Libro blanco de las ACES Pediátricas 2024

Libro Blanco de las ACES Pediátricas 2024 180 ❚ 44 M. DISORDERS OF TESTES AND MALE REPRODUCTIVE TRACT 1 Testes structure and function • Leydig cell and Sertoli cell function • Across fetal life, infancy, childhood and puberty • Regulation by LH and FSH, role of receptors B 2 Embryology and physiology of testicular descent C 3 Nonpalpable testes • Maldescent/cryptorchidism vs testicular regression vs anorchia • Unilateral vs bilateral cryptorchidism vs retractile • Timing of surgical intervention • Associated with Persistent Mullerian Duct syndrome C 4 Testicular failure/dysfunction • Approach to management and including management of specific conditions • Hypergonadotrophic vs hypogonadotrophic hypogonadism • Aetiology: congenital, acquired • Fertility and psychosexual outcome • Klinefelter syndrome C 5 Testicular swellings and tumours • Benign, malignant, leukemia • Germ cell (seminoma), non-germ cell (Leydig cell, Sertoli cell, primitive gonadal structures), mixed gonadal elements (gonadoblastoma, dysgerminoma) • Adrenal rest tumour associated with congenital adrenal hyperplasia • Fragile X syndrome D C D 6 Micropenis: normal vs abnormal and associated with DSD C 7 Enlarged penis: normal vs abnormal and feature of precocious puberty C 8 Hypospadias with/without bifid scrotum: isolated vs associated with DSD C 9 Testosterone treatment • Preparations and routes of administration • Indications, doses and duration of treatment o Infancy o Constitutional delay in puberty o Pubertal hormone replacement C 10 recombinant FSH and hCG treatment in hypogonadotrophic hypogonadism D