Pediatric and Adolescent Andrology

Genetics and alterations in the development of reproductive systems: diagnosis and clinical management.- Impact of endocrine disruptors on male sexual development.- Risk factors affecting male reproductive health, role of epigenetics.- Congenital anomalies of the penis.- Disorders of pubertal development: from hypogonadotrophic hypogonadism to constitutional delay of puberty.- Disorders of pubertal development: precocious puberty.- Clinical management and treatment of varicocele in the adolescence.- Congenital causes of hypergonadotropic hypogonadism: Klinefelter syndrome.- Acquired  testicular disorders (trauma, torsion, orchitis, iatrogenic damage).- Risk factors affecting puberty: environment, obesity and lifestyles.- Sexually transmitted infections and risk behaviors in the adolescence.- Sexual disorders in adolescents and young adults.- Diagnosis and management of testicular tumors.- Gender dysphoria: management in the transition age.

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.

Dr. Carlo Foresta is a Full Professor of Endocrinology at the University of Padua, Italy where he is also Director of the Operative Unit Andrology and Medicine of Human Reproduction. Former President of the Italian Society of Andrology and Sexual Medicine (2010-2014), Dr. Foresta is also a Member of the Board of Directors of the Italian Society of Endocrinology. His main research fields are pathophysiology of human reproduction, genetics of human sperm, male infertility, cryptorchidism and testicular tumors, pharmacogenetics of infertility, Klinefelter syndrome, male osteoporosis, metabolic syndrome, pathophysiology of male aging, and endocrine and reproductive disorders in sexually transmitted diseases. Prof. Foresta is the author of 351 original scientific publications in international journals, and of more than 50 books on reproductive medicine, andrology and endocrinology. He serves on the Editorial Board of several international scientific journals.

Dr. Daniele Gianfrilli is a Associate Professor of Endocrinology  at the Department of Experimental Medicine, “Sapienza” University of Rome. Dr. Gianfrilli is also a Member of the Board of Directors of the Italian Society of Endocrinology. His main research fields are the steroidogenesis pathway and steroid hormones, hypogonadism and testosterone replacement therapy, the phosphodiesterases (PDE) system, primary and secondary prevention in andrology and transition age, testicular tumors and testiculopathy. He is the author of more than 100 journal articles and book chapters.