Urachal Remnants
Urachal Remnants: Sleeping lions or another downside of too much medical care? On one hand, some doctors advocate removing all urachal remnants due to their potential to cause infections or … Read more
For Primary Care Doctors
The Acute Scrotum
The “acute scrotum” is a condition characterized by the recent onset of scrotal pain with or without redness or swelling. A good history and physical examination are all that is … Read more
Ultrasound is Not Useful To Diagnose Undescended Testis
Scrotal ultrasounds are not clinically useful in the management of the undescended testis. This is not just my rogue opinion but the consensus of the American Medical Association and the … Read more
3 key steps for a perfect newborn circumcision
Poor circumcision technique or inappropriate postoperative care after a newborn circumcision, can lead to problems such as: penile skin bridges, concealment, adhesions, redundant foreskin, or meatal stenosis. These complications could be … Read more
Two pathways to manage vesicoureteral reflux with 90% difference in the rate of surgery
The traditional way of managing vesicoureteral reflux (VUR) consisted of: Yearly voiding cystourethrograms (VCUG’s) until resolution or age 5-6 years. Antibiotic prophylaxis while VUR is present. Surgery for persistent VUR … Read more
Undescended testis and future risks of testicular cancer and infertility from a large Australian population cohort.
This article published in Lancet Child Adolesc Health discusses the risk of testicular cancer and infertility associated with hypospadias and undescended testis (UDT). I decided to review it because It … Read more
Please do not stop the circumcision!
Most doctors would not attemp a circumcision on these patients with obvious hypospadias/chordee: However, if you start a circumcision because the penis looked normal at the beginning, please don’t stop! … Read more
Care of the circumcised penis
This post goes over common circumcision complications and how to prevent them. These are the most common long-term complications of neonatal circumcision: Meatal Stenosis Soft penile adhesions Penile skin bridges Concealed … Read more
All you need to know about penile adhesions and penile skin bridges
Definitions Penile adhesions (a.k.a soft penile adhesions): foreskin that is attached to the glans penis, but that can be pulled back without creating bleeding or having to incise/cut anything … Read more