Pediatric And Adolescent Andrology

This book addresses and summarizes the main andrological disorders (genital, reproductive or sexual diseases) that may originate in childhood or adolescence. Since many of the andrological diseases that occur in adulthood originate before the age of 18 and sometimes even during gestation, andrological evaluation is essential during childhood to highlight anomalies in the genital organs. During puberty, evaluation can help to monitor growth and secondary sex characteristics, and to assess e.g. the possible presence of an eunucoid habitus, gynecomastia, testicular hypotrophy or varicocele, a very common pathology in young people. During adolescence, the assessment of risk factors, such as those related to certain lifestyles, is of fundamental importance for primary prevention. Moreover, in late adolescence the focus shifts to preventing sexually transmitted infections, or to dealing with possible discomforts related to the sexual sphere. Finally, ensuring young people’s genital and sexual health also means protecting their fertility. Written by respected experts in the field, this book constitutes an innovative resource, combining updated, reliable and comprehensive information with agile consultation in order to provide a streamlined approach to the care of children and adolescents with such disorders.

The subject matter in this volume was derived from papers presented at the Pediatric Andrology session of the 1st Pan American Congress of Andrology held in Caracas, Venezuela in February 1979, as well as from selected additional manuscripts of interest in this field. Prior to this session, identification of a distinct discipline and specialty devoted to pediatric andrology had not occurred, nor had it been conceptualized. Pediatric andrology encompasses many different areas: disorders of sexual development, structural disease of the genital organs, normal and abnormal puberty, undescended testes, genital tumors, gonadal function and its relationship to growth, virilization, fertility and gender identity all represent areas of specific interest, to name but a few. Andrology itself is a unique field, bringing together clinicians and basic scientists with diverse back grounds. It should be noted that between one-half and three-quarters of the clinicians contributing to this issue conduct basic research as well. It has been this unique blend of basic research and clinical medicine which has done much to unravel many of these problems characteristic of this field.

This book combines concise descriptions of the various andrological surgical interventions in the adolescent and adult with detailed analysis of the pre- and postoperative psychosexual counseling of the patient and his family that is appropriate to each procedure. It offers a multidisciplinary approach to the candidate for andrological surgery that reflects the everyday experiences of an andro-sexology team. Each chapter focuses on a particular surgical procedure. Succinct description of the disease and its epidemiology, diagnosis, and treatment is followed by extensive discussion of all aspects of psychosexual relevance and the required counseling. Topics addressed include, for example, the impact of diagnosis, body image issues, fears relating to the surgical procedure and its outcome, the risk of excessive expectations and consequent disillusionment, relationship issues and communication problems, and the role of the sexologist. The analysis and guidance offered in this book will be of particular value to the less experienced andrologist and will assist in achieving postoperative patient satisfaction.

This book presents the latest insights into all the critical aspects of Klinefelter’s Syndrome, in order to promote a more homogeneous a medical approach to this condition, leading to better and more “evidence-based” support, and improving patient satisfaction. It offers physicians and all health professionals involved in treating these patients (andrologists, pediatricians, endocrinologists, psychologists) a comprehensive overview and a useful tool for their daily clinical practice.

Male reproductive health is an important area affecting men's overall health and well-being. Infertility is a worldwide problem that affects approximately 15% of married couples. Half of these cases can be traced to male partners. Infertile men are at an elevated risk of cancer development later in life, primarily genitourinary malignancies such as testicular and prostate cancer. This book will focus on male reproductive health, from the aspects of semen quality, male infertility, testicular cancer, and prostate cancer, and their detection, diagnosis, treatment, and prevention.

Environmental Contaminants and Endocrine Health focuses specifically on contaminants with hormonal disrupting activities. The book provides insights into the multiple effects of endocrine-disrupting chemicals (EDCs) and their mechanism of action (MoA) on metabolism, reproduction and the multiple physiological roles of the endocannabinoid system which has recently been indicated as new target. The content systematically covers EDC sources and effects, EDCs as sources of disease and health impairment in laboratory models, EDCs as the cause of disease and health impairment in humans and wild species, and the removal of hazardous pollutants from wastewaters to highlight intervention, mitigation and adaptation for reduced threat. This content will be a foundational resource for academic and research staff in endocrinology and hormone toxicology as well as for professors, researchers and students in these areas. Includes important foundational coverage of the endocrine system, definitions of EDC sources and descriptions, model examples and mechanisms of action biological effects Provides coverage of EDC effects in humans and animals, from metabolic alterations to epidemiological studies of fertility and metabolism Presents insights into the confirmed and suspected human diseases spectrum with origins linked to EDC exposure, including cancers, intellectual disabilities, autism, birth defects of the urethra (hypospadias), decreased sperm count, increased rates of miscarriage, obesity, type 2 diabetes, and more

Build a comprehensive foundation in children’s primary care. Burns' Pediatric Primary Care, 8th Edition, covers the full spectrum of health conditions seen in primary care pediatrics, emphasizing both prevention and management. This in-depth, evidence-based textbook is the only one on the market written from the unique perspective of the Nurse Practitioner. It guides you through assessing, managing, and preventing health problems in children from infancy through adolescence. Key topics include developmental theory, issues of daily living, the health status of children today, and diversity and cultural considerations. Updated content throughout reflects the latest research evidence, national and international protocols, and standardized guidelines. Additionally, this edition includes three new chapters on topics such as palliative care; inclusivity, equity, diversity, and justice; and child maltreatment. Comprehensive content provides a complete foundation in the primary care of children from the unique perspective of the Nurse Practitioner and covers the full spectrum of health conditions seen in the primary care of children, emphasizing both prevention and management. In-depth guidance covers assessing and managing pediatric health problems in patients from infancy through adolescence. Highlights indicate situations that require urgent action, consultation, or referral for additional treatment outside the primary care setting. Coverage of activities related to every child’s daily living, such as nutrition and toilet training, explores issues that could lead to health problems unless appropriate education and guidance are given. Algorithms throughout the book provide a concise overview of the evaluation and management of common disorders. Resources for providers and families are included throughout the text for further information. Expert editor team is well-versed in the scope of practice and knowledge base of Pediatric Nurse Practitioners (PNPs) and Family Nurse Practitioners (FNPs).

The Handbook of Mind/Body Integration in Child and Adolescent Development examines issues relating to the mind/body connection in the development of children and adolescents, addressing problems of adverse life experiences with clinical implications, including somatization, functional or unexplained medical disturbances in various organ systems, psychosomatic conditions, and the effects. It discusses the interactions of emotions, experiences, thoughts in the mind – and their manifestations in the body – of children and youth. The book describes the effects of bodily conditions on the emotional state and mental functioning of children, such as cerebral palsy, major medical conditions, and other chronic health problems. It also explores the effects of chronic stress as well as child neglect and abuse on bodily manifestations. Key areas of coverage include: Developmental issues in the embodiment of self and body image in children and adolescents. Trauma and mind/body consequences in children and adolescents. Munchausen syndrome by proxy. Unexplained medical conditions, somatoform disorders, and conversion disorders during childhood and adolescence, including unexplained conditions in different organ systems (e.g., gastrointestinal, dermatological, neurological). Body/mind conditions in youth with physical and intellectual disabilities and chronic or severe medical conditions, including palliative care. Complementary and alternative treatment approaches to mind/body issues in children and adolescents, supplementing the usual mental health interventions. The Handbook of Mind/Body Integration in Child and Adolescent Psychiatry is an essential resource for researchers, professors, and graduate students as well as clinicians, therapists, and related professionals in developmental psychology, child and adolescent psychiatry, family therapy, social work, pediatrics, and public health.