Staghorn Stones
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
The most common cause of voiding problems in children is rectal retention of stool
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
Horseshoe, Pelvic, Ectopic, Cross-Fused Kidneys
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
Laparoscopic Orchiopexy Post Puberty
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
Iliohypogastric Nerve Entrapment with Robotic Trocar Site Closure
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
Pediatric Kidney Stones: is the metabolic evaluation worth it?
After a child passes a kidney stone — or the stone is surgically removed –, urologists/nephrologist recommend a full metabolic stone evaluation (ME) to uncover the causes for stone formation. … Read more
Robotic Pyeloplasty: Pelvic Kidney
This post describes port placement with hidden incisions and the technique for a robotic pyeloplasty in a pelvic Kidney. Positioning Frog leg with slight elevation of the ipsilateral side; secure … Read more
Concealed penis
Definition A concealed penis occurs when the head of the penis telescopes inside the foreskin under the healing circumcision line which then contracts into a tight ring. This happens soon … Read more
Smegma Balls
Smegma balls are a common referral to pediatric urologists. These are some of the descriptions I see on the referrals: Penile mass Penile tumor Penile abscess Penile pus According to … Read more