Suprise Femoral Hernia
The last time I read about femoral hernias was during my surgery internship. Up to recently, I have never seen an actual femoral hernia or heard of any of my … Read more
Urethral Meatitis
To my knowledge, there is nothing published in medical journals or the internet about urethral meatitis. Despite this, I commonly diagnose boys in my clinic with the condition. I refer … Read more
For Bladder Stones, Scope Size Matters
I cystoscopically removed a 5 cm stone in a teenager with neurogenic bladder status post bladder augmentation: I decided to do this cystoscopically — and not open or percutaneously — … Read more
Is less more for posterior urethral valves patients?
Some patients with posterior urethral valves fail to improve after primary valve ablation with regards to hydronephrosis and creatinine levels. Because of this, pediatric urologists sometimes recommend either a vesicostomy … Read more
Clinical challenges in Prune Belly patients
Patients with Prune Belly Syndrome (PBS) suffer from recurrent urinary infections, difficulties voiding/emptying and/or renal failure. Almost always, boys with PBS have bilateral undescended testis but for this article, I … Read more
Real life indications for pyeloplasty
In a previous post, I went over the indications for a pyeloplasty and discussed their merits and drawbacks. To better inform the families of the children I take care of, … Read more
Simple Renal Cysts
We often see patients with incidentally found simple renal cysts on ultrasounds done for urinary symptoms/abdominal pain. Once a cyst is found, I feel obligated to continue to monitor it … Read more
Vaginal Voiding
Vaginal voiding occurs when the urine goes from out the urethra back into the vagina. Radiologists often see vaginal voiding in girls during a voiding cystourethrogram due to the fact … Read more
Prostatic utricles
Prostatic utricles (PU) are rarely found in boys with a history of severe hypospadias or disorders of sex development, either during preoperative evaluation with a voiding cystogram or at any … Read more
Postnatal evaluation of Antenatally detected Hydronephrosis
I get asked frequently by pediatricians how to evaluate newborns postnatally with antenatally detected hydronephrosis. I am writing this post to hopefully answer that question. UTD Classification We now refer … Read more