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
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
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
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
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
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
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
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
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
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