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Kidney360 Nov 2022
Topics: Humans; Peritoneal Dialysis, Continuous Ambulatory; Edema; Hernia, Inguinal; Patients; Genitalia
PubMed: 36514395
DOI: 10.34067/KID.0003152022 -
The American Surgeon Nov 2015Acute genital edema (AGE) is an infrequent but disruptive complication in patients on continuous ambulatory peritoneal dialysis. It is a common manifestation of... (Review)
Review
Acute genital edema (AGE) is an infrequent but disruptive complication in patients on continuous ambulatory peritoneal dialysis. It is a common manifestation of dialysate leakage caused by inguinal, umbilical, femoral, or incisional hernias; peritoneal tears; leaks around the dialysis catheter; trauma; fluid overload; and malignancy. The evaluation of AGE begins with a history and physical exam. However, the physical exam in these patients is often indeterminate. Several diagnostic measures exist to evaluate and guide management of AGE occurring during continuous ambulatory peritoneal dialysis but little agreement exists on an optimum method. We have conducted a review of the literature on the evaluation and management of AGE and present a summary of the data. CT peritoneography and peritoneal scintigraphy have been used extensively to evaluate AGE although no comparative studies exist. MRI peritoneography has also been described. CT peritoneography offers more anatomical detail but may not be as sensitive as peritoneal scintigraphy in detecting a peritoneal fluid leak as the cause for AGE. CT is also more costly and subjects the patient to more radiation. MRI is a noncontrast study without radiation risk, but has not been studied to the same degree. If testing is equivocal or bilateral hernias are suspected, diagnostic laparoscopy is helpful and can be combined with hernia repair. Whether the etiology is a leak or tear, low-volume peritoneal dialysis (PD) or cessation of PD for two to four weeks will allow closure. However, hernias almost always require operative repair with mesh usually without disrupting PD.
Topics: Acute Disease; Edema; Female; Genitalia; Genitalia, Female; Genitalia, Male; Hernia, Ventral; Humans; Laparoscopy; Magnetic Resonance Imaging; Male; Peritoneal Dialysis, Continuous Ambulatory; Tomography, X-Ray Computed; Ultrasonography
PubMed: 26672592
DOI: No ID Found -
JAMA Dermatology Mar 2020
Topics: Adolescent; Crohn Disease; Edema; Genital Diseases, Male; Genitalia, Male; Humans; Male
PubMed: 31851286
DOI: 10.1001/jamadermatol.2019.3504 -
The American Journal of Medicine Jul 2016
Topics: Aged, 80 and over; Edema; Genital Diseases, Male; Humans; Male; Paracentesis; Scrotum
PubMed: 26968473
DOI: 10.1016/j.amjmed.2016.02.019 -
Child Nephrology and Urology 1990Genital edema is a recognized complication of continuous ambulatory peritoneal dialysis (CAPD) in adults. Two children who developed genital edema while on CAPD are... (Review)
Review
Genital edema is a recognized complication of continuous ambulatory peritoneal dialysis (CAPD) in adults. Two children who developed genital edema while on CAPD are reported. The edema developed in both children as a consequence of a peritoneal leak in the inguinal region. A computerized tomogram (CT) scan of the abdomen is an excellent method to identify the site of the peritoneal leak. The literature is reviewed and the pathophysiology of the development of genital swelling and edema is discussed.
Topics: Adolescent; Child, Preschool; Edema; Hernia, Inguinal; Humans; Kidney Failure, Chronic; Male; Penile Diseases; Peritoneal Dialysis, Continuous Ambulatory; Scrotum; Tomography, X-Ray Computed
PubMed: 2088592
DOI: No ID Found -
Cutis Jul 2023
Topics: Humans; Edema; Genitalia
PubMed: 37611300
DOI: 10.12788/cutis.0814 -
European Journal of Pediatric Surgery :... Jun 2018Existing information on acute idiopathic scrotal edema relies on small case series and textbooks. (Review)
Review
INTRODUCTION
Existing information on acute idiopathic scrotal edema relies on small case series and textbooks.
METHODS
We searched reports with no date limits on acute idiopathic scrotal edema.
RESULTS
Thirty-seven studies were included. Sixteen case series addressed the prevalence of acute idiopathic scrotal edema among males with acute scrotum: among 3,403 cases, the diagnosis of acute idiopathic scrotal edema was made in 413 cases (12%). Twenty-four reports addressed history, findings, management, and course of acute idiopathic scrotal edema in 311 patients. The patients mostly ranged in age from 5 to 8 years, presented with acute scrotal redness and swelling, associated or not with mild pain. Ninety percent or more of the cases developed in patients without atopic diathesis and were not preceded by inguinoscrotal surgery, acute febrile illnesses, or trauma. They were afebrile; in good general condition; and presented without pruritus, nausea or vomiting, or abdominal pain. The lesions were bilateral in two-thirds and unilateral in one-third of the cases. The condition resolved spontaneously within 2 to 3 days without sequelae. Approximately 10% of the cases experienced a recurrence.
CONCLUSION
Acute idiopathic scrotal edema is a self-limiting condition that accounts for ≥ 10% of cases of acute scrotum in children and adolescents.
Topics: Acute Disease; Edema; Genital Diseases, Male; Humans; Male; Prognosis; Scrotum
PubMed: 28505694
DOI: 10.1055/s-0037-1603089 -
The Journal of Urology Aug 2018
Topics: Edema; Genital Diseases, Male; Humans; Male; Testis
PubMed: 29778578
DOI: 10.1016/j.juro.2018.03.151 -
Urology May 1977An eight-year experience consisting of 30 cases of idiopathic scrotal edema has been analyzed. The condition is characterized by a minimally painful scrotal swelling...
An eight-year experience consisting of 30 cases of idiopathic scrotal edema has been analyzed. The condition is characterized by a minimally painful scrotal swelling produced by subcutaneous edema. A normal testis and cord enable one to differentiate it from some other causes of scrotal swelling such as torsion of the testis and epididymo-orchitis. A connection with trauma, periurethral disease, or streptococcal disease appears unlikely. A localized allergic phenomenon, perhaps a local form of angioneurotic edema appears to be the most likely etiologic factor.
Topics: Angioedema; Child; Child, Preschool; Diagnosis, Differential; Edema; Genital Diseases, Male; Humans; Male; Scrotum
PubMed: 860345
DOI: 10.1016/0090-4295(77)90250-3 -
Cutis Apr 2020
Topics: Edema; Humans; Male; Penis; Scrotum
PubMed: 32463848
DOI: No ID Found