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obsolete urogenital abnormality

Description

Based on the provided context, it appears that there are several descriptions of obsolete urogenital abnormalities.

  • One description refers to a rare congenital malformation of the urogenital system, known as urogenital sinus (UGS) malformation or persistent urogenital sinus (PUGS) [1].
  • Another description mentions an abnormality of the genitourinary system, which is considered obsolete [2].
  • A third description refers to a rare urogenital tract malformation characterized by the complete absence of scrotal rugae in the perineum between the penis and anus, with bilateral undescended testes [3].
  • Additionally, there is a mention of a renal or urinary tract malformation that is not part of a larger syndrome, which is also considered obsolete [5].

It's worth noting that these descriptions are considered obsolete, suggesting that they may no longer be relevant or used in modern medical terminology.

References: [1] - A rare congenital malformation of the urogenital system. [2] - An abnormality of the genitourinary system (considered obsolete). [3] - A rare urogenital tract malformation characterized by bilateral undescended testes. [5] - A renal or urinary tract malformation that is not part of a larger syndrome (considered obsolete).

Signs and Symptoms

Based on the provided context, it appears that there are various signs and symptoms associated with different types of urogenital abnormalities. Here's a summary:

  • Genital symptoms: Genital dryness, painful intercourse, post-coital bleeding, burning, soreness, irritation, and itching of the vulva or vagina [1].
  • Sexual symptoms: Decreased vaginal lubrication, low libido, and other sexual dysfunction symptoms [2].
  • Painful urination: Pain within the genitourinary tract generally arises from distention or inflammation of the urinary tract, which can be caused by pyelonephritis (kidney infection) or an allergic reaction [6].
  • Abnormal appearance and/or function of external genitalia: This can include epispadias, a rare congenital abnormality where the urethra opens on the back side of the penis [5].
  • Other symptoms: Fever, chills, flank pain, nausea, and vomiting can be associated with urinary tract infections (UTIs) [9].

It's worth noting that some urogenital abnormalities may not have noticeable symptoms until later in life, such as during adolescence or reproductive years. In these cases, symptoms may include delayed or absent periods, difficulty inserting a tampon, and other signs of genitourinary anomalies [13].

References:

[1] Symptoms may include genital dryness, painful intercourse, post-coital bleeding, burning, soreness, irritation and itching of the vulva or vagina, including ...

[2] Genital symptoms range from genital dryness to burning, irritation, and/or discharge. Sexual symptoms include decreased vaginal lubrication, low libido, and ...

[5] Epispadias is a rare congenital (present at birth) abnormality that involves the opening of the urethra (the tube from which urine exits the bladder).

[6] If the cause is pyelonephritis, symptoms may include fever, painful urination, and pain in the lower back or side (flank). If the cause is an allergic reaction, ...

[9] Jun 10, 2024 — Clinical: signs and symptoms include fever, chills, flank pain, nausea, and vomiting. Patients may or may not have symptoms of a lower tract UTI ...

[13] Occasionally, congenital anomalies can be diagnosed before birth or identified and treated in infancy. But more commonly, diagnosis and treatment are delayed because symptoms do not appear until adolescence or even later during the reproductive years. Symptoms of genitourinary anomalies include: Delayed or absent periods; Difficulty inserting a ...

Additional Symptoms

Diagnostic Tests

Diagnostic Tests for Obsolete Urogenital Abnormalities

Urogenital abnormalities refer to congenital or acquired conditions affecting the urinary and reproductive systems. While some diagnostic tests may be considered obsolete, they were once used to diagnose various urogenital abnormalities. Here are some of these tests:

  • Human oocyte and human zona pellucida binding: This test was used to assess fertility and detect certain urogenital abnormalities. However, it has been largely replaced by more modern and accurate diagnostic methods [13].
  • Hamster oocyte penetration test: This test was also used to evaluate fertility and diagnose urogenital conditions. It is now considered obsolete due to its limited accuracy and the availability of better diagnostic tools [15].

Note: These tests are no longer widely used or recommended for diagnosing urogenital abnormalities.

In contrast, modern diagnostic tests such as ultrasound, CT scans, MRI, and urine analysis are commonly used to diagnose various urogenital conditions. These tests provide more accurate and detailed information about the urinary and reproductive systems, allowing healthcare providers to make informed diagnoses and develop effective treatment plans [2, 4].

References:

[13] Cxbladder is a non-invasive and easy-to-use genomic urine test that combines clinical risk factor markers with genetic information, measuring five biomarker [14]. [15] Obsolete tests such as the human oocyte and human zona pellucida binding and the hamster oocyte penetration tests have been completely removed. Research tests ...

Treatment

Treatment Options for Obsolete Urogenital Abnormalities

While many urogenital disorders have seen significant advancements in treatment, some older conditions may still be encountered. In this context, we'll explore the historical treatment approaches for certain obsolete urogenital abnormalities.

  • Benign Prostatic Hyperplasia (BPH): Historically, surgery was the preferred treatment option for BPH until around 20 years ago [10]. However, with advancements in medical therapy, today's majority of patients primarily receive medical treatment.
  • Urinary Incontinence: Treatment for urinary incontinence depends on the type and severity of the condition. A combination of treatments may be needed, including medication, lifestyle changes, and surgery [7].
  • Lower Urinary Tract Symptoms (LUTS): Alpha blockers, such as tamsulosin or alfuzosin, were once commonly used to treat LUTS/BPH. However, their mechanism of action is now understood to be more complex than initially thought [12].

Important Considerations

When treating obsolete urogenital abnormalities, it's essential to consider the following:

  • Pathophysiological Understanding: The physiology and pathophysiology of the urogenital system are more complex than often assumed. This complexity should guide treatment decisions.
  • Current Guidelines: Treatment approaches should align with current medical guidelines and evidence-based practices.

References

For further information on the treatment of obsolete urogenital abnormalities, please consult the following resources:

[10] The progress in drug development for the treatment of functional urological conditions has generated a third option, medical therapy, and this is becoming increasingly popular. [7] Treatment for urinary incontinence depends on the type of incontinence, its severity and the underlying cause. A combination of treatments may be needed. [12] Insufficient Pathophysiological Understanding. The physiology and pathophysiology of the urogenital system is more complex than often assumed.

Recommended Medications

  • Alpha blockers, such as tamsulosin or alfuzosin
  • Medical therapy for BPH
  • Medication for urinary incontinence

💊 Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.

Differential Diagnosis

The differential diagnosis of urogenital abnormalities can be complex and involves ruling out various conditions that may present with similar symptoms.

According to search result [3], a systematic interprofessional approach is paramount in the differential diagnosis of urogenital abnormalities. This approach should involve a multidisciplinary team, including healthcare professionals from various specialties such as pediatrics, urology, and genetics.

The differential diagnosis of urogenital abnormalities can be overwhelming due to the wide range of possible causes [3]. Some of the conditions that may need to be ruled out include:

  • Disorders of sex development (DSD), which are congenital conditions that affect the development of the reproductive system [3].
  • Congenital adrenal hyperplasia (CAH), a genetic disorder that affects the production of hormones in the adrenal glands [8].
  • Polycystic kidney disease, a genetic disorder that causes cysts to form on the kidneys [5].

In addition to these conditions, other factors such as anatomical abnormalities of the urinary tract, polycystic ovary syndrome (PCOS), and certain genetic syndrom

Additional Differential Diagnoses

Additional Information

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