Hydroceles and inguinal hernias are common. Hydroceles are benign as they are not associated with serious complications or damage to the testicle, whereas hernias can rarely result in bowel strangulation … Read more
A urethral injury is suspected when there is blood at the meatus, a Foley catheter cannot be passed, there is perineal bruising, or due to inability to void. Pelvic fractures … Read more
Traditional teaching dictates performing a nephrectomy for hydronephrotic kidneys with <15% differential renal function (DRF) and a pyeloplasty for those with >15% DRF. This stems from the idea that poorly … Read more
Most patients with ureteropelvic junction obstruction (UPJO) have a large anterior extra-renal pelvis which is easily accessible during conventional robotic pyeloplasty. In contrast, for patients with intrarenal/posterior pelvises, the pelvis … Read more
Staghorn stones are best visualized on a plain x-ray: On ultrasound, staghorn stones can be sometimes confused with hilar renal fat. This is the ultrasound from the patient above: … Read more
Voiding problems such as urgency, frequency, accidents, and incomplete emptying are common in children. In a recent post, I reviewed the Physician’s Guide to MOP — an enema program to … Read more
I get referrals for abnormal kidneys on a regular basis, such as: Horseshoe Kidney Ectopic Pelvic Cross-Fused Most commonly, these abnormal kidneys are found incidentally on tests performed for non-urologic … Read more
Over the past few years, I have noticed that laparoscopic orchiopexies for intraabdominal testis are easier in infants and toddlers compared to older children. Recently, I attempted a laparoscopic orchiopexy … Read more
Recently, I performed a pyeloplasty in a grade school boy. After surgery, when we tried to get him out of the bed, he felt excruciating pain in the right lower … Read more
