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Pleno Modul 1
Pleno Modul 1
Pleno Modul 1
GROUP 13C:
HANIFAH PUTRI DWIRIDAL
MEGA UTAMI MULYADI
TEGUH BEDI PUTRA
MASYITAH NAQIA
VANESHA AZZURA
AULIA RAHMI SAFITRI
KARINA JULITA
FADHILA ANAS Z
M. DAVIN PUTRA R
CHYNTIA FITRI
STEP 4: Scheme
Squatting urination
2. Pathological Phimosis
- It is due to injury or infection. Most of the time, it is not possible to
differentiate between the two.
There are 5 grade of it, which are as follows:
Grade 1: Full retraction of prepuce, but tightly and with small
discomfort.
Grade 2: Half retraction. Only half of glans penis is visible after
retraction.
Grade 3: Little less than half retraction, only meatus can be seen.
Grade 4: Very less open, minimal distance seen between glans and
opening of prepuce.
Grade 5: No retraction. Foreskin attached to glans.
Epidemiology:
Infectious
Inflammatory
Hormonal disorders
Poor hygiene
Repeated catheterization
Pathophysiology:
Symptoms:
Paraphimosis
Penile carcinoma
Recurrent balanitis
Urinary tract infection
Sexually transmitted disease
Urine retention
Undescended Testis SKDI 2
Introduction
Cryptorchidism :
• Cryptos : Hidden
• Orchis : testicles
Synonim : Undescended testis (UDT)
Cryptorchidism :
The testicles are located in the normal desensus path, but
don’t reach normal places in the scrotum
Epidemiology
There are 3 factors that play a role in the process of testicular descent:
Anti Mullerian hormone (AMH)
Intra-abdominal pressure
Androgen hormone factor
Infertility
Malignancy : 10 – 50 x normal
Torsio Testis
Psychological side
Iatrogenic : Orchidopexy complication
Hypospadias
Definition
Endocrine factors
A decrease in available androgen or an inability to use available androgen appropriately may result
in hypospadias. In a 1997 report by Aaronson et al, 66% of boys with mild hypospadias and 40%
with severe hypospadias were found to have a defect in testicular testosterone biosynthesis.
Environmental factors
Endocrine disruption by environmental agents is gaining popularity as a possible etiology for
hypospadias and as an explanation for its increasing incidence.
Pathophysiology
Physical Examination
Although the appearance of hypospadias has been identified with both antenatal fetal
ultrasonography (US) and magnetic resonance imaging (MRI), the diagnosis is
generally made upon examination of the newborn infant.
Hypermobile testis
Polyorchidopathia
Anomalous, Bifurcation and Short spermatic cord
Clapper Bell Deformity
Cold (temperatures below 15 Celcius)
Pathogenesis
MRI
USG Doppler
Treatment
Hymen Imperforatus
Atresia Labium minus
Hypertrophy Labium minus
Duplication of Vulva
Hypoplation of Vulva
Perineum disorder
Hymen Imperforatus
Himenektomi
Insisi himen
If Hematocolpos is not resolved utero cavum will
be filled with menstrual blood and will enlarge
Hematometra
Vaginal
Vaginal septum
Aplasia and Vaginal atresia
Vaginal cysts
Vaginal septum
The sagittal partition on the vagina
Etiology: Disorders in the fusion or canonization of both
duct mulleri
Rarely raises complaints sometimes arises Dispareuni
(pain during the bun)
Newly discovered during gynecologic examination
Normal menstruation
When childbirth can be ripped spontaneously
Septum Vagina
Vagina aplasia/Vaginal agenesis
Bikornu Unikolis
(1 cervix, 2 horns, 1 kav
uteri, 1 tuba, 1 ovary Bikornu Bikollis (Didelphys uterus)
2 separate sections, 2 vagina, 1 vagina with a
partition
Uterine arcuatus
Hipertrofi klitoris
Testicular feminization
Female traits
No radiology interna
Woman
There are testicles (in the
abdomen, or on the
inguinal canalis, in
Labium Mayus)
Good mamma growth
Management