Findings in physical examination of the external genitalia in pediatric age − different is not always pathological − Part I (male)
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.16/2500 |
Resumo: | Introduction: Findings in the physical examination of the external genitalia in children are often a source of concern for parents and caregivers, not only for the emotional significance that people unconsciously attribute to these structures (partly due to their reproductive function), but also for the physical and psychological impact in the child. Due to the child’s close monitoring and periodic surveillance, the family physician has a key role in the identification and initial guidance of these cases. Objectives: To review the evidence about main variations and anomalies of the external male genitalia in pediatric age regarding diagnosis and clinical approach in primary health care. Results: In most cases, anomalies in the external male genitalia represent variants of normal and/or do not significantly affect function, thus only requiring clinical surveillance and no intervention. However, some cases − as epispadias, hypospadias, and urethral duplication − require surgical intervention and early action is crucial for the success of implemented measures. Conclusion: Physical examination is a key aspect of child assessment. Although changes in physical examination of the external male genitalia mostly represent normality variants, clinicians should be able to recognize pathological changes and properly refer those cases without overloading health services or causing unnecessary anxiety to children and caregivers. |
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Findings in physical examination of the external genitalia in pediatric age − different is not always pathological − Part I (male)Alterações ao exame físico do aparelho genital em idade pediátrica - o que é diferente nem sempre é patológico – Parte I (masculino)anomalychildrenexternal genitaliaanomaliesphysical examinationmaleIntroduction: Findings in the physical examination of the external genitalia in children are often a source of concern for parents and caregivers, not only for the emotional significance that people unconsciously attribute to these structures (partly due to their reproductive function), but also for the physical and psychological impact in the child. Due to the child’s close monitoring and periodic surveillance, the family physician has a key role in the identification and initial guidance of these cases. Objectives: To review the evidence about main variations and anomalies of the external male genitalia in pediatric age regarding diagnosis and clinical approach in primary health care. Results: In most cases, anomalies in the external male genitalia represent variants of normal and/or do not significantly affect function, thus only requiring clinical surveillance and no intervention. However, some cases − as epispadias, hypospadias, and urethral duplication − require surgical intervention and early action is crucial for the success of implemented measures. Conclusion: Physical examination is a key aspect of child assessment. Although changes in physical examination of the external male genitalia mostly represent normality variants, clinicians should be able to recognize pathological changes and properly refer those cases without overloading health services or causing unnecessary anxiety to children and caregivers.Centro Hospitalar Universitário do PortoRepositório Científico do Centro Hospitalar Universitário de Santo AntónioMorais-Costa, DianaTeles-Pinto, NunoMarinho, Ana SofiaMoreira-Pinto, João2021-09-30T10:46:19Z2021-032021-03-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.16/2500engMorais-Costa D, Teles-Pinto N, Marinho AS, Moreira-Pinto J, Nascer e Crescer - Birth and Growth Medical Journal 2021;30(1): 26-32. doi:10.25753/BirthGrowthMJ.v30.i1.187082183-941710.25753/BirthGrowthMJ.v30.i1.18708info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-10-20T11:00:55Zoai:repositorio.chporto.pt:10400.16/2500Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:38:42.808735Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Findings in physical examination of the external genitalia in pediatric age − different is not always pathological − Part I (male) Alterações ao exame físico do aparelho genital em idade pediátrica - o que é diferente nem sempre é patológico – Parte I (masculino) |
title |
Findings in physical examination of the external genitalia in pediatric age − different is not always pathological − Part I (male) |
spellingShingle |
Findings in physical examination of the external genitalia in pediatric age − different is not always pathological − Part I (male) Morais-Costa, Diana anomaly children external genitalia anomalies physical examination male |
title_short |
Findings in physical examination of the external genitalia in pediatric age − different is not always pathological − Part I (male) |
title_full |
Findings in physical examination of the external genitalia in pediatric age − different is not always pathological − Part I (male) |
title_fullStr |
Findings in physical examination of the external genitalia in pediatric age − different is not always pathological − Part I (male) |
title_full_unstemmed |
Findings in physical examination of the external genitalia in pediatric age − different is not always pathological − Part I (male) |
title_sort |
Findings in physical examination of the external genitalia in pediatric age − different is not always pathological − Part I (male) |
author |
Morais-Costa, Diana |
author_facet |
Morais-Costa, Diana Teles-Pinto, Nuno Marinho, Ana Sofia Moreira-Pinto, João |
author_role |
author |
author2 |
Teles-Pinto, Nuno Marinho, Ana Sofia Moreira-Pinto, João |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Repositório Científico do Centro Hospitalar Universitário de Santo António |
dc.contributor.author.fl_str_mv |
Morais-Costa, Diana Teles-Pinto, Nuno Marinho, Ana Sofia Moreira-Pinto, João |
dc.subject.por.fl_str_mv |
anomaly children external genitalia anomalies physical examination male |
topic |
anomaly children external genitalia anomalies physical examination male |
description |
Introduction: Findings in the physical examination of the external genitalia in children are often a source of concern for parents and caregivers, not only for the emotional significance that people unconsciously attribute to these structures (partly due to their reproductive function), but also for the physical and psychological impact in the child. Due to the child’s close monitoring and periodic surveillance, the family physician has a key role in the identification and initial guidance of these cases. Objectives: To review the evidence about main variations and anomalies of the external male genitalia in pediatric age regarding diagnosis and clinical approach in primary health care. Results: In most cases, anomalies in the external male genitalia represent variants of normal and/or do not significantly affect function, thus only requiring clinical surveillance and no intervention. However, some cases − as epispadias, hypospadias, and urethral duplication − require surgical intervention and early action is crucial for the success of implemented measures. Conclusion: Physical examination is a key aspect of child assessment. Although changes in physical examination of the external male genitalia mostly represent normality variants, clinicians should be able to recognize pathological changes and properly refer those cases without overloading health services or causing unnecessary anxiety to children and caregivers. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-09-30T10:46:19Z 2021-03 2021-03-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.16/2500 |
url |
http://hdl.handle.net/10400.16/2500 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Morais-Costa D, Teles-Pinto N, Marinho AS, Moreira-Pinto J, Nascer e Crescer - Birth and Growth Medical Journal 2021;30(1): 26-32. doi:10.25753/BirthGrowthMJ.v30.i1.18708 2183-9417 10.25753/BirthGrowthMJ.v30.i1.18708 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Centro Hospitalar Universitário do Porto |
publisher.none.fl_str_mv |
Centro Hospitalar Universitário do Porto |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799133647724347392 |