne twostageurethroplastywithbuccalmucosaforpenoscrotalhypospadiasreconstructioninamalewitha46xxkaryotype
AT diederikponette twostageurethroplastywithbuccalmucosaforpenoscrotalhypospadiasreconstructioninamalewitha46xxkaryotype