Document Detail


Hypospadias in infancy I) pathophysiologic considerations II) hormonal balance studies (author's transl)
MedLine Citation:
PMID:  129752     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Animal studies (Goldman, Jost) and test results in patients with hypospadias (Bongiovanni, Zachmann, Knorr) put up the question, whether all forms of hypospadias could be caused by a disturbance or peculiarity of the adrenal or gonadal androgen metabolism. Healthy volunteers and boys with glandal, penile and scrotal hypospadias were examined for their basal hormon status and response to stimulation. The following test-results are uniform, however due to the small number of cases, we would like to use these data more as a suggestion for peculiarities of the androgen metabolism, these are: 1. signs of quantitatively decreased testosteron production. 2. signs of qualitatively deranged testosteron-biosynthesis in patients with hypospadias due to a) decrease in certain enzymes in the testosteron-biosyntheticpathway (3-beta-hydroxysteroid-dehydrogenase, 17,20-desmolase, 17-beta-hydroxysteroid oxidoreductase) b) increased peripheral conversion of androgen metabolites 3. signs of a suggested "saving" of androgens in the catabolism of those compounds and, last not least 4. signs of gonadal transformation of the adrenals, seen by increased adrenal androgen production and an adrenal transformation of the gonads, which can ultimately be considered as faulty differentiation of these 2 organ systems.
Authors:
J Glatzl
Publication Detail:
Type:  English Abstract; Journal Article    
Journal Detail:
Title:  Pädiatrie und Pädologie     Volume:  10     ISSN:  0030-9338     ISO Abbreviation:  Padiatr Padol     Publication Date:  1975  
Date Detail:
Created Date:  1976-04-30     Completed Date:  1976-04-30     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0022370     Medline TA:  Padiatr Padol     Country:  AUSTRIA    
Other Details:
Languages:  ger     Pagination:  420-61     Citation Subset:  IM    
Vernacular Title:
Hypospadie im Kindesalter. I. Pathogenetische Uberlegungen II. Hormonelle Untersuchungen
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MeSH Terms
Descriptor/Qualifier:
Androgens / metabolism
Androsterone / urine
Dehydroepiandrosterone / urine
Female
Genitalia / anatomy & histology,  physiopathology
Humans
Hydroxysteroids / deficiency
Hypospadias* / etiology,  metabolism
Infant
Lyases / deficiency
Male
Pregnanediol / urine
Pregnanetriol / urine
Steroids / metabolism
Testosterone / deficiency,  urine
Ureter / anatomy & histology,  physiopathology
Chemical
Reg. No./Substance:
0/Androgens; 0/Hydroxysteroids; 0/Steroids; 26445-07-8/Pregnanediol; 27178-64-9/Pregnanetriol; 53-41-8/Androsterone; 53-43-0/Dehydroepiandrosterone; 58-22-0/Testosterone; EC 4.-/Lyases

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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