4/15/2020 PedsUroFLO lecture highlights: Luis Braga on UTI’s
After watching Luis Braga’s lecture on UTI’s, I found the following points interesting or of clinical use to my practice: Before 1 year of life, UTIs are more common in … Read more
Guide for postponing pediatric urologic surgery during the COVID-19 pandemic: Groin cases
Governments and health care systems across the world have recommended/mandated that elective surgery be postponed — as long as the delay does not cause harm to the patient. To better … Read more
Infant Robotic Pyeloplasty: Hidden Incisions (HIDES) versus Conventional Port placement
Background Hidden Incision Endoscopic Surgery (HIDES) consists of port placement (PP) inside the umbilicus and at the bikini line, thus hiding incisions. Although the cosmetic advantages are clear, the … Read more
How do we do less circumcisions in the operating room and more in the clinic?
The case for clinic circumcisions In my practice, the majority of cases done in the operating room (OR) under general anesthesia are circumcisions. Doing all these circumcisions in the clinic … Read more
What makes a medical article, abstract, or talk, boring versus interesting?
After a few years of practice, I have developed explicit or implicit algorithms to deal with the most common problems I treat. I have written about my vesicoureteral reflux algorithm … Read more
Labial adhesions
Incidence Labial adhesions occur in up to 2% of girls usually in the first 2 years of life: Cause The cause has not been clearly identified. Some have postulated … Read more
Megalourethra
Recently, I got involved in the care of a newborn patient with a fusiform megalourethra. On examination, I was not able to palpate any corporal tissues. The penile skin … Read more
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