Primary partial empty sella occurs when less than 50% of an enlarged or deformed sella turcica is filled with cerebrospinal fluid in the setting of unidentified etiologic pathological conditions. Prepubertal hypogonadotropic hypogonadism presenting as its main manifestation is rare since its peak incidence commonly occurs late at 30 to 40 years of age and has a sexual predilection for female. We described a case of 20-year-old male who presented with micropenis and absent secondary sex characteristics. Work up showed cranial MRI finding of partial empty sella, low testosterone, LH, FSH, Estradiol and Beta HCG levels. Sex hormone replacement may not improve fertility for this case but may help produce and maintain virilization and prevent future complications of hypogonadotropic hypogonadism.
Penis agenesis ; Genital Diseases, Male ; Penis ; hypogonadism

Highly transient population, multiple sexual partners and high prevalence of unprotected sex behaviors suggest a potential rapid spread of sexually transmitted diseases (STD) in China. However, there are some 200 non-sexually transmitted diseases involving the genitalia, etiologically falling into 23 types. To avoid unnecessary medical disputes, enough attention should be paid to the differential diagnosis of non-sexually transmitted diseases in the genitalia.
Female ; Genital Diseases, Female ; diagnosis ; etiology ; Genital Diseases, Male ; diagnosis ; etiology ; Genital Neoplasms, Male ; diagnosis ; Humans ; Male ; Skin Diseases, Infectious ; diagnosis ; etiology ; Skin Neoplasms ; diagnosis

The improvement of diagnosis and treatment of andrological disease depends on scientific advances in the corresponding domain of andrology. In this article, the author thought topic selection was of great significance for the improvement of diagnosis and treatment based on his clinical and scientific experience for years in the field of andrology. Topic selection should be closely combined with clinical practice and follow the principles of importance, innovation, feasibility and reality, which meets the demands of basic, therapeutic and epidemiologic aspects in andrology research. Several common approaches to topic selection were discussed as well in the article.
Andrology ; Genital Diseases, Male ; epidemiology ; therapy ; Humans ; Male ; Research

Male ; Humans ; Consensus ; Genital Diseases, Male ; Penis/abnormalities*

Recently, research on male reproductive ability brings along the concern on male reproductive health. At present time, the situation of reproductive health was not optimistic and many problems need to be solved. In this article, many important topics were included, such as the changing and the possible reasons of male reproductive health; much concern was needed for babies, children, and male juvenile; increasing tendency of the infection rates of male urogenital system; research on male infertility needed to be explored deeply; there was no satisfactory methods for male contraception; the diagnosis and treatment of male erectile dysfunction were not sufficient for the need; research on andropause was at the primary stage; life regime of men needed to be adjusted. Concerning for male reproductive health is the responsibility of both medical workers and whole society.
Contraceptive Devices, Male ; Genital Diseases, Male ; Humans ; Infertility, Male ; Male ; Reproductive Medicine ; Sexually Transmitted Diseases

Genital dissatisfaction is well known in female and adults. Less is known about male adolescents and their genital satisfaction. The aim of this study was to investigate and report the role of surgery in male adolescents to improve the evaluation of their genitalia. We considered all patients treated for external genital pathology in the period of adolescence. Inclusion and exclusion criteria were created. Patients underwent an evaluation test before and after surgery. During the study period, 137 patients were treated, and at the end of the study, 98 cases were considered for analysis. The most frequent pathologies were webbed penis and penile curvature. A postoperative score improvement was noted and patients with concealed penis and webbed penis showed a better postoperative outcome. Overweight was considered an important factor associated with a worse preoperative score. Evaluation of the external genitalia is important in adolescents, and it is an understudied problem. Overweight may be associated with a worse evaluation of one's genital and should be clinically considered to avoid related social problems in adulthood. Therefore, cosmetic genital surgery should be considered even in male adolescents.
Adolescent ; Adult ; Female ; Genital Diseases, Male/surgery* ; Genitalia ; Humans ; Male ; Overweight ; Penile Diseases ; Penis/surgery*

OBJECTIVETo evaluate the effectiveness on comprehensive health education intervention program regarding reproductive tract infections/sexually transmitted diseases (RTIs/STDs) among reproductive age population in the rural areas of China.

METHODSData were generated from the Reproductive Health/Family Planning Project implemented by the State Family Planning Committee and the Ministry of Health from 1998 to 2002, which covered 32 counties in 22 provinces. A quasi-experimental design was used. Six counties were selected from 32 project counties as intervention group, while 6 non-project counties were taken as controls which were similar in number of population and economic level to the counties as selected. Subjects of the study were mothers with children under 3 years and men under 35 years of age. A total number of 675 mothers and men were interviewed using a structured questionnaire by strictly trained investigators. Logistic model was used to compare the difference of knowledge on RTIs/STDs between intervention group and control group. OR value was used to describe the degree of the difference.

RESULTSOver the 18 month intervention period, persons in the intervention group had more knowledge of RTIs/STDs than those in control group. Logistic regression analysis indicated that intervention was significantly associated with better knowledge on factors as transmission, risks, symptoms, management and prevention of RTIs/STDs with 95% CI of OR as 2.4 - 6.4, 2.0 - 4.8, 3.0 - 6.4, 1.9 - 5.7 and 1.8 - 6.8 respectively, after controlling the demographic factors. Level of education was an important factor influencing the subjects to receive knowledge on RTIs/STDs.

CONCLUSIONComprehensive health education intervention programs had significant impact on knowledge about RTIs/STDs among the target population, indicating that the Reproductive Health/Family Planning Project implemented in the rural areas of China had been successful.

Adult ; China ; Female ; Genital Diseases, Female ; prevention & control ; Genital Diseases, Male ; prevention & control ; Health Education ; Humans ; Male ; Rural Health ; Sexually Transmitted Diseases ; prevention & control

The management of children with intersex or micropenis is an ongoing challenge to clinicians. Topics including the recent surgical developments and controversies of management are reviewed. In feminizing genitoplasty, clitoroplasty is done as early as the first few months of life, however there are controversy in vaginal reconstruction for high vaginal confluence. In the patients with complete androgen insensitivity the testes are left intact until after puberty, so that hormone replacement therapy may be delayed. The sex assignment and surgical management of patients with intersex is very complex and should be made by the intersex team and family. Micropenis should be diagnosed by measuring stretched penile length and differentiated from buried penis which has basically normal penile size. In most boys with small penis, the size of penis reaches the normal range through a catch-up growth after puberty. Therefore close observation is a general rule in management of small penis. However low dose androgen treatment can be applied without complication in children with micropenis, especially who have severe psychological stress.
Child ; Genital Diseases, Male ; Hormone Replacement Therapy ; Humans ; Male ; Penis ; Puberty ; Reference Values ; Stress, Psychological ; Testis

Vasoseminal vesiculography is becoming more and more valuable to the diagnosis of seminal ductal system diseases. Vasography can be performed by either trans-scrotal injection into the vas deferens, or transperineal injection into seminal vesicle, or retrograde insertion of a catheter into the opening of the ejaculatory duct. A good knowledge of the indications and proper judgement of the X-ray signs may significantly improve the diagnosis and treatment of the diseases of the seminal vesicle and ductal system.
Ejaculatory Ducts ; Genital Diseases, Male ; diagnostic imaging ; Humans ; Male ; Radiography ; Seminal Vesicles ; diagnostic imaging

Acupuncture Points ; Acupuncture Therapy ; Adult ; Genital Diseases, Male ; therapy ; Humans ; Male ; Middle Aged