Abstract

A STUDY OF THE CORRELATION BETWEEN ANO-SCROTAL DISTANCE, ANO-GENITAL DISTANCE AND THEIR RATIO IN COMMON MALE UROLOGICAL CONDITIONS

Prof. Joseph Philipraj*, Dr. Vishal Shet and Dr. Vasudevan T.

ABSTRACT

Introduction and Objective: Ano-genital distance (AGD) is a sexually dimorphic anatomic landmark that develops in response to hormone signalling and end-organ response during foetal life (1,2). In males a shortened AGD is associated with a variety of genital abnormalities including hypospadias and cryptorchidism (3). Consensus on the anatomical definition of AGD in humans remains to be established and few data exist on the determinants and normal variance in the general population. Study of anogenital distance (AGD) in human studies has been rare (4,5). However there are no studies conducted to correlate AGD and ASD in other urological conditions. We tried to stydy the correlation between common urological conditions and ASD & AGD. Materials & Methods: A Prospective observational study conducted between December 2016 to June 2017. Adult males with Urolithiasis, Infertility and Prostate Cancer were included. Results: The total number of patients enrolled in the study was 145, 126 presented with urolithiasis, 13 presented with primary infertility, 6 presented with prostate nodule diagnosed to have Ca prostate. Conclusion: The ASD, AGD & ASD: AGD are found to be low in cases of infertility. Whereas they are found to be higher in cases of Ca Prostate. Suggesting a positive correlation between ASD, AGD & ASD:AGD ratio and Infertility and Ca prostate. However this correlation can only be confirmed by Larger Prospective Randomised studies along with hormonal profile.

Keywords: Anoscrotaldistance(ASD), ASD:AGDRatio, Anogenital Distance(AGD) Infertility, Urolithiasis, Carcinoma Prostate.